Conversation: The conversation between human and AI assistant.
[|Human|] I am 48 years old,. I feel severe pain some time at ribs joint when breath in and out deeply. I am HLA B27 positive. I also feel pain back bone. I am residing at Ambala Haryana India. Please advise me how can I get the best and cheap treatment and which doctor should be consulted.
[|AI|]  Hi, HLA B27 positive with pain over the backbone and on respiration is suggestive of an autoimmune disease called Ankylosing spondylitis.  It is characterized by restriction in movement of ribs and backbones. The treatment is best given by a rheumatologist or a medical physician as well if you do not have access to a rheumatologist.  The treatment is started once the diagnosis is confirmed based on a medical checkup and blood investigations and the medications have to be taken lifelong.  It is important to take medications to prevent later complications like arthritis of the joint and to increase life expectancy. So better to start treatment for this early. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.