It is very unlikely that your mild chest pain is a direct complication of your PDA surgery, as successful repairs rarely cause issues decades later. More common causes for mild chest pain at your age include musculoskeletal strain, acid reflux, or stress. Please do not start any specific heart medications without a professional evaluation. For temporary relief of mild muscle discomfort, simple over-the-counter pain relievers like paracetamol or ibuprofen may be used. However, I highly recommend consulting your doctor or a cardiologist for a routine check-up, possibly including an ECG or echocardiogram, to safely identify the cause and give you peace of mind.

A borderline HLA-B27 result is not a diagnosis of any disease; it is simply a genetic marker. If you do not have symptoms, no medication is needed. If you experience joint stiffness or back pain, a doctor may recommend generic nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen or ibuprofen.To support your joint health naturally:- Diet: Focus on an anti-inflammatory diet rich in vegetables, fruits, and omega-3 fatty acids, while reducing processed foods.- Exercise: Prioritize low-impact activities like swimming, yoga, and daily stretching to keep your spine and joints flexible.Please consult a rheumatologist to correlate this result with any physical symptoms you may have.

For pain from an emerging tooth (likely a wisdom tooth), over-the-counter pain relievers are very effective. Ibuprofen (400 mg every 4 to 6 hours as needed with food) is excellent because it targets both pain and inflammation. Alternatively, you can take Acetaminophen (Paracetamol). For non-medicinal relief, rinse your mouth with warm salt water 3?4 times a day and apply a cold compress to your cheek. Please do not place aspirin directly on your gums, as this causes chemical burns. I highly recommend visiting a dentist to ensure the tooth is growing in correctly and isn't impacted or infected.