Sofrendo com Síndrome de Sjögren

Hello, am a 46 yr old female - presently suffering with sjogrens. I was diagnosed last year and didn't feel any real symptoms coming on at first. I'm now suffering with painful wrists, dry eyes and

dry mouth, I have thrush and also fatigue. I've had 12 teeth removed. I read up that any

stress can make sjogrens symptoms progress. I believe its also affecting my concentration too.

I am trying to stay stress free at the moment. Although its difficult as I have just lost my job, through

illness. My doctor has confirmed that everything I am suffering with at the moment is down to sjogrens. I feel quite overwhelmed. I was wondering if anyone knew of any dietary changes that I can make, to help me manage my current symptoms

please?

I am greatful for any advice or information, on what to do next

Hi Hayley,I am 55 years old I was diagnosed 2 years ago at first when diagnosed I had no pain apart from dry eyes and mouth. My doctor prescribed medication which I am taking at the moment still have no pain.I am on plaquenil twice daily then I ask my doctor if I could cut down on the meds once daily which I did and the paincame all over my body like I never felt before . I am back on my meds twice daily again and feel no pain just dryness of my eyes which I am on Restasis and Celuvisc.

About your oral care is very important to visit dentist regular and don't forget to floss and brush often and no sugars.

About diet I stay away from Gluten, Dairy, Caffeine and all grains . I eat quinoa and Millet it is gluten free. And stay away from meats try and eat plenty veg and fresh fish .

If you have energy try to exercise daily it helps and drink plenty water.

Hope it helps.

Hi Hayley, I'm 70, have had it for 20 years but have been more or less in remission for the past five years. I'm inclined to agree with Sweetness on diet. Obviously, sugar has to be out if you're having dental decay problems due to the dry mouth, especially sweet fizzy drinks. And don't forget smoothies - even unsweetened ones - are very high in fruit sugars, so best avoided too. Better to eat no more than one piece of whole fruit per day. Vegetables are healthier than fruit anyway, especially green leafy ones. I don't know whether this is just me (suspect it is!) but sourdough bread always makes my mouth symptoms worse.

The only thing I'd say about drinking plenty of water is - not too much at any one time. Better to take frequent small sips rather than drinking a whole glass every hour or so. Drinking too much water at once can wash away what little saliva you have. Saliva isn't just water, it also contains all kinds of useful chemicals, so water doesn't actually replace it.

I hope your symptoms ease off soon. The severity of Sjogren's varies enormously from one person to another, and even over time in the same person, so remember you might not always feel as bad as you do now, even if your symptoms get worse in the short term..

Yes ---Haley I forgot to mention that about drinking water as lily said sips at a time is best. My problem is after brushing my teeth it gets worst so I have to spray my mouth with a gel that works well for me.

Can anyone tell me if I can take supplements ? I would like to know!

Thanks ,

Hello Sweetness & Lilly thankyou both ever so much for replying to me,

its such a relief to be able to connect with fellow sufferers. Already I dont feel as isolated with this condition

as I did initially. Sweetness, I'd also like to know if it is ok to take supplements? as I've read that omega 3

supplement is beneficial to sjogrens. I think I'll check this out with my gp when I next go.

Thankyou both

xx

Hayley, all I can say is that I've regularly taken an Omega 3 supplement for about 25 years now, ever since the menopause - five years before the Sjogren's started to develop. So clearly it didn't stop me getting Sjogren's. On the other hand I've had a very easy ride with the condition in comparison with some people - apart from a few bad times here and there - so maybe it's worked. Who knows? It's like taking an aspirin for a headache. Did the aspirin cure the headache or did it go away on its own? All I can say is I'm planning to take Omega 3 for the rest of my life - just in case! My GP is hedging her bets - like they all do. She says she doesn't know if Omega 3 is any use for Sjogren's but thinks it's a good idea for anyone over the age of 50 anyway because of all the other benefits - heart, joints etc. The trick, as with any supplement (except for ginseng), is to religiously take it every day for the rest of your life. A three-month course is useless.

Hope this helps.

Yes thankyou Lily its helped me alot already to be able to talk to fellow sufferers. I am taking omega 3 because I suffer with spondilosis also, I've been taking it daily for a couple of years now. I am looking to reduce

gluten in my diet also, but I've realised it will be difficult to do this, as gluten exists in biscuits, pasta, bread lots of things really. I kind of try and work against my symptoms, because I don't want to give in to this, I guess the fatigue and cognitive stuff is the hardest symptoms to deal with? does anyone know how to reduce your gluten levels effectively please?

thankyou all

best regards

Hayley x

Hi Hayley,

I would not worry much about Gluten if you don't have a problem with your bowels like celiac disease. They told me that most sjogrens sufferers would have a problem with celiac .

