How Is Sjgrens Syndrome Managed Or Treated
There is no cure for Sjögrens syndrome, but treatments can relieve symptoms. Depending on your specific issues, your doctor may recommend one or more of these therapies.
Treatments for dry eyes:
- Artificial tears: Over-the-counter artificial tear eye solutions and artificial tear eye ointments moisturize dry eyes. These products relieve irritation and discomfort.
- Prescription eye drops:Cyclosporine and lifitegrast prescription eye drops soothe inflamed tear glands and stimulate tear production.
- Punctal plugs: An ophthalmologist inserts tiny silicone plugs into the tear ducts. The plugs block the ducts so tears stay on the eyes, keeping them wet.
- Surgery: If punctal plugs work for you, your doctor may recommend surgery to close the tear ducts permanently.
- Autologous serum drops: Your doctor can make customized artificial tears. The process involves mixing your blood serum with a sterile liquid solution. You receive a one-of-a-kind tear substitute unique to your body. While effective, the pricey treatment isnt always covered by insurance.
Treatments for dry mouth:
Treatments for joint or organ problems:
Treatments for vaginal dryness:
- Trying vaginal moisturizers or lubricants to add moisture to the vagina daily and to ease sexual intercourse.
- Using unscented soaps for cleansing. Perfumes and other additives can cause irritation.
- Asking your healthcare provider about vaginal estrogen therapy.
Subacute Cutaneous Lupus Erythematosus
Subacute cutaneous lupus erythematosus is a form of lupus skin disease that is made worse by exposure to sunlight or artificial sources of ultraviolet radiation and does not produce scarring. It produces scaly red patches on the skin that can simulate the appearance of psoriasis occurring in sun-exposed areas of the body.
Patients with this form of skin lupus have a somewhat higher risk for developing the more severe internal complications of systemic lupus erythematosus compared to another common form of lupus skin disease named discoid lupus erythematosus.
Fatigue Gerd Itchy Skin Brain Fog Are You Experiencing Autoimmune Disease Symptoms
Last weekend I was able to attend a wonderful seminar on auto-immune disease and its relation specifically to stress. As someone who has suffered with auto-immune response to stress for the last 12 years this just boosted my belief that it is one of the most serious and substantial causes of inflammation and chronic disease that we have today. For me it was diagnosed in the form of Hashimoto’s or Auto-immune Thyroiditis.
What is auto-immune disease? Autoimmune conditions are connected by one central biochemical process: A runaway immune response also known as systemic inflammation that results in your body attacking its own tissues. We are facing an epidemic of allergic , asthmatic , and autoimmune disorders . Autoimmune diseases include rheumatoid arthritis, lupus, multiple sclerosis, psoriasis, celiac disease, thyroid disease, and the many other hard-to-classify syndromes in the 21st century.
Your immune system is your defense against invaders. It is your internal army and has to clearly distinguish friend from foe to know you from others. Autoimmunity occurs when your immune system gets confused and your own tissues get caught unrecognized and then are under attack.
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What Are The Symptoms
Typically, a rash is red, raised, or bumpy. You may develop skin sensitivity or tenderness with the rash, or you may have itchiness without pain.
In addition, a rash in fibromyalgia can cause a crawling sensation on the skin. If you also have dry skin, this can worsen itchiness and the rash.
When developing its diagnostic criteria for fibromyalgia, the American College of Rheumatology asked study participants about rashes and itching, as well as many other symptoms.
However, a rash is not considered in a diagnosis of fibromyalgia. You must present other symptoms of the condition. These include widespread pain that occurs on both sides of the body, digestive problems, and chronic fatigue.
The exact cause of a fibromyalgia rash is unknown, but certain factors are believed to trigger this skin condition.
Signals From Central Nervous System
The central nervous system consists of the brain, spinal cord, and nerves. Its responsible for sending information to different parts of your body. If you have fibromyalgia, your brain may send itch signals to the nerves in your skin. This can cause your skin to become oversensitive, triggering a sensation of itchiness. While this is not proven to occur with fibromyalgia, repeatedly scratching your skin can cause a rash.
