What type of doctor can diagnose Sjogren's syndrome?

Rheumatologists have primary responsibility for diagnosing and managing Sjögren's and can conduct a series of tests and ask about symptoms. Your eye doctor or an oral medicine specialist also might run tests if Sjögren's is suspected.
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Do you see a rheumatologist for Sjogren's syndrome?

Most people with Sjögren syndrome are treated by a rheumatologist, a doctor who specializes in arthritis and other diseases of the joints, muscles and bones. However, other specialists may be consulted to help with your diagnosis and to manage complications of the disease.
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Can an ophthalmologist diagnose Sjogren's?

Sjogren's syndrome (SS) is an autoimmune disease affecting the lacrimal glands resulting in dry eye disease (DED). Ophthalmologists may be the first line of detection of Sjogren's syndrome given the frequency of DED in SS and that dry eye is often the presenting symptom.
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How does a rheumatologist diagnose Sjogren's syndrome?

Blood and urine tests, to look for the presence of antibodies common in Sjögren's syndrome. The results of an ANA (antinuclear antibody) test will determine if you have an autoimmune disorder. Schirmer's test, to see if your tear glands are producing enough tears to keep your eyes moist.
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Is it hard to diagnose Sjogren's?

Sjogren's syndrome can be difficult to diagnose because the signs and symptoms vary from person to person and can be similar to those caused by other diseases. Side effects of a number of medications also mimic some signs and symptoms of Sjogren's syndrome.
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Sjogren's Syndrome | Eye Doctor Explains Sjogren's Disease and Sjögren's Syndrome Symptoms



What is the most accurate test for Sjogren's syndrome?

Antinuclear Antibody (ANA): The ANA test is positive in the majority of Sjögren's syndrome patients. However, a positive ANA test is also common in healthy individuals. The ANA test is most commonly performed using a technique that involves immunofluorescent staining of human cells grown in tissue culture (Figure 3).
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What mimics Sjogren's?

“It can be challenging to recognize and diagnose because many conditions can mimic Sjögren's, including normal age-related dryness of the eyes and mouth, side-effects of certain medications (like antidepressants), infections or other autoimmune diseases, lymphoma and other hematologic malignancies,” Dr. Vina said.
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What does Sjogren's tongue look like?

a smooth, red tongue. a change in how food tastes. dry, sore and cracked skin at the corners of your lips. problems such as tooth decay, gum disease, mouth ulcers, and oral thrush (a fungal infection that can cause a raw, red or white tongue)
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What blood test confirms Sjogren's syndrome?

Blood tests.

The anti-SSA (also called anti-Ro) or anti-SSB (also called anti-La) blood tests are the most specific ones for Sjögren's syndrome. Other autoantibody tests include antinuclear antibody (ANA) and rheumatoid factor (RF).
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Does Sjogren's always show up in blood test?

In Sjögren's syndrome, the immune system produces antibodies that attack healthy areas of the body. These can be found during a blood test. But not everyone with Sjögren's syndrome has these antibodies, so you may have the condition even if a blood test does not find them.
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What vitamins should I take for Sjogren's?

Herbs and Supplements for Sjogren's syndrome
  • Cysteine.
  • Evening Primrose.
  • Gamma-Linolenic Acid (GLA)
  • Omega-6 Fatty Acids.
  • Sulfur.
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What other autoimmune diseases are associated with Sjogren's syndrome?

In secondary Sjogren's syndrome, which accounts for over 50% of the cases diagnosed, other autoimmune diseases are present, including rheumatoid arthritis (20-30%), systemic lupus erythematosus (15-35%), systemic sclerosis (10-25%), and psoriatic arthritis.
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What happens if Sjogren's is left untreated?

Sjogren's comes with serious complications if left untreated, including: an increased risk of lymphoma and multiple myeloma. oral yeast infections. dental cavities.
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Can an ENT diagnose sjogrens?

An ENT (ear, nose, and throat) specialist, or otolaryngologist, may diagnose Sjogren's syndrome based on persistent symptoms of dry eyes and/or mouth, parotid gland enlargement, and abnormal blood test results. A lip biopsy can confirm the diagnosis. Sjogren's syndrome is treated conservatively with symptomatic relief.
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What does a sjogrens flare feel like?

Joint pain is one of the most common symptoms of Sjögren's syndrome. Multiple joints are painful, usually episodically with periods of joint pain, known as “flares”, followed by periods of little or no joint pain. Tenderness and swelling of the joints, when present, are indicative of inflammatory arthritis.
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What does Sjögren's joint pain feel like?

Your joints may be painful and swollen due to inflammation, or you might feel that various parts of your body, such as your muscles, are achy and tender. Some people with this condition have headaches and migraines.
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What triggers a Sjogren's flare?

Autoimmune diseases such as Sjogren's syndrome are highly likely to be triggered by environmental factors such as pollution, infections, certain medications, diet, and allergy-causing agents. Make a note of potential environmental triggers, and try to steer clear of them as much as possible.
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What should I avoid with Sjogren's syndrome?

Individuals who experience severe xerostomia tend to avoid crunchy foods such as raw vegetables, dry or tough foods such as meats and breads, and sticky foods such as peanut butter. Xerostomia can also affect dental health.
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How does hydroxychloroquine help Sjogren's?

Hydroxychloroquine, an anti-malarial, has been widely used to treat autoimmune conditions like lupus, rheumatoid arthritis, and Sjögren's. It works to modulate the immune system, which is overly active in these disorders, and also seems to reduce lipid levels and protect against blood clots and diabetes.
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What were your first symptoms of Sjogren's?

The two main symptoms of Sjogren's syndrome are:
  • Dry eyes. Your eyes might burn, itch or feel gritty — as if there's sand in them.
  • Dry mouth. Your mouth might feel like it's full of cotton, making it difficult to swallow or speak.
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What does Sjögren's fatigue feel like?

Sjogren's Syndrome patients often complain of mental fatigue or “brain fog.” Brain fog impairs focus, causes fuzzy concentration, and contributes to difficulty in problem-solving.
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Is sjogrens a form of lupus?

Sjogren's syndrome has a very slow, insidious onset. About 90% of individuals with Sjogren's symptoms are women, and the syndrome tends to aggregate to older individuals. Unlike lupus, Sjogren's afflicts all races equally.
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Can Sjögren's come on suddenly?

The condition may progress slowly, so the typical symptoms of dry eyes and mouth may take years to show. However, rapid onset can also occur. Symptoms can be mild, moderate or severe, and the progression is often unpredictable.
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What does Sjögren's rash look like?

Sjogren's syndrome patients often develop a purple-to-red rash that does not lighten when pressure is applied. They may also show purpura (rashes with blood spots) that's indicative of vasculitis (inflammation of blood vessels). If you observe any of these rashes on your skin, consult a dermatologist.
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Does Sjogren's affect your feet?

By Julius Birnbaum, M.D. The neurological complications of Sjögren's syndrome are extensive and range from cognitive difficulties, to burning toes and feet.
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