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Conditions > Sjögren's Syndrome > Sjögren’s Syndrome: Treating Your Symptoms
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Sjögren’s Syndrome: Treating Your Symptoms

Try medications and self-care strategies to address the painful dryness that characterizes this autoimmune condition.

By Susan Bernstein

Sjögren’s syndrome can cause painful, unpleasant dryness throughout the body. While there is no cure at this time, there are many strategies you may use to feel better quickly, and prevent serious complications down the road.

Severe dryness of usually moist body tissues, such as mouth, eyes, skin and vagina, are the hallmark symptoms of Sjögren’s syndrome. Some people may experience dryness of the nose or throat as well. Dryness in these tissues can lead to other problems, such as infections in cracked skin, yeast infections in the vagina, or corneal ulcers in the eye. Some people have swollen parotid glands on the sides of their faces, and in a small percentage of people, Sjögren’s syndrome can cause a form of lymphoma, or cancer.

Sjögren’s syndrome is best treated by a rheumatologist, or doctor specializing in rheumatic diseases. You may also regularly visit an ophthalmologist (eye specialist), gynecologist (women’s reproductive specialist) or dentist as part of a healthcare team. Your goal is to manage symptoms through medications, self-care and preventive strategies, and adopt healthy living practices to boost fitness and well-being.

Treatments for Dry Eyes

Eyes affected by Sjögren’s may burn, or feel dry, irritated, red, painful and gritty. Eyes are naturally lubricated by tears, moisture secreted through the tiny ducts on your eyelids. In Sjögren’s syndrome, inflammation of the glands that produce tears interferes with moisture production.

Medications to help boost moisture in the eye include:

  • over-the-counter eyedrops that mimic natural tears, widely available in drugstores.
  • prescription-only cyclosporine ophthalmic emulsion (Restasis), an immunomodulator eyedrop (meaning it triggers the immune processes that create tears naturally) placed in each eye twice a day.

Another strategy for dry eyes is punctal occlusion, minor surgery to plug one of the two tear ducts in each eyelid. The purpose of this treatment is to close one duct so more tears are pooled in the eye, boosting lubrication. An ophthalmologist may either plug the ducts with temporary tiny collagen plugs or long-term silicone plugs. Either may be removed. Some doctors also use laser treatments to permanently seal the ducts.

Self-care and preventive strategies may also improve dry eye symptoms. Increasing indoor humidity with a humidifier or avoiding sitting in front of fans or vents can help decrease dryness. You may also try using goggles outdoors to protect eyes from wind and dust – prescription models are available, or you can pick up an inexpensive pair of safety goggles at the home improvement store. Get regular eye exams as often as your rheumatologist or ophthalmologist recommends, possibly annual or more often, depending on your eye condition. If you notice any pain or redness in your eyes, seek medical attention promptly, as these symptoms may signal and eye infection.

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liz
18 Apr 2012, 12:30
I am 60 years old just diagnosed with Sjogrens.
No surprise to me. When my son was in grade school he developed severe arthritis from food poisoning. It was by chance they discovered he was HLAB-27 positive. My husband and I were tested, we were the carriers. Please look this up if you don't know about it. Also another very, very important fact, just a few years ago both my husband and son were found to be extremely low in Vitamin D. I am borderline low. Extremely, extremely, important. I read it is actually a hormone. This has to do with cancer, MS, arthritis, immune function etc. Every since I started taking Vit D I don't get sinus infections like I used to.
Lawrence W. Daly
25 Mar 2012, 21:14
I have tried almost every drug out there. Any drug ideas. Think of me as a person who was just diagnosed. What drug(s) would you suggest, please list them all.