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Joint Pain And Swelling
Up to 90% of people with lupus will have arthritis, which is defined as inflammation or swelling of the joint lining. The most common symptoms of arthritis are stiffness and aching, most often in the hands and wrists. Symptoms of arthritis can come and go and move from one joint to another. Pain and stiffness tend to be worse in the morning and improve as the day goes on. People with lupus can also experience pain in the joints without swelling or tenderness, which is referred to as arthralgia.
Is There Hope For A Cure
Researchers have made great progress in identifying people at risk for lupus and the molecular markers that appear before the onset of symptoms. From these advances, scientists hope to generate early intervention or even disease-prevention strategies. For people with established lupus, research is focused on designing new clinical trials that test drug candidates, which, if successful, could be combined with existing therapies. The Lupus Research Alliance is funding the most innovative research in the world, with the hope of finding better diagnostics, improved treatment and, eventually, a cure.
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How Are Skin Problems From Dermatomyositis Treated
Similar forms of treatment are used for the skin problems seen in patients with dermatomyositis and lupus. Dermatomyositis causes autoimmune inflammation and damage in the muscles, skin, and occasionally other vital organs, such as the lungs.
However, dermatomyositis skin disease generally is harder to treat than is lupus skin disease. In addition, dermatomyositis skin disease is often more troublesome for the patient by producing symptoms such as itching .
Fibromyalgia As A Cause Of Joint Pain And Fatigue
If you havent heard of Fibromyalgia yet, you will be surprised to learn that it causes joint pain and fatigue. It can be termed as a condition that is characterized by fatigue and pain in the joints. While there be little or absolutely no swelling or inflammation in your joints, those plagued by fibromyalgia have reported of severe pain in the neck and shoulder joints. As the condition worsens over time, the pain spreads to the entire body and in the process produces burning, sore or stiff muscles and joints. The fatigue fibromyalgia patients feel can be more debilitating than joint pain. Patients suffering from fibromyalgia say that they suffer from a lack of energy, minimized endurance levels and exhaustion, which is typically seen in people who are down with a bad case of the flu. These people also tend to feel tired after waking up from a good nights sleep.
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Easy Bruising Fatigue Itching Or Burning And Joint Aches
Reviewed on 8/5/2020
There are a few different medical conditions that are strongly associated with:
- Easy Bruising
- Itching Or Burning
- Joint Aches
While the symptoms above can be considered a guide to help associate symptoms common among the conditions below, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms. Below are the top condition matches for your symptom combination from MedicineNet:
Multiple Sclerosis As A Cause Of Joint Pain And Fatigue
Multiple sclerosis affects the immune system by attacking the brain, optic nerves and spinal cord, say experts.
The disease also destroys myelin, the sheath that protects and covers the nerves. This hinders signals between the brain and the body. This can results in numbness, pain and tremors common symptoms of the disease.
In fact, MS can resemble lupus as well as Lyme disease. It can also cause fatigue and joint pain. One of the common symptoms include numbness and a tingling sensation.
Studies suggest that a majority of Americans have MS with the diseases affecting people between 20-40 years. Women are more likely to fall prey to MS as opposed to men.
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What Psoriatic Arthritis Fatigue Feels Like: What Researchers And Rheumatologists Say
There are many different ways patients with PsA talk about their fatigue, says rheumatologist Alexis Ogdie, MD, Director of the Penn Psoriatic Arthritis Clinic in Philadelphia and Associate Professor of Medicine at the Hospital of the University of Pennsylvania.
Some people describe fatigue like their battery running out some people talk about exhaustion before the end of day like by 3 p.m. you cant go on without a nap or drinking excessive amounts coffee, which doesnt work and some people talk about not being able to mount energy , she says.
