Can people with ankylosing spondylitis drink alcohol?

Written by Yang Ya Meng
Rheumatology
Updated on June 13, 2025
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Patients with ankylosing spondylitis are advised not to drink alcohol. This is because alcohol consumption often harms the stomach, and patients with ankylosing spondylitis, due to the needs of their condition and the long-term pain they suffer, need to take non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief over a long period. NSAIDs can also damage the gastric mucosa, causing mild erosions or even severe complications such as gastric ulcers and bleeding. Therefore, if patients with ankylosing spondylitis drink alcohol while also taking NSAIDs, they are very likely to develop gastric lesions. Thus, it is not recommended for those with ankylosing spondylitis to consume alcohol. (Medication should be used under the guidance of a professional doctor.)

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How long does ankylosing spondylitis take to cause paralysis?

Ankylosing spondylitis is an autoimmune disease and a chronic condition. It primarily involves damage to the axial joints. Additionally, extrajoint manifestations can occur, such as iritis, keratitis, and corneal perforation. Currently, there is no effective cure for ankylosing spondylitis, meaning it cannot be completely cured. The treatment focuses on long-term medication management to control symptoms, delay complications, improve quality of life, and reduce disability rates. This is the main goal of treatment. Without proper treatment, deformities in the joints and spinal ankylosis can develop within a relatively short period, about seven to eight years, leading to a hunched back and significant restriction in joint mobility. Proper treatment can significantly delay joint damage. Regarding whether ankylosing spondylitis can lead to paralysis, it does not cause paralysis but does result in decreased energy and ability for activities such as turning, twisting the head, or bending, which are significantly restricted.

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Written by Yang Ya Meng
Rheumatology
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Is moxibustion useful for ankylosing spondylitis?

Patients with ankylosing spondylitis are not recommended to receive moxibustion treatment because it can easily cause skin burns and local soft tissue infections. Moreover, moxibustion does not address the root cause of ankylosing spondylitis. It is recommended to continue with regular oral medication treatments. The medications used to treat ankylosing spondylitis mainly include non-steroidal anti-inflammatory drugs (NSAIDs), such as sustained-release diclofenac sodium. Commonly used medications to control the condition include sulfasalazine and thalidomide. Currently, the most effective treatment for ankylosing spondylitis involves biologic agents, commonly tumor necrosis factor (TNF) inhibitors. (Please use medications under the guidance of a doctor.)

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Written by Yang Ya Meng
Rheumatology
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What to do about ankylosing spondylitis pain?

The methods for treating pain in ankylosing spondylitis primarily include non-steroidal anti-inflammatory drugs, such as sustained-release diclofenac sodium tablets; secondly, biologics can be considered for pain relief, but before using biologics, it is necessary to rigorously rule out diseases such as hepatitis, tuberculosis, and tumors. During the painful periods of ankylosing spondylitis, patients are advised to rest appropriately to alleviate joint inflammation. However, after the pain subsides, it is recommended that patients engage in functional exercises to prevent complications such as further adhesion and stiffening of the spinal joints. (Specific medications should be taken under the guidance of a physician.)

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Orthopedics
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What is Ankylosing Spondylitis?

Ankylosing Spondylitis (AS), where "A" stands for fusion and "S" for spine, refers to the condition where the bones and joints of the spine are fused together. Ankylosing Spondylitis is defined as a chronic inflammatory disease primarily affecting the axial skeleton and major limb joints. It is characterized by fibrosis and ossification of the intervertebral discs’ annulus fibrosus and nearby connective tissues, as well as ankylosis (stiffening) of the joints. It presents as a sterile inflammation occurring in the spine. However, it is not solely limited to the spine as it also involves the axial bones and major limb joints. The pathological hallmark of the disease includes inflammation mainly at the sacroiliac joints and points of attachment to the spine, leading to joint stiffness and calcification of the spinal ligaments and joints. The disease progression begins at the sacroiliac joint, spreading upwards through the entirety of the spine, and eventually stops at the cervical vertebrae. Symptoms start with pain in the early stages, followed by restricted mobility in the intermediate phase, and ultimately leading to deformities of the abdomen and back, culminating in severe hunchback. The exact cause of Ankylosing Spondylitis remains unclear, with various theories proposed but none universally accepted. Additionally, it is categorized under rheumatologic and immunologic disorders.

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Written by Yang Ya Meng
Rheumatology
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What department should I go to for ankylosing spondylitis?

Patients with ankylosing spondylitis should visit the Rheumatology and Immunology department. After visiting, they need further screening for the HLA-B27 gene, and tests for inflammation markers such as ESR (Erythrocyte Sedimentation Rate) and CRP (C-reactive Protein). A CT scan of the sacroiliac joint is also necessary. These tests help confirm the presence of ankylosing spondylitis. Once diagnosed, anti-inflammatory pain medications are required. Commonly used non-steroidal anti-inflammatory drugs (NSAIDs) include Diclofenac Sodium Sustained Release Tablets, along with disease-controlling medications such as Sulfasalazine and Thalidomide. If the patient's financial situation allows and there are no conditions like hepatitis, tuberculosis, or cancer present, biologic therapies can also be considered. (Medication should be administered under the guidance of a doctor.)