I try to avoid eating too much of it . I would normally buy gluten free products in my diet but it's very difficult and more expensive . I would buy pasta and bread biscuits and crackers cereals gluten free. Most supermarkets have a section for these gluten free foods but as I said don't worry about it too much because mostly everything has gluten soaps shampoos toothpaste lotions and chewing gum have gluten. So as I said if you don't have a problem don't worry.

My diet consists of can sardines ,tuna, fresh fish, chicken ,lean pork, quinoa , millet,herbal teas, honey, nuts,lots of green leafy vegetables , bananas, and apple . I would eat a low fat yoghurt now and then no caffeine or sodas.

But what works for me might not work for you we are all different .

Diet is the key of how we feel every day.

Let's keep in touch !

I'm inclined to agree with Sweetness - you only need to go gluten-free if you have coeliac disease. I don't think I have it, though I have noticed that I'm less and less drawn to wheat-containing foods as I grow older. Nowadays I only occasionally eat breakfast cereals and only a couple of slices of bread per week. And I've never eaten a lot of cakes and biscuits because I don't have much of a "sweet tooth". On reflection, maybe cutting back naturally on the gluten foods even had something to do with my remission. Who knows?

Like Sweetness says - practically everything has gluten in it anyway so if you try to give it up completely you're in for a pretty miserable life. However, there's no harm in eating gluten-free bread, biscuits, cakes, pasta etc. And I'd advise cutting back severely on ready meals if you've been relying on them. Apart from gluten, they're loaded with salt, fat and the worst kind of sugars (even the savoury dishes).

Unlike Sweetness, I eat most things - including red meat three or four times a month - though I do eat a lot of green, leafy veg. I don't think dairy affects me much either way, though that's another thing I'm not really drawn to - apart from pigging out on high-fat cheese from time to time! I use a small amount of butter in cooking and on my rare slices of bread too. I once worked for a major food company, so I know what goes into those "healthy" spreads! I drink plenty of weak tea (which also contains caffeine) but no sodas at all. They really are the worst thing if you have serious problems with dry mouth. Oh, and I admit I drink more than the recommended amount of wine - both red and white!

While it's a good idea to try and identify foods which make you feel particularly bad and then avoid them, it's also important not to get so obsessed with your diet that you make yourself miserable. Food is one of our great pleasures in life.

There is no special diet as I know of . I have not been officially diagnosed yet but have all the symptoms, and they are AWFULL? The mornings are worse when I cough up gunge and can't speak for a while. My eyes are bad but my mouth worse, I also have no appetite at all. I see my specialist soon as I believe that although there is no cure there is medication . Do you take any?

I am desperate!

Regards

Sammy.

Hi Sammy, sorry you're feeling so bad. (Hope this doesn't get posted twice, btw - I had a mini-crash while typing it and found it had disappeared when I got back in!)

I believe there are medications that are quite effective, but I've never been prescribed any, even in the bad times. I live in a country where Sjogren's isn't taken very seriously, but if you're in the UK you'll probably fare better.

As I've said elsewhere on this forum, you should avoid sweet, fizzy drinks, and even smoothies, like the plague! They really are the worst thing for dry mouth. Drink small quanties of water at regular intervals thoughout the day. And try to identify any foods which make it worse.

One thing I've learned is not to eat dairy during the evening - though I don't eat a lot of it at any time of day. Eating cheese, cream and particularly milk chocolate seems to fill my throat up with thick mucus that threatens to choke me in the night. If it's very bad - usually because I've forgotten my own rules and eaten something I shouldn't - I take an over-the-counter mucolytic (something that breaks down mucus) before going to bed, which helps a bit. I can't give you any product names as they're all different over here, but you can ask your chemist about it.

I'm sure you'll get help for this once you get your diagnosis. The best thing to do is try and stay positive, however rough you feel and especially try not to put too much attention on your symptoms. This is an auto-immune disease and is therefore very easily influenced by your general mood.

Hello there, I was doing an internet search on Sjogren's and came across your posts and it is very helpful to read about other people's journey with this disease.

I am a 51 yr old female and have been suffering from Sjogren's for about 3-4 years now - mainly the dry mouth but just recently, the eyes have been quite bad. I was diagnosed with Oral Lichen Planus back in 2006 and often patients with OLP also suffer from Sjogren's. I guess with these autoimmune type diseases you don't just get one - they like to give a few freebies along the way :-). I have a very high ANA count which on the blood test forms points towards Rhuematoid Arthritis or Lupus but so far I have not had any cofnirmed diagnosis on either of these. Last year on top I was diagnosed with sector RP - retinitis pigmentosis and just recently been struggling with my eyes.