Thank you,

Larry
Roni
29 Feb 2012, 21:06
Is it Sjogren's Syndrome or Celiac Disease? Having been diagnosed with Sjogren's Syndrome, then finding out that my biological family does not eat wheat (and gluten) went on a gluten free diet. My retinopathy reversed completely, leaving no scars, stopped having migraines and mini strokes, was able to return to finish college and graduated with honors. So, a completely gluten (and oat) free diet has helped me so much...still have dry eyes, but not as severe, joint pain and stiffness, but not as often...usually traced back to something with gluten which was eaten by mistake (really read labels carefully). Am not convinced that Plaquinil (? spelling) is an answer...doing diet, light stretching and exercise and unprocessed foods for now. Once in a while need an anti inflammatory, but don't take pain meds. Article did not address not eating gluten...Sjogren's syndrome, primary, is a genetic lack of enzyme to digest the protein in gluten, thus setting up an autoimmune response...at least by the accounts of latest research. There is a researcher in Knoxville, TN, who is doing genetic 'family trees' of his Sjogren's patients...and further research to narrow down the improved diagnosis of this disorder. Purchasing flours such as buckwheat (really in rhubarb family, not wheat, no gluten) and making bread is a snap...just make sure that it is processed in a gluten free, or 'dedicated' facility. There are several excellent books out on gluten free baking and recipes...bread can also be made with a mix of rice, potato and tapioca starch flours, utilizing xantham gum in place of gluten (gluten is what yeast acts upon in bread recipes to give it the texture, to rise, etc) whereas xantham gum allows yeast to act in the same way in a rice or buckwheat flour bread. I grind my own buckwheat and rice. There are also bean flour bread recipes...which are wonderful. This is not a cure, but helps a lot to reduce pain, stiffness and hopefully decrease further symptoms of Sjogren's.
joan
22 Nov 2011, 18:46
I had sore joints for decades from old injuries. I would limp each morning for the first 30 or so feet. Homeopathy and supportive neutracuedicals like MSM,fish oil, vitamin c helped me. High potency B-complex multi, b-12 also with Ginsing for energy, ginko biloba for mental alertness and circulation support, and milk thistle to support my liver and cleansing. I was able to work active 40 to smetimes 75 hour /week occassionally, different shifts. Syndromes match sjogren's syndrome. Soreness and stiffness when I was still for a period, dryness. For two plus years I have been following my basic guidelines for my blood-type diet for my beneficial foods and my major avoids. I first noticed that my decades-long chronic sinus involvement virtually disappeared and that next, I was not waking up stiff or sore anymore. I just read the date on a roosevelt dime today and haven't been able to do that for a long time. I am middle aged. I avoid preservatives,pork,corn, corn derrivatives, wheat bran(gluten and gliaden- possible precussors to metabolic syndrome)'and for me, chicken, tomatoes, and peanuts. These are 'wrong for my type'. I have had some digital allergy testing done and digital allery desensitisation, mostly to sugar, petroleum products, dental fillings, cleanig chemicals. I definatly notice an eye reaction when I eat corn products, etc.. Also my throat,mouth get dry or a film. I have been drinking a gallom plus/day of weak herbal mint, black, or fruit tea every day. I try to heat in an open pot even my water to remove any plastics,etc. from it. I have been taking an otc homeopatic peridontal remedy and I have been gradually improving and since theis remedy the improvement has esculated. I have moisture in my mouth and eyes now while I am reading and typing this for 75 minutes since I had a drink. I have lost and maintained -25-30 lbs. When I go off my diet the results are obvious in my eyes and mouth/voice quality. I really do react to my diet and environment. Thankyou.
TheTinManATL
05 Oct 2011, 18:43
After reading the comments from both Jazmin and DonnaI can see that I am not the only one that wakes up feeling as though I slept on a bed of nails all night and most of them stayed in. I too have to walk around for hours before I "lube up" and am able to function. But then I am miserable if I sit too long and have to move again. This is often the case for me as I am a help desk technician. I really wish there was something that I can take to ease the pain just a little. Now when I look at the wizard of oz, I can relate to the tin man!!
Donna
17 Aug 2011, 15:24
I agree with Jazmin, first thing in the a.m. is pure agony until some of the joints and muscles loosen up. The pain varies quite frequently. First thought on awaking is well, wonder what is going to be very painful today? Seems to affect every part of the body. I agree that these symptons are passed over lightly in these articles. The dry mouth has caused me extreme pain in the jaw and ears, sometimes spasms when I try to open my mouth to eat. Simple dry mouth, I could handle that!!
robert taylor
25 Jul 2011, 11:49
“Unnecessary risks are being taken by patients seeking the liberation treatment.” says Dr. Avneesh Gupte of the CCSVI Clinic. “It has been our contention since we started doing minimally invasive venous angioplasties nearly 6 years ago that discharging patients who have had neck vein surgery on an outpatient basis is contra-indicated. We have been keeping patients hospitalized for a week to 10 days as a matter of safety and monitoring them for symptoms. Nobody who has the liberation therapy gets discharged earlier than that. During that time we do daily Doppler Ultrasounds, blood work and blood pressure monitoring among other testing. This has been the safe practice standard that we have adopted and this post-procedure monitoring over 10 days is the subject of our recent study as it relates to CCSVI for MS patients.”

Although the venous angioplasty therapy on neck veins has been done for MS patients at CCSVI Clinic only for the last 18 months it has been performed on narrow or occluded neck veins for other reasons for many years. “Where we encounter blocked neck veins resulting in a reflux of blood to the brain, we treat it as a disease,” says Gupte. “It’s not normal pathology and we have seen improved health outcomes for patients where we have relieved the condition with minimal occurrences of re-stenosis long-term. We believe that our record of safety and success is due to our post-procedure protocol because we have had to take patients back to the OR to re-treat them in that 10-day period. Otherwise some people could have run into trouble, no question.”

Calgary MS patient Maralyn Clarke died recently after being treated for CCSVI at Synergy Health Concepts of Newport Beach, California on an outpatient basis. Synergy Health Concepts discharges patients as a rule without in-clinic provisions for follow up and aftercare. Post-procedure, Mrs. Clarke was discharged, checked into a hotel, and suffered a massive bleed in the brain only hours after the procedure. Dr. Joseph Hewett of Synergy Health recently made a cross-Canada tour promoting his clinic for safe, effective treatment of CCSVI for MS patients at public forums in major Canadian cities including Calgary.

