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.

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.