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Suggest Treatment For Sjogrens Syndrome
Hi my name is Nancy. I was diagnosed in 1998 with fibromyalgia. Over those 16 years I have had 2 lumbar back surgeries due to disc deterioration and now need neck surgery. I also had bladder lift and reticele surgery in 2008. I was diagnosed with Sjogren s Syndrome in 2011. Here are the symptoms since that time: eye dry and blurry especially upon waking, tingling and pain in legs and arms, confusion and memory loss, extreme fatigue, insomnia, clumsiness, balance problems, weakness, itching, burning sensations, bladder problems such as emptying and incontinence, severe constipation, muscle spasms in legs, stiffness, very low sexual drive, tremors in hands, etc.
Tue, 5 Jul 2016
Brief Answer:
The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms. You should have a regular follow-up with your dentist, oftalmologyst, and rheumatologist.
Detailed Answer:
Hello,
Thank you for using HCM.
The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms.
First you need to use artificial tears, ophtalmic lubricating ointments, or local cyclosporine drops to avoid eyes drying. You should avoid some medications (with anticolinergic effects), such as phenotiazine, three cyclic anti depressive drugs, anti Parkinson drugs, antispazmolytics (buscopan), etc. You should avoid smoking.
You may use Pilocarpine for your dry mouth. You should drink water frequently during the day, or other beverages, except sweety ones to avoid caries. You should have a regular follow-up with your dentist and oftalmologyst.
You can use hydroxycloroquine (Rutor) 200 mg per day, which may help you with myalgias and arthralgias.
As you have begin to have bladder problems (extraglandular manifestations), you may need a more specific treatment such as glucocorticoids, or imunosuppressors.
You should discuss this with your treating doctor about the dosage, and the follow up plan.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms. You should have a regular follow-up with your dentist, oftalmologyst, and rheumatologist.
Detailed Answer:
Hello,
Thank you for using HCM.
The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms.
First you need to use artificial tears, ophtalmic lubricating ointments, or local cyclosporine drops to avoid eyes drying. You should avoid some medications (with anticolinergic effects), such as phenotiazine, three cyclic anti depressive drugs, anti Parkinson drugs, antispazmolytics (buscopan), etc. You should avoid smoking.
You may use Pilocarpine for your dry mouth. You should drink water frequently during the day, or other beverages, except sweety ones to avoid caries. You should have a regular follow-up with your dentist and oftalmologyst.
You can use hydroxycloroquine (Rutor) 200 mg per day, which may help you with myalgias and arthralgias.
As you have begin to have bladder problems (extraglandular manifestations), you may need a more specific treatment such as glucocorticoids, or imunosuppressors.
You should discuss this with your treating doctor about the dosage, and the follow up plan.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
I find this answer helpful
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