“That just couldn’t happen here, but the sooner we develop written standards and best practices for the liberation procedure and observe them in practice, the safer the MS community will be”, says Dr. Gupte. “The way it is now is just madness. Everyone seems to be taking shortcuts. We know that it is expensive to keep patients in a clinical setting over a single night much less 10 days, but it’s quite absurd to release them the same day they have the procedure. We have always believed it to be unsafe and now it has proven to be unsafe. The thing is, are Synergy Health Concepts and other clinics doing the Liberation Treatment going to be changing their aftercare methods even though they know it is unsafe to release a patient on the same day? The answer is no, even after Mrs. Clarke’s unfortunate and unnecessary death. Therefore, they are not focused on patient safety…it’s become about money only and lives are being put at risk as a result.”

Joanne Warkentin of Morden Manitoba, an MS patient who recently had both the liberation therapy and stem cell therapy at CCSVI Clinic agrees with Dr. Gupte. “Discharging patients on the same day as the procedure is ridiculous. I was in the hospital being monitored for 12 days before we flew back. People looking for a place to have the therapy must do their homework to find better options. We found CCSVI Clinic and there’s no place on earth that’s better to go for Liberation Therapy at the moment. I have given my complete medical file from CCSVI Clinic over to my Canadian physician for review.” For more information Log on to http://ccsviclinic.ca/?p=866 OR Call on Toll Free: 888-419-6855.
Jessica
05 Jul 2011, 06:48
After 6 months of offering stem cell therapy in combination with the venous angioplasty liberation procedure, patients of CCSVI Clinic have reported excellent health outcomes. Ms. Kasma Gianopoulos of Athens Greece, who was diagnosed with the Relapsing/Remitting form of MS in 1997 called the combination of treatments a “cure”. “I feel I am completely cured” says Ms. Gianopoulos, “my symptoms have disappeared and I have a recovery of many functions, notably my balance and my muscle strength is all coming (back). Even after six months, I feel like there are good changes happening almost every day. Before, my biggest fear was that the changes wouldn’t (hold). I don’t even worry about having a relapse anymore. I’m looking forward to a normal life with my family. I think I would call that a miracle.”
Other recent MS patients who have had Autologous Stem Cell Transplantation (ASCT), or stem cell therapy have posted videos and comments on YouTube. www.youtube.com/watch?v=jFQr2eqm3Cg.
Dr. Avneesh Gupte, the Neurosurgeon at Noble Hospital performing the procedure has been encouraged by results in Cerebral Palsy patients as well. “We are fortunate to be able to offer the treatment because not every hospital is able to perform these types of transplants. You must have the specialized medical equipment and specially trained doctors and nurses”. With regard to MS patients, “We are cautious, but nevertheless excited by what patients are telling us. Suffice to say that the few patients who have had the therapy through us are noticing recovery of neuro deficits beyond what the venous angioplasty only should account for”.
Dr. Unmesh of Noble continues: “These are early days and certainly all evidence that the combination of liberation and stem cell therapies working together at this point is anecdotal. However I am not aware of other medical facilities in the world that offer the synthesis of both to MS patients on an approved basis and it is indeed a rare opportunity for MS patients to take advantage of a treatment that is quite possibly unique in the world”.
Autologous stem cell transplantation is a procedure by which blood-forming stem cells are removed, and later injected back into the patient. All stem cells are taken from the patient themselves and cultured for later injection. In the case of a bone marrow transplant, the HSC are typically removed from the Pelvis through a large needle that can reach into the bone. The technique is referred to as a bone marrow harvest and is performed under a general anesthesia. The incidence of patients experiencing rejection is rare due to the donor and recipient being the same individual.This remains the only approved method of the SCT therapy.
JazminMchll
03 Jul 2011, 11:35
I feel like this article mentions the dryness in a way that leaves the reader thinking it's normal, everyday, run of the mill kind of dryness...which, for me, it most certainly is NOT!

I have Multiple Sclerosis, Fibromyalgia, AND Sjogren's and the combination causes symptoms that are so varied and painful I can't even begin to describe it accurately.

Have you ever crumpled up a piece of paper into a really tight ball in your fist? Like you would if you were going to angrily throw it in the garbage? Have you ever tried to UN-crumple that piece of paper afterward because you remembered it had some important information on it so you have to take care not to rip it in the process of opening it?

When I wake up in the morning my muscles and joints are so inflamed and/or dry that I feel like I'm that crumpled up ball of paper having to be UN-crumpled without being ripped. On average it takes me 2 hours of stretching, while laying in bed, to be able to get up and attempt to make to my bedroom door. All that to combat ONE of my symptoms.

Does THAT sound like the kind of joint inflammation and dryness that this article mentioned?

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