Dry mouth for 8 months! Could it be Sjogrens?
Posted , 10 users are following.
I was wondering If i could ask anyone who has been diagnosed with Sjogrens a few questions regarding symptoms, diagnosis ect. I would really appreciate your help 😊 (sorry if this is a bit long!)
I have had an extremely dry mouth for 8 months now to the point where I feel like I'm choking its that dry, I get mouth sores, and occasionally my mouth even bleeds its that dry.
I have had a number of blood tests done..diabetes, auto immune diseases, thyroid, vitamin deficiencies ect...all to have come back clear.
I have had my eyes tested and the optician said they are fine and have an adequate amount of moisture in them. My eyes fortuneatly feel fine (for now anyway)
However, my saliva came back perfectly for a whole week in may! I have no idea why this happened or why it stopped but it was a very bittersweet week 😢
I have been referred to see a head and neck specialist to hopefully get to the bottom of this
Anyhoo! My questions where:
1) Can you have dry mouth without dry eyes with Sjogrens?
2) What happens when you go and see a head and neck specialist and what tests do they do?
3) If it was Sjogrens could my saliva come back perfectly for a week and then just go again or does this indicate its probably something else?
Any help at all would be really appreciated 😊 x
0 likes, 17 replies
ksmith21 emily_65897
Posted
Ok so I may not be 100% helpful but I can try to help through my personal situation. After I had my daughter last year I developed this awful rash on my face and eyelids that's red, dry and scaly. Absolutely nothing helped. But having a baby and breastfeeding I just kept putting it off trying new things hoping it would go away before seeing a doctor. Then I started having dry eyes that always felt like I had sand in it and would pull out mucus all the time (gross sorry). Finally after 7 months of my face getting worse and also having a weird rash in patches all over my body that were like little ITCHY blisters I finally saw a dermatologist and they had no clue, had never seen anything like it. Sent off biopsies and blood tests. Nothing came back except my levels that indicated an immune disease was present but they didn't know what kind. They sent me to a rheumatologist, she did more blood work twice and finally the only thing that came back was early signs of Sjogrens syndrome. I let her know I've never had dry mouth, my eyes getting dry comes and goes and is never consistent and my main problem is these rashes that no one can seem to know what they are. She let me know Sjögren's have flare ups that stay for days to months at a time, clear up then come back. You don't have to have every symptom SS is known for and you can have other symptoms that aren't typically known. All the rheumatologist has done for me was put me on plaquenill (s?) and give me a steroid cream for my rash. It takes 3 months for plaquenill to work but I feel like I'm starting to tell a little bit of a differences after a month. I hope this helped. I've learned that not many people or doctors seem to know much about SS and don't seem to take it super serious unfortunately. Good luck to you though!! I hope you find better doctors than I have!!
emily_65897 ksmith21
Posted
Thank you so much for responding, your story was really helpful 😊 do you mind me asking what planquenill is? X
mrsmop emily_65897
Posted
Hi Emily, plaquenil!
https://patient.info/medicine/hydroxychloroquine-tablets-quinoric
This might help explain what the drug is and what it is used for. There is a more comprehensive explanation on the NICE website, I'll post that next, in case it isn't approved immediately.
mrsmop
Posted
https://bnf.nice.org.uk/drug/hydroxychloroquine-sulfate.html
mrsmop ksmith21
Posted
https://www.dermnetnz.org/topics/pemphigoid-gestationis/
mrsmop
Posted
ksmith21 mrsmop
Posted
Wow this is almost exactly what I have!! Thank you so much!! I'm going to ask my doctor about it. I just wonder once Im completely done breastfeeding if it will go away or if it will stay
diane03050 emily_65897
Posted
I have been suffering for 7 month almost 8. Finally I went to 9 diff DR's Rheumo to Oral surgeon they all said SS but did not show in blood work. This dry mouth is bad with eyes ears and nose even lungs. They treat each symptom with mouth wash to eye drops The Dr told me that is it. There is no med for SS Only the symptom. I feel bad for you because I am getting tired of being so tired I hate getting dress
emily_65897 diane03050
Posted
Thank you so much for responding 😊 did anyone do a lip biopsy and am I right in thinking you still haven't got a diagnosis? If so I hope you get one soon.
Take care x
amkoffee emily_65897
Posted
I had dry eyes and dry mouth for several years before I had out treated because I had never heard of Sjogren's syndrome. Mine came on so gradually I thought it was just part of getting old. And then someone in one of my other groups mentioned. Since that time I did the blood test a couple of different times and I even had the lip biopsy. Lip biopsies are typically done by ear nose and throat doctor or an oral surgeon. Mine came back inconclusive! I've never heard of anyone having an inconclusive test and after talking to the laboratory I don't think they knew what they were doing. All that being said I decided that I didn't care if I had a positive test or not. I had the damn symptoms and I wanted the symptoms to be controlled. After all there is no cure for Sjogren's, there isn't even a particular medicine one can take to control Sjogren's. If you have it the only real thing you can do is control the symptoms. So that is where I am at now. There are two kinds of medication typically prescribed for dry mouth. I tried one and it made me nauseous so I'm on the other one. So whether you have tests done and weather they are positive or negative you have dry mouth so ask your doctor to treat it.
emily_65897 amkoffee
Posted
amkoffee emily_65897
Posted
No that's the one that made me nauseous. The one I take starts with a C and I can't look up my bottle at the moment to get the whole name. Sorry. I'm laid up with a bad back at the moment.
trudy98661 emily_65897
Posted
(You would have white lines on your inner cheeks)
mrsmop emily_65897
Posted
I was told by a GP, years ago, that I had Sjögren's Syndrome because of my dry eyes. At that time, there was no specific test. Fast forward to now & I still have very dry eyes & am being well cared for, I am lucky, I know. I also have an autoimmune disease called Mucous Membrane Pemphigoid - Ksmith, I wonder whether your itchy rash is anything to do with Pemphigoid, there is one that is associated with pregnancy, called Pemphigoid gestationis. I will send you a link, just in case!
I am also under an Oral Specialist & see hygienists in the Dental Hospital, where a tutor asked me whether my dry mouth caused problems. I subsequently asked my GP & she arranged for blood tests, some of which were positive for SS. I am now on a waiting list to see a Rheumatologist who also has an interest in SS & Dermatology, so the best of all worlds!
I remember reading that you shouldn't take Pilocarpine with high blood pressure, which I also have. In my case, there appear only to be 2 drugs which deal with my conditions, Mycophenolate Mofetil - brand name CellCept
and Rituximab which is given by infusion. I am currently on Mycophenolate.
If you do have SS Emily, even just ?SS, you need to be under a specialist who understands the condition.
christine26761 emily_65897
Posted
Hiya Emily, really feeling for you..I’ve SS fir 30 odd years and it’s just amazing at how many various symptoms it can bring up..
to answer your questions:
Yes
I have never ever been to those specialists, a Rhumotologist seems to be the doctor who diagnoses nearly all of us..
I go into a remission from Sorgrens, it varies for the tines in and out, I usually now have a remission for few months, then it’ll hit me again, comes back with a vengeance
After 1 week to 4 it will go back into remission..I had a remission once for 7 months...
but it the most important thing is to get diagnosed. Many people have spent a lot of monety with wrong specialists, if you are diagnosed, then if necessary the Rhumatologist will refer you to the relevant specialists, re: saliva, dry eyes and dry ears..there is a heap of over the counter meds that you can take..that’s all I ever use....hope it helps..your on a very informative blog...filled with empathetic people here too. hugs from over the seas..be blessed Emily and have a lovely day😍💐💐