What I have found is that every 18 months or so my body will often have a flare up and especially during menopause it seems to trigger a lot more of these symptions. Some days when the pain is so bad they can be I know, really difficult days. I guess I just wanted to share with you that when you are going through one of those tough times - and oh, I know about those tough times - there's been a few for me - one right now, but I keep telling myself that this will pass - things will get better, life may not ever be the same as it was before but the days can be much better than they are right now.

Believe in yourself, trust your own instincts and what your body is telling you. You are the best judge of it. One of the hardest things about living with these sorts of conditions is the isolation of not knowing anyone like yourself. That's why it was so nice to come across these posts.

Would love to hear how everyone is doing now as it's been at least four months since the last post - maybe things have improved for some? :-)

Hi Angie, Interesting to hear about the Lichen Planus. They thought I had it back in 2008 - though not in my mouthwink - but discovered on biopsy it was fungal. They eventually cleared the worst of it with a mixture of different creams and pills but it still recurs every few months. Another of the joys of Sjogren's, I imagine!

Sorry to hear you're going through a bad time at the moment. My own bad times are well in the past now (so far, anyway!) but I still remember what it was like. Sometimes I could hardly open my mouth to eat because of the bleeding sores at each corner. Same thing in the corner of one eye, endless attacks of conjunctivitis, waking some mornings with my left hand a painful claw that I couldn't open till midday, etc. etc.

I've been fine for the last five years, apart from a bit of stickiness in one eye, the odd attack of Reynaud's in one hand and the usual aches and pains we can all expect at 70.

I'm interested in what you say about trusting your own instincts. That makes me think you'll go into remission too eventually. I'm a former nurse and started noticing quite early on in my career the connection between body and mind, in most diseases but particularly the auto-immune kind. I couldn't tell you how it works, but I know I can influence my own symptoms. It's nothing as simple as "thinking positively" (though that never hurts) but rather that I try to acknowledge that I'm aware I'm doing this to myself somehow and at some level. That doesn't mean I'm blaming myself of course. And it definitely doesn't mean my symptoms (or anyone else's) are imaginary. You can die of a psychosomatic illness.

I suspect you're the kind of person who may be working with affirmations. I've used this method to help with other things, though it didn't seem to help with Sjogren's.

The turning point for me came about five years ago when something happened that was so extraordinary, there was no longer any escape from realising I was somehow in control. I've posted this in another Sjogren's forum but I'll re-post here at the risk of boring everyone to death.

One of my earlier symptoms, starting a year or so after the dry mouth, was an unpleasant tingling sensation in my right big toe. This got steadily worse over the next few years until the toe was almost completely numb. The numbness was real, not imagined. My GP established this by poking my toe with the sharp and blunt ends of a needle when I couldn't see what she was doing. She wasn't interested - said it was peripheral neuropathy due to old age. (I was in my early 50s.) By this time I had a whole ragbag of apparently unrelated symptoms which no one - GP, dermatologist, dentist, ophthalmologist etc. - had managed to put together. I hadn't spotted it myself either - Sjogren's is one of the less common autoimmune diseases and I had no recollection of ever having heard of it!

Over time, I got used to taking extra care of my numb big toe, just as a diabetic would, but then another problem developed. Every time I touched the area where the nerve runs along the inner side of the instep to the big toe I got a terrible feeling like an electric shock. I had to psych myself up to wash and dry my foot every day. Putting on shoes - and especially boots - was agony too, but I used to find that once the shoe was on, the sustained pressure didn't hurt any more.

I took this on board as well, and assumed it would always be the same. Then one day, the electric shock sensation wasn't there. Just like that! And I had normal sensation in my big toe again. It hadn't been gradually improving - the agony of touching my foot had been very much there just the day before. As a nurse - and one with specialist neuro training as well - I knew proven nerve damage couldn't suddenly heal like that, especially after more than ten years. But it had.

That night I was awoken by a terrible tingling sensation... in my left big toe. It felt exactly the same as when it had started in the other big toe all those years earlier. I sat up, put on the light (the bedside one - the light in my mind had already gone on by this time!) threw off the covers and said out loud to the offending toe: "No, we're not doing this!" Then I went back to sleep. After three or four days the tingling stopped.

Over the next few months, all my other Sjogren's symptoms subsided then virtually disappeared. I realise they might come back one day, of course, but this experience gave a real boost to my confidence in dealing with my own immune system.

Hi Lily

It was really great to read your post and most interesting hearing about your journey. It's amazing how these auto-immune diseases react and attack our bodies differently but similar in the same vein and I find it fascinating to learn about other people's experiences.

Sorry to hear Lily that you get oral lichen planus also and yes, I know it appears in different parts of the body ;-). Mine seems to attack the inside of my mouth and it appears as a white-patchy colouring on the inside of the cheek and along the side of my tongue.