To come up with a framework of how people with psoriatic arthritis think about fatigue, Dr. Ogdie along with several researchers recruited 19 patients with PsA and asked them to describe the experience of fatigue in their own words. The findings were published in 2020 in the journal RMD Open: Rheumatic & Musculoskeletal Diseases. Patients responses included:
- Wiped out
- Worn out
Fatigue can be very subjective, says rheumatologist Eric Ruderman, MD, Professor of Medicine at Northwestern University in Evanston, Illinois. I might not totally understand what fatigue feels like for you, but I can understand how it impacts you, or what you need to do differently to manage it on a daily basis.
What Is The Outlook For Rheumatoid Arthritis Rashes
There are no permanent solutions that can completely prevent rheumatoid arthritis rashes from occurring. Doctors may try a combination of medications to help you manage your condition. These treatments may reduce inflammation and minimize joint damage.
Its important that people with RA take measures to live as healthy a lifestyle as possible. Examples of healthy lifestyle practices that may benefit a person with rheumatoid arthritis include:
- Getting plenty of rest, which can help to reduce fatigue symptoms and minimize joint inflammation.
- Exercising whenever possible, which can help to enhance joint mobility and build strong, flexible muscles.
- Taking measures to cope with stress, such as meditation, reading, taking a walk, or doing other activities to promote relaxation.
- Eating a healthy diet full of fruits, vegetables, whole grains, and lean proteins. This can help you maintain a healthy weight, which is important in supporting healthy joints.
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Many Patients With Psoriatic Arthritis Consider Fatigue To Be One Of The Most Problematic Symptoms After Joint Pain Being Able To Identify And Describe What Fatigue Feels Like May Help Both Loved Ones And Health Care Providers Better Understand Your Experience
Check out Fight Back Against Fatigue: A Psoriatic Arthritis Patients Guidefor more information on this topic.
Wiped out. Utterly exhausted. Like youre coming down with the flu. Unable to get your head above water. Pumping gas, but the gas tank is empty.
The fatigue that people with psoriatic arthritis have is real and it interferes tremendously with daily life.
In fact, nearly 50 percent of patients with psoriatic arthritis report high levels of fatigue and consider fatigue a high-ranking problem, after joint pain and before skin issues, according to a 2016 study published in the journal Joint Bone Spine.
If you live with fatigue from psoriatic arthritis, we dont have to tell you what it feels like. However, hearing from other people with PsA who are also wrestling with this nagging, persistent feeling of exhaustion can help you feel less alone.
Talking about what fatigue feels like can also help you explain to loved ones why you arent able to do certain activities or why you turn down invitations or leave things early. Perhaps, most importantly, it can help you figure out if you need to talk to your health care provider to get better control of your fatigue.
What Are The Types Of Lupus
There are three kinds of lupus:
- Systemic lupus erythematosus is the most common kind of lupus. It can affect many organs in the body.
- Cutaneous lupus usually affects only the skin with rashes on the scalp, legs, or arms.
- Drug-induced lupus happens as a reaction to some medicines. Symptoms usually go away when a person stops taking the medicine.
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Inflammatory Bowel Disease As A Cause Of Joint Pain And Fatigue
Ulcerative Colitis leads to inflammation in the large intestine. Crohns results in sores and ulcerations in the gastrointestinal tract.
Some of the common symptoms of IBD include joint pain and fatigue. With the onset of chronic inflammation, the digestive tract can get infected or damaged with ulcerations, abscesses and fistulas. This leads to rectal bleeding and diarrhea.
IBD can also have life-threatening perforations of the intestines. In fact, hemorrhages may require emergency blood transfusions and surgery.
Inflammatory bowel disease may look different in different patients. It can be quite difficult to diagnose because people will confuse IBS with diarrhea or constipation. However, it cannot be called an autoimmune disease.
|Written, Edited or Reviewed By:Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc.This article does not provide medical advice. See disclaimerLast Modified On: November 30, 2017|
What Are The Treatment Options For Lupus
You may need to see different kinds of doctors to treat the many symptoms of lupus. Once youre diagnosed, your primary physician for lupus is usually a rheumatologist, who treats arthritis and other diseases that cause swelling in the joints. The rheumatologist may then send you to a clinical immunologist for treating immune system disorders, a nephrologist , a hematologist , a dermatologist , a neurologist , a cardiologist and an endocrinologist .
