Sjogren’s Syndrome – Introduce yourself and meet others

Posted by cmtg @cmtg, Aug 20, 2016

I have been diagnosed with this and I'm in pain most days and would like to have discussions.

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@cblue

Thanks for suggestions. To switch I would have to take a dose early. My doctor at first wasn’t responding (odd, she was very responsive when I has vascultis..lab work which somehow ruled out auto immune cause. ), so I haven’t asked anything. However, I eventually received a call from her assistant to renew a prescription & offer me an appointment in a few weeks. I don’t how if she will respond to portal messages. I Haven’t tried since reaching the assistant last week. But especially since the end of daylight savings time evenings are worse “earlier “… The evening dose of cevimeline doesn’t work & eyes & sensitivity to sound and joint pain all increas. Sleeping is impossible.. but during the day if I keep moving.. I’m not too bad. Starting to lose hair from the hydroxychloroquine maybe? How much hair will I lose? ( female- hope not all !! !

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I’m not sure how much help this will be. I’m not sure about hair loss from the medication. I was reading last night about Sjogren’s and hair loss as I have been shedding hair for months and is now noticeable when you Google hair looks and Sjogren’s it comes up. Really hoping you feel better soon.

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@becsbuddy

@cblue the schedule of 6-2-10 is exactly every 8 hours and you won’t have to keep figuring the times! You certainly don’t want to skip the night dose—10pm is the night dose. If you like to stay up later, try 7am, 3pm, 11pm.
The night sweats sound awful! What has your doctor suggested be done for them?

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Follow up question I’ve been trying to get to your schedule, but I’m not there yet. Questions though you and those who take civemeline ((sp?) … at times it seems like I have too much saliva, but the saliva doesn’t feel like real saliva. It feels it has more of a mucousy feel I’m wondering what others who take this feel. I thought I read either at this website or this the advocacy site, but this saliva doesn’t protect teeth, is that accurate? My dentist is prescribing fluoride treatment daily. I’m responding to one person, but I’m happy to hear from any others who have Sjogrens and take this medication.

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@cblue

Follow up question I’ve been trying to get to your schedule, but I’m not there yet. Questions though you and those who take civemeline ((sp?) … at times it seems like I have too much saliva, but the saliva doesn’t feel like real saliva. It feels it has more of a mucousy feel I’m wondering what others who take this feel. I thought I read either at this website or this the advocacy site, but this saliva doesn’t protect teeth, is that accurate? My dentist is prescribing fluoride treatment daily. I’m responding to one person, but I’m happy to hear from any others who have Sjogrens and take this medication.

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@cblue This information from Mayo Clinic lists the problems and side effects of cevimeline. Keep this list handy because it says which problems are reportable to your doctor.
https://www.mayoclinic.org/drugs-supplements/cevimeline-oral-route/precautions/drg-20062661?p=1#:~:text=This%20medicine%20may%20cause%20blurred,cause%20kidney%20or%20gallbladder%20problems.
From what I have read, when you take cevimeline ,the saliva produced is from your own glands and is no different. It may feel or be thicker—that is why drinking plenty of water is advised.
How long have you been taking cevimeline?

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Thanks for following up. I've been taking cevimeline since mid-October. I found the same Mayo Clinic warning you did. So I reached out to my rheumatologist. Long story short, doctor said nausea is uncomfortable, vomiting I should be concerned about ;. to rule out concern, I would probably need to go to an ER. Nausea began middle of night i think and continued till evening today. I've stopped taking it for today. I guess I can start tomorrow again (based on the doctor's brief posts to my questions).
In terms of what yo are reading - that it's our saliva.], that's great news --assuming you have a reliable source. Where did you find this research? - I just googled information about the medication etc.. and found some information I probably did not save ;and don't know if it's reliable. The info suggested that the saliva produced is not adequate to protect my teeth- as did my dentist. I was hoping to look over research at some point. Thanks again!

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@johnwburns

Sorry to hear that.
Sjogren's is a big topic.
How were you diagnosed, as in what were the criteria, positive ANA, positive anti-Ro, salivary gland biopsy etc?
What treatment(s) have you been given, if any?
Do you have any commonly co-occurring autoimmune illnesses such as Hashimoto's Thyroiditis?