When I am having a really bad episode the OLP cuts away the side of the tongue (usually it attacks only the one side at a time) and both sides of the cheeks and even the roof of my mouth down the throat which it feels like lots of tiny mouth ulcers so you can imagine how painful that is. When it's this bad let's just say I'm pretty miserable lol but thankfully I haven't had a really bad outbreak like that for a number of years now.

Amazing though that when the body stops attacking itself, things heal up and things like the tongue actually healed themselves. I still have the OLP inside the cheeks of my mouth and my gums no matter what I do, never look that nice pinky colour but it's manageable and my flare ups don't seem to last nearly as long. They use to last months and I am under a specialist at the hospital who checks me out every four or so months just to make sure it's not changing so I am thankful for that.

It was really interesting reading about your toe numbness and how it just went away like that. It made me think of my own flare ups and a line of thought I have is that the body finally gets sick of attacking a part of itself as if it says, "you're no fun anymore - I'm sick of 'attacking you' - I think I'll go and find some 'other' part to attack' lol. I'm just so pleased for you that it didn't attack your other toe and decided that it had done it's dash.

This is what I often feel and I joke about with family that it doesn't get it's kicks out of attacking my mouth so much - the OLP so it goes on to attack my eyes now. Hopefully with my eye condition I won't go blind (but there are no guarantee's - but I'm optimistically hopeful given my age and length of time I have needed to wear glasses). The trouble I find though when you have one condition that it doesn't always typically follow the symptons that you might expect because of other autoimmune type conditions. This I find with my eyes.

With sector RP your peripheral vision starts to go and I have some peripheral loss but I have a spanner thrown into the mix in that the flare up with Sjogren's clouds (lol now that's a pun) my symptons and not only is my sight lessen-ning but it's also quite painful. My eyes burn and the muscles around the eyes don't work nearly as well and finding the right prescription is very difficult for me. I can't seem to tolerate progressive lenses nor can I wear heavy type frames because the nerves around my eyes seems to be very sensitive so I'm not sure whether this is part of the Sjogren's side of things or not?

Talking to the specialists I find is often frustrating in that they can only 'see' what appears to be going on for you but unfortunately they cannot 'feel' what you feel that is going on and so I often come away knowing that they really have no answer on what is taking place lol. That's where I have learnt to trust myself in these situations. I'm hoping that this recent flare up which has been going on for some weeks now will eventually burn it'self out and let me get back to reading my books lol which I hate not being able to do. I believe that my body will let this latest flare up pass by and so normal (well, as normal as my body will allow :-) ) transmission will resume.

Thanks again Lily for sharing your journey and I appreciate your posting. Hope the weather where you are is nice - it's pretty cold down under lol.

Hey Lily, your viberations are strong enough to give you what you want, excellent.

I've only just being diagnosed with Sjogren syndrome, with very little symptoms, and surfing the net to find similar experiences from others, first one was here and I read your post, brilliant !

Hope your symptoms don't get too bad, Tinu. Not everyone suffers agonies with Sjogren's, though I appreciate some people have a terrible time. Even if they do get worse, don't despair - just hang in there and try not to give the condition too much attention. (But enough attention to things like dental hygiene, reasonably healthy diet, moderate exercise etc.) Hope you come out at the other end of the tunnel, like I eventually did. So far, anyway!wink

Hi Hayley, I forgot to say my eye specialist gave me a leaflet about omega 3 and was all for protecting my eyes etc. You have to be on v high dose and keep on for long time.

Hi there,  been reading post, and your right best way to deal with s. s. is to trust your own body and instinks. ive had sohgrins, for around "6years or so, but only found out that i had it around 3years ago, all the usual dry mouth, eyes skin hot red feet ears, bowel disorder chronic ibs. Problem with my liver also cysts in bladder, chronic nasal problems, brain fog,  chronic saladantist, the list goes on and on,  but i find most general medical people, havent a clue know very little about this horrid illness and while trying to treat a medical problem, give medication that can make things worse while trying to treat the problem that you go with. So now now i just do what i think is best for me, and seem to help me anyway,  maybe ive become to know my illness so well now, im the best judge to know what to do, i drink plenty of water all day long eat lot of fish salmon ect,  plenty of fruit, and lot of sea air,  as often as i can get sea side, and use very little in way of meds, i try to go for more natural ways to overcome some of these horrid illnesses, for me it seems to work, kind regards to you and all s. s. sufferers 

Wow, angie, it was a very notable in hearing your story and situations with Sjogren's. I too have it and noticed that the insides of my cheeks really hurt sometimes, but I figured it might be due to the fact that where the sores are, there is a missing tooth there. Now, I have more insight on what is going on in my oral cavity. I have something else to share with my rheumatologist. I will also bring this up to my dentist as well!

Hi, George..thanks so much for sharing your diet. I was trying to figure out what will work best for me with condition. I have extreme fatigure as well