Results: SS-related dry eye is a progressive condition with major negative impact on the quality-of-life of afflicted patients, not only due to symptoms of ocular discomfort but also visual dysfunction. In addition, SS can lead to corneal melt/perforation, uveitis, scleritis, retinal vasculitis, and optic neuritis.
Diagnosis of Sjögren's Syndrome
A rheumatologist (a specialist in autoimmune diseases) may diagnose the disease. However, an ophthalmologist (eye doctor) or a dentist may also perform certain tests to help make the diagnosis.
Global cognitive impairment in Sjögren's
Most patients experience “brain fog” symptoms, which manifest as memory lapses, forgetfulness, mental confusion, and difficulties in concentrating, organizing, or anticipating future events.
Avoid foods that dry your mouth
You should also avoid spices and acidic foods such as citrus, as these can irritate a dry, sore mouth. You should also avoid sugary foods that can contribute to rapid tooth decay, which is already increased by lower saliva production in Sjogren's syndrome.
In most people with Sjögren syndrome, dry eyes and dry mouth are the primary features of the disorder, and general health and life expectancy are largely unaffected.
Sjogren's syndrome is a chronic autoimmune disorder in which the body's own immune system attacks the glands that produce tears and saliva. Foods that help are omega-3 fatty acids, organic meat, whole fruits and vegetables. Bad foods include trans fat, high glycemic, red meat, dairy, and artificial sweeteners.
The Schirmer's test is used determine if your tear glands produce enough tears to keep your eyes adequately moist. Calibrated strips of a non-toxic filter paper are used. One free end is placed within your lower eyelid. Both eyes are tested at the same time.
For severe dry eye syndrome, your ophthalmologist may prescribe cyclosporine eye drops twice a day. Commonly known as Restasis®, these drops decrease inflammation in the lacrimal glands, which produce tears, and can be used long term. It can take weeks or months for cyclosporine to alleviate dryness.
These and previous studies suggest a model for pSS that separates the disease into several stages: 1) initial injury to the submandibular and lacrimal glands via an environmental insult and LTα; 2) amplification of local injury via the production of type 1 IFN; injury to the parotid glands, lungs, and kidneys is seen; ...
If Sjögren's syndrome isn't treated appropriately, significant, long-term complications could result that affect your eyes, mouth, lungs, kidneys, liver or lymph nodes — complications including blindness, significant dental destruction and non-Hodgkin lymphoma.
Falk: What kinds of factors can make Sjogren's worse? What is the effect, for example, of stress? Jonas: Well, like all autoimmune diseases, patients who feel stressed or are under unusual stress will often have exacerbation of their symptoms. Learning to manage that stress in your life is very important.
The neurological complications of Sjögren's syndrome are extensive and range from cognitive difficulties, to burning toes and feet.
The following tips help to reduce dry mouth symptoms: Sip water or sugarless drinks often. Let small ice chips melt in your mouth. Avoid drinks with caffeine, such as coffee, tea, and some sodas – caffeine can dry out the mouth.
The patients with Sjogren's had an overall lower quality of sleep [8]. All of the studies in the systematic review noted that there is an increased number of nighttime awakenings in Sjogren's patients.
It may include forgetfulness, spaciness, confusion, decreased ability to pay attention, an inability to focus, and difficulty in processing information.
While some people experience mild discomfort, others suffer debilitating symptoms that greatly impair their ability to function. Early diagnosis and proper treatment can prevent serious complications and greatly improve quality of life.
Avoid medicines that are known to cause dry eyes. These include antihistamines, diuretics, and some antidepressants. Talk with your doctor if you take any of these medicines. Sometimes the benefits of a medicine outweigh the risks.
Sjogren's (SHOW-grins) syndrome is a disorder of your immune system identified by its two most common symptoms — dry eyes and a dry mouth. The condition often accompanies other immune system disorders, such as rheumatoid arthritis and lupus.
The large intestine is where liquid is reabsorbed. Constipation and diarrhea can occur with Sjögren's. Increase vegetables.
The diagnosis of SS remains a clinical challenge. In this study, we report a case of a patient with primary Sjogren syndrome (pSS) experiencing severe autonomic neuropathy symptoms characterized by dizziness and palpitations.