hello doc.. am 24yrs old female, suffering from sero negative spondylo arthropathy,since 4 yrs. which is under controlled manner at present. in the beginning was a very severe condition, almost bed ridden. but recently i developed some stiffness n tearing kind of pain at lumbar spine, during flexion. also i have breathing difficuties, pulse over 100/min. has vertigo very often. Are all theses symptoms related? havent done HLA before. ANA negative, ESR and CRP raised. IS this present controlled situation temporary? sued to tak SAAZ, but now not under any drugs. Is this risk?? Thank you.
Hello, It is very unlikely that the breathing difficulties, pulse rate, and frequent vertigo that have developed have any DIRECT relationship to your spondyloarthropathy.  What could be happening is that your low back pain is causing your pulse rate to elevate during those painful periods of time?  This can make respirations rapid and shallow which you notice as difficulty breathing.  Vertigo could then, come about as a result of hyperventilation leading to dizziness.  If the symptoms are NOT related to actual bouts of pain in the back then, it may be from anxiety generated by the condition or some other situation(s) that could be going on in your life. You will need to talk to your doctor about these symptoms to see which theory seems most plausible in order to develop a treatment plan. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.