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Author: admin, 13.02.2014
The condition in which there is swelling of the junction in which the upper ribs fuse with the cartilage tissue holding the breast-bone is called as costochondritis. When the person gets infected by Tietze syndrome it can be in the form of swelling of ribs and cartilage causing intense pain. From Andrew Maynard - Chair of the University of Michigan Department of Environmental Health Sciences, with help from David Faulkner - 2013 Master of Public Health graduate. Ankylosing spondylitis a form of Spondyloarthritis, is a chronic, inflammatory arthritis and autoimmune disease. It is a member of the group of the spondyloarthropathies with a strong genetic predisposition.
The typical patient is a young male, aged 18–30, when symptoms of the disease first appear, with chronic pain and stiffness in the lower part of the spine or sometimes the entire spine, often with pain referred to one or other buttock or the back of thigh from the sacroiliac joint. Men are affected more than women by a ratio about of 3:1, with the disease usually taking a more painful course in men than women. When the condition presents before the age of 18, it is relatively likely to cause pain and swelling of large limb joints, particularly the knee. Pain is often severe on rest, and improves with physical activity, but many experience inflammation and pain to varying degrees regardless of rest and movement.

Generally the pain is felt after some traumatic incidents, before doing exercise and sometimes after the patient recovers from respiratory tract infection.
There may be inflammation and redness with or without pus if the pain is after the heart surgery.
They occur when part of the stomach bulges through the diaphragm and into the chest cavity when a person swallows food. They occur when part of the stomach bulges into the chest cavity and stays there all the time.
During the operation, the surgeon moves the herniated area of stomach back into the abdominal cavity.
It mainly affects joints in the spine and the sacroilium in the pelvis, and can cause eventual fusion of the spine. Complete fusion results in a complete rigidity of the spine, a condition known as bamboo spine.
In 40% of cases, ankylosing spondylitis is associated with an inflammation of the eye (iridocyclitis and uveitis), causing redness, eye pain, vision loss, floaters and photophobia. In pre-pubescent cases, pain and swelling may also manifest in the ankles and feet, where calcaneal spurs may also develop.

Feeling of intense pain on the chest wall which may shift towards back and abdominal area, tenderness in the affected ribs ( very often it is felt on 4th or 5th rib) and steady increase of pain while the person takes deep breath are some of the common symptoms of costochondritis. A large para-esophageal hernia may make it difficult for food to pass normally into the stomach. He then tightens the esophageal hiatus, making it smaller so the stomach can no longer bulge through.
Taking anti-inflammatory medicines such as Ibuprofen, Naproxen will help to give relief from pain. Less commonly aortitis, apical lung fibrosis and ectasia of the sacral nerve root sheaths may occur. As with all the seronegative spondyloarthropathies, lifting of the nails (onycholysis) may occur. In Very often the antibiotics are given by starting intravenous fluids and later it will be shifted by taking drugs orally.

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