Overview might be of help:
http://www.mayoclinic.org/diseases-conditions/sjogrens-syndrome/basics/definition/con-20020275
Thanks

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Please help me too! I have dry eyes, dry mouth and throat, ear pain, and spinal degeneration…. Teeth problems… TMJ dysfunction and cartilage is gone! Esophageal dysmotility , and stylohoid ligament calcification…dysphagia…etc… have been diagnosed with Hashimoto thyroiditis… positive ANA, and antzic4 antibody… (no neoplasm) … negative Sjogren antibodies…. I need a doctor willing to do the biopsy… Who can perform the salivary gland biopsy??? Most doctors settle for only antibodies testing… Please help! Thanks!

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@cblue

Thanks for following up. I've been taking cevimeline since mid-October. I found the same Mayo Clinic warning you did. So I reached out to my rheumatologist. Long story short, doctor said nausea is uncomfortable, vomiting I should be concerned about ;. to rule out concern, I would probably need to go to an ER. Nausea began middle of night i think and continued till evening today. I've stopped taking it for today. I guess I can start tomorrow again (based on the doctor's brief posts to my questions).
In terms of what yo are reading - that it's our saliva.], that's great news --assuming you have a reliable source. Where did you find this research? - I just googled information about the medication etc.. and found some information I probably did not save ;and don't know if it's reliable. The info suggested that the saliva produced is not adequate to protect my teeth- as did my dentist. I was hoping to look over research at some point. Thanks again!

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@cblue this site from Mayo Clinic says pretty much the same thing; that cevimeline stimulates your own glands to produce saliva versus artificial saliva which many people have to use.
https://www.mayoclinic.org/drugs-supplements/cevimeline-oral-route/side-effects/drg-20062661?p=1. Your dentist says the saliva produced is not adequate to protect your teeth. Have you asked him what he would suggest you use in addition to cevimeline?

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@becsbuddy

@cblue this site from Mayo Clinic says pretty much the same thing; that cevimeline stimulates your own glands to produce saliva versus artificial saliva which many people have to use.
https://www.mayoclinic.org/drugs-supplements/cevimeline-oral-route/side-effects/drg-20062661?p=1. Your dentist says the saliva produced is not adequate to protect your teeth. Have you asked him what he would suggest you use in addition to cevimeline?

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I am relying more on oral pathologist. Mostly same thing I've seen other places. Careful brushing regimen, including floss. Once a day use prescription tooth paste, more frequent cleanings with dental hygienist (not all can afford this).. possibly a flouride treatment at each dental cleaning at the office.
What has been others experience.

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@leonsita

Please help me too! I have dry eyes, dry mouth and throat, ear pain, and spinal degeneration…. Teeth problems… TMJ dysfunction and cartilage is gone! Esophageal dysmotility , and stylohoid ligament calcification…dysphagia…etc… have been diagnosed with Hashimoto thyroiditis… positive ANA, and antzic4 antibody… (no neoplasm) … negative Sjogren antibodies…. I need a doctor willing to do the biopsy… Who can perform the salivary gland biopsy??? Most doctors settle for only antibodies testing… Please help! Thanks!

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I'm not sure where you live, but usually medical centers have oral pathologists. I 'm in NYC where Columbia Presbyterian has one. Long list for main center, but able to get a fairly prompt examination at a satellite outpost for salivary flow (inadequate)-> led to biopsy and diagnosis.

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I had sjogrens long ago. It took a very long time to get a correct diagnosis. I did eventually overcome it!

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@basslakebabe19

I had sjogrens long ago. It took a very long time to get a correct diagnosis. I did eventually overcome it!

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I would love to hear more about how you overcame it. I was not diagnosed until I was older and I don’t think I had it when I was younger, which is when most people get it in midlife I think if I read correctly, I would very much appreciate hearing how you overcame it, and how long it took, it might give some of us hope. I don’t know how many personal details you can share, but if you can give us a vague idea of the age you were diagnosed / or began to have symptoms, and then again how long it took and what worked . !!!!

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