Anyone have Sjögren's with seronegative labs?

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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ENT biopsies the glands in your mouth
Eye doctor does two test for Sojourns. I got diagnosed this way. Then six months later my labs came back positive.
The dentist has no part in diagnosing Sojourns.

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Profile picture for lynda12345 @lynda12345

@lynda12345
Just doing more research my favourite pastime ha!
Now this gets interesting
50 years ago at work I lost my sight for about 6 mins I had all kinds of tests with the exception of CT Scan of the head.
Saw a neurologist he said I had soft signs of MS
A year later I had Bells Palsy on the left side of my face.
Apparently there is a correlation with Sjogrens disease. (Affecting the nerves) Sjogrens disease may have been caused by bacteria or a DNA defect that allows the T cells to attack our healthy cells
Another symptom is dry salty scalp and loss of hair.
Don’t tie your hair back use a comb wash hair maybe once a week use a light oil
I found this out because my hair would not suds the salt was preventing it.
I know I go on but the more we know the better 😀

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@lynda12345
That's interesting about the "soft signs of MS". My two sisters have MS and both lost sight partially due to optic neuritis.
But then you discuss Sjogrens affecting the nerves. I have also read this. It isn't discussed much, except among people living with it!
I enjoy seeing how everyone has learned to cope...and keep on living!
Also, you have blown my mind with the salty scalp! Never heard that before!

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

I had a different experience with Sjogren’s. It was part of an inflammation of my entire GI tract. My front teeth became see through due to lack of saliva. I was a patient at Mayo at the time and tested seronegative several times.
Eventually I was treated with immunosuppressive drug Imuran and all my GI symptoms disappeared, including Sjogren’s.

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@astaingegerdm
Well I hope the good news continues keep us in the loop😀

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Have a question for those of you with Sjogrens.. I have signs of Sjogrens and have tested negative twice. My ANA tests did come back with a strong positive for Lupus SLE, but the rheumatologist does not think I have Lupus.. Thinks it is Hashimotos Thyroid. I have had full body hives for two years and geographic tongue with a burning mouth/tongue/and some discomfort at the back of the throat. Also the metallic taste. I keep asking various doctors about the burning mouth and throat discomfort being related to Lupus and or Sjogrens, but all say no. Does anyone here experience mouth and throat issues besides just the burning? Does your tongue look kind of scalloped with places around the edges? Would appreciate any responses. Feel like doctors are tired of hearing my complaints and just want me to deal with it. I want to find the cause and not just deal with what is happening. Hope everyone is having a great day!

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Need an early Sjögrens panel instead of regular autoantibody tests, and a lip biopsy, ask an ENT or an oral surgeon who understands Sjögrens disease to do it. There's other blood values that point to autoimmune disease like C Reactive protein, Sed rate and others. You should be getting blood work at least once or twice a year to try to find the auto-antibodies. An immunologist also can test to see if you have an Immunodeficiency Disease which can miminic Sjögrens' symptoms.

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Profile picture for slem @slem

Have a question for those of you with Sjogrens.. I have signs of Sjogrens and have tested negative twice. My ANA tests did come back with a strong positive for Lupus SLE, but the rheumatologist does not think I have Lupus.. Thinks it is Hashimotos Thyroid. I have had full body hives for two years and geographic tongue with a burning mouth/tongue/and some discomfort at the back of the throat. Also the metallic taste. I keep asking various doctors about the burning mouth and throat discomfort being related to Lupus and or Sjogrens, but all say no. Does anyone here experience mouth and throat issues besides just the burning? Does your tongue look kind of scalloped with places around the edges? Would appreciate any responses. Feel like doctors are tired of hearing my complaints and just want me to deal with it. I want to find the cause and not just deal with what is happening. Hope everyone is having a great day!

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@slem Your doctor is dismissive of strong positive for Lupus SLE? Get a new doctor. Yes, mouth and tongue issues, crevices, scallops around the edge. Dry burning mouth, which isn't only a Sjögrens symptom. It can even be RA. But do you have joint pain or other symptoms with this?

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Profile picture for suee86 @suee86

@slem Your doctor is dismissive of strong positive for Lupus SLE? Get a new doctor. Yes, mouth and tongue issues, crevices, scallops around the edge. Dry burning mouth, which isn't only a Sjögrens symptom. It can even be RA. But do you have joint pain or other symptoms with this?

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@suee86 I am thankful that I do not have joint pain, which is one of the main reasons my Rheumatologist doesn't believe I have lupus. I have had other issues for decades such as low thyroid, vulvodynia and the feeling that things are crawling on my scalp or on my skin, along with strange tingling and numbness at times. And of course very painful "eyeball" headaches and sinus issues. I had hives once in my 20's for a year and a half with no known cause. Had hives again 10 years later for a year with no known cause. Nothing in my 40's and now in my 50's have had the hives for 2 years and still have them. For a while I would also get strange rashes and would feel like my skin is on fire and sunburned even when I had not been out in the sun. I just want someone to tell me why I am getting the hives. All of the doctors just say I will probably never know and to just treat the symptoms.

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ENT- biopsies the glands in your mouth
Eye doctor does two different eye tests
They come back positive you have Sjogren’s. You must have both doctors if sero-negative.
I had all three test and my labs came back 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'm sorry you go through all this. Myself I have gone through for yrs and know I have sjögren.
I've been recently diagnosed with sarcoidosis with a ct scan, pet scan then a biopsy of several enlarged lymph nodes I've had for a few years. But with this I know see a bunch of doctors because it can effect different organs with granulomas and also cause different autoimmune diseases and because I've had symptoms of sjögren's syndrome for yrs they just did a lot of bloodwork for it. She did say that because I had some come back negative before we will probably have to do the lip biopsy.
Now about you talking about drinking a sip of water before bed. I read that about people and how they wake up with headaches become constipated. That time for me is where I'm more thirsty, my mouth is more dry and I drink more water. I do buy this small tube of stuff from the store its blue and its only the size of your finger and its thick. You put a small amount in each eye before bed and you wake up where your eyes feels great, not itchy. For your skin I put a nice body oil on after shower while your skin lightly wet wait a couple minutes then add thick lotion on top of the oil. It helps big time. I hope this helps. Have a great day

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Profile picture for angelbear1968 @angelbear1968

@lynda12345
I'm sorry you go through all this. Myself I have gone through for yrs and know I have sjögren.
I've been recently diagnosed with sarcoidosis with a ct scan, pet scan then a biopsy of several enlarged lymph nodes I've had for a few years. But with this I know see a bunch of doctors because it can effect different organs with granulomas and also cause different autoimmune diseases and because I've had symptoms of sjögren's syndrome for yrs they just did a lot of bloodwork for it. She did say that because I had some come back negative before we will probably have to do the lip biopsy.
Now about you talking about drinking a sip of water before bed. I read that about people and how they wake up with headaches become constipated. That time for me is where I'm more thirsty, my mouth is more dry and I drink more water. I do buy this small tube of stuff from the store its blue and its only the size of your finger and its thick. You put a small amount in each eye before bed and you wake up where your eyes feels great, not itchy. For your skin I put a nice body oil on after shower while your skin lightly wet wait a couple minutes then add thick lotion on top of the oil. It helps big time. I hope this helps. Have a great day

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@angelbear1968
Sorry to take so long in answering I like the idea of baby oil after shower when you are wet but also moisturizer with cream after good idea!!!
And yes a gel or ointment on the eyes at night helps
I just had a big flare up not sure why 🙁 sorry to hear about sarcoidosis keep your chin up I know it’s hard easy to say 🌞🌞🌞🌞🤞

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