A treatment plan may aim to:
- Prevent or treat flares.
- Prevent or reduce organ and joint damage.
- Reduce swelling and pain.
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Swelling And Tingling In Hands And Feet
While the cause of numbness, tingling, and burning is unclear, many people with fibro feel them. These sensations, called paresthesia, tend to happen randomly. They may last a few minutes, or they may be constant.
The feelings can be especially bothersome in the mornings along with morning stiffness. But they generally don’t get in the way of doing things.
What Causes Dermatomyositis
The exact cause is not known, but possible causes include:
Abnormal genes you are born with
Cancer, especially in older people
Autoimmune disease, a type of illness that causes the bodys immune system to attack its own tissues
An infection, medication, or another exposure in your environment that triggers the disease
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When To See Your Doctor
You should get any of these symptoms checked by your GP. But remember, they can all be caused by other medical conditions. Most people with these symptoms dont have leukaemia.
Hoffbrands Essential Haematology AV Hoffbrand and D A SteensmaWiley Blackwell, 2020
Cancer: Principles and Practice of Oncology V T De Vita, T S Lawrence and S A RosenbergWolters Kluwer, 2019
What Causes Sjgrens Syndrome
Sjögrens syndrome is an autoimmune disease, which means something triggers your immune system to attack healthy cells. This attack damages the tear system in your eyes and the salivary glands in your mouth.
Exactly what causes this abnormal immune system response is not clear. These factors may play a role:
- Environmental factors.
- Sex hormones .
- Viral infections.
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Sjogrens Syndrome As A Cause Of Joint Pain And Fatigue
Those diagnosed with Sjogrens Syndrome result in the immune cells attacking the glands that help in producing saliva and tears.
The disorder has an adverse effect on the kidneys, liver, lungs, pancreas and brain. It also results in arthritis and fatigue. Lymph nodes could swell and one may be at a higher risk of lymphoma. Sometimes, the disorder accompanies autoimmune diseases like lupus and rheumatoid arthritis.
What Should I Eat If I Have Sjgrens Syndrome What Foods Should I Avoid
An estimated 90% of people with Sjögrens syndrome have problems related to eating. In some cases, these problems can be enough to cause malnutrition. Troubles can be related to dryness and swelling of the throat, as well as intestinal tract or nerve damage. There also seems to be a significant number of people who have both Sjögrens syndrome and celiac disease and/or symptoms of irritable bowel syndrome .
If you have gastrointestinal symptoms, you can work with a registered dietitian to find out what food sensitivities you have. An RD can then also help you to create a food plan that works well for you and provides the nutrients you need.
Problems with gastroesophageal reflux are also common among people in general and among people with Sjögrens syndrome in particular. Your care team can provide you with tips for dealing with GERD. These might include not eating two to three hours before you lie down to sleep and avoiding greasy foods.
There are some recommendations that people who have autoimmune disorders like Sjögrens syndrome should follow an anti-inflammatory diet to help with joint pain and other symptoms. Some people have found relief from a completely plant-based diet.
Here are some tips that might help you manage other types of eating issues:
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What Is Autoimmunity
Almost all of the diseases in this category are thought to be diseases in which the immune system is not working properly. The immune system is a normal part of the body that is designed to protect us from infections with germs and viruses from the environment. Our immune system also helps us ward off cancer cell development in our bodies.
When the immune system gets out of control and starts attacking our own bodily tissues, it is called autoimmunity. In this situation, blood proteins called autoantibodies are produced that bind to and injure our own bodily tissues. Rheumatic diseases such as rheumatoid arthritis, lupus, dermatomyositis, and scleroderma are thought to be autoimmune diseases.