sero negative sjogrens?

Posted by theodora21 @theodora21, Jul 28 9:36am

i have had dry eyes, mouth, vaginal dryness my whole life. was tested in my 40s for sjogren's, all labs came back negative. I am sure I have it. Cn my dentist do tests or should i go to ENT? i have a continuous swollen salivary gland under my tongue. I am now 70 and worried about complications.

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Profile picture for saffronsass @saffronsass

I had symptoms for several years. I was convinced I had it. However, every doctor I saw said I didn’t have it. This included rheumatologists, ophthalmologists, dentists, and I can’t even remember them all. Finally, I saw a new rheumatologist after I had been doing a lot of research on Sjogren’s. What I found is about 30% of people with Sjogren’s are seronegative. This doctor was kind and patient. I told him I had read that having a lip biopsy was the only definitive way to find out if you truly have it. I had to find this out myself, as no doctor ever even mentioned it to me. He agreed to order one for me. Sure enough, I definitely have it. It felt like a weight had been lifted off of me. Someone finally believed me. Since then I have been able to get the proper medication and care. Unfortunately, though, that kind doctor left the area, and it has been very challenging to find a really good one. My suggestion is to insist on a lip biopsy. I did not find it painful, as so many say it is. Wishing good luck to you.

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@saffronsass yes it is not uncommon for the Drs to say you do not have Sjogrens. Some tests come back negative.
I know I have it.
It is disappointing to know the amount of patients told they do not have it.
We are our best tool!!! Sometimes it gets hard to deal with but I always say someone out there is worse than me. Chin up if anyone has some new info share it in all ears!!!! 😀😀😀

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Profile picture for lynda12345 @lynda12345

@lynda12345 I live 8 hours away from specialists 🙁
Unfortunately
So I’m on my own
There are hospitals in Canada in Vancouver and
Toronto
Can I ask you what medication you use for your Sjogrens?

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@lynda12345
Yes, I take Plaquenil, and I have been taking Restasis for my eyes. I’m also on allergy shots, since it seems like I’m allergic to everything. I’m almost positive a primary care doctor can prescribe the medicine for you, since you have already been diagnosed. Your doctor should be able to communicate with your physician regarding your previous medical records..

You might need to explain that it’s very difficult to see the original doctor due to travel and your age.
A compassionate doctor would do that. If she or he didn’t, I think I would need to find a doctor who would want to do that for me.

There’s no reason that your regular doctor couldn’t be able to order labs to see how you’re doing. The lab technicians know what is necessary,

I have found I've finally had to advocate for myself, and it seems to be working. I hope you have success with this. It’s not something that’s easy to do handle without treatment.

Wishing you all the luck in the world.

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I’m positive that I have it. Every symptom, I have. Even positive on one of the serums. But because I’m not positive for both, they say that I don’t have it. I discussed it again with my rheumatologist and told him that I am on prescription eye drops. Because the drops help some and the dang papers he put in my eyes alone made them water, he said I don’t have it.

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Profile picture for saffronsass @saffronsass

@lynda12345
Yes, I take Plaquenil, and I have been taking Restasis for my eyes. I’m also on allergy shots, since it seems like I’m allergic to everything. I’m almost positive a primary care doctor can prescribe the medicine for you, since you have already been diagnosed. Your doctor should be able to communicate with your physician regarding your previous medical records..

You might need to explain that it’s very difficult to see the original doctor due to travel and your age.
A compassionate doctor would do that. If she or he didn’t, I think I would need to find a doctor who would want to do that for me.

There’s no reason that your regular doctor couldn’t be able to order labs to see how you’re doing. The lab technicians know what is necessary,

I have found I've finally had to advocate for myself, and it seems to be working. I hope you have success with this. It’s not something that’s easy to do handle without treatment.

Wishing you all the luck in the world.

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@saffronsass Thank you appreciate your input

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Profile picture for lisa930 @lisa930

I’m positive that I have it. Every symptom, I have. Even positive on one of the serums. But because I’m not positive for both, they say that I don’t have it. I discussed it again with my rheumatologist and told him that I am on prescription eye drops. Because the drops help some and the dang papers he put in my eyes alone made them water, he said I don’t have it.

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@lisa930
You probably have it
My Dr said no but dry skin
My eyes horrible
At night be careful
With the eyes. Mine actually hurt at night cane to the point where I had pain and hard to open do dry
I now use ointment Systane
At bedtime and if your eyes are shut like that don’t force them open gradually put drops In the corner of the eyes the cornea can tear or get very damaged
This is a challenging disease
Drs are not always right.
Now I have a question has anyone tried Ozempic?
Apparently good for Sjorgrens with certain health conditions I am not a candidate because I react
To a lot of meds but you never know I might try the injection keep your chin up
😀we will all become experts at this disease

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A Rheumtologist treats Sjogrens Disease. (They just changed it to "disease' because of the patients who felt it wasn't taken seriously as sjogrens syndrome.)

I have seronegative Sjogrens and was diagnosed because of symptoms over time, like what you've been through. It is the most expensive out-of-pocket "hobby" I have!
Biotene everything: toothpaste, gel, spray, gum. Can't live without it.
Eye drops: I was prescribed Restasis and it's helped me cut down on the amount of Refresh drops I usually go through.
Being careful what and where I eat. I tend to choke with dry mouth/throat.
Tomato sauce, anything acidic burns my mouth.
I never eat anything without something to drink.
And all of this comes to mind because I've been doing it for over 30 years!

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I was told by a Rheumotologist that the definitive test for Sjogrens is a lip biopsy by an oral surgeon.

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Profile picture for benthedog @benthedog

I was told by a Rheumotologist that the definitive test for Sjogrens is a lip biopsy by an oral surgeon.

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@benthedog the lip biopsy can be negative in more than 30% of active Sjogren's patients according to the latest peer reviewed report sponsored by the Sjogren's Foundation. It's got the latest clinical treatment recommendations and was created by a panel of the most highly regarded experts in the field. You can find it through the SF website. Most rheumatologists haven't seen it yet.

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Ent doctor biopsies the glands inyour mouth.
Eye doctor ran two eye test confirmed Sjogrens.
My blood tested positive six months later.

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Profile picture for lynda12345 @lynda12345

Sjogrens is very hard to diagnose I have had it for the past 4years and it is getting worse. One of the problems is GPs do not recognize this disease at 70 oh it’s just old age well it is not when you wake up 4times a night put drops in swallow water which tells your brain you are awake you need to go and urinate not to mention arthritis in your hands and feet
And to put the cherry on top I have sleep apnea . So we have to be our own expert . I have tried nervous Rx eye drops no success. We have to be careful the cornea can get warm Down
So here’s my new regime point at night for the eyes elevated pillow sleep on my side(breathing) only a small sip of water (fool the brain)
Every day is a challenge by morning I can hardly wait to get up. Oh yes and throbbing headaches in the am caused by low oxygen producing more cO2 to the brain. I know I’m venting but when you tell your health professional they don’t understand how sleep deprived we are. Any ideas out there I would love to hear them

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@lynda12345 I have had Sjögren’s ‘s so intense that I had to have two eye surgeries to remove thick growths due to severely dry eyes. I have had hand and finger pain just like RA. I took 3000 mg of Tylenol just to get by. I finally discovered flaxseed oil capsules-I get them at Costco-1200 mg. I take 2 per day. Now my inflammation is totally gone and I take no Tylenol! I am in remission but still need to use systane eye drops and eat slowly due to dryness. I also removed a gold bridge that had mercury underneath (amalgsm). 5 months later -still taking the flaxseed oil capsules, I awoke without pain!!!!

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