Dry mouth is Sjogren's syndrome?

*For medical professionals only, what should patients with Sjögren's syndrome pay attention to in their daily life? More and more people are beginning to pay attention to the disease of Sjögren's syndrome.
People often come to the outpatient clinic to ask: "Doctor, I have dry mouth, do I have Sjogren's disease?" What exactly is "dryness"? What is "Sjogren's Syndrome"? What is Sjögren's syndrome? Dry eyes.
In severe cases, dry food needs to be taken with water, and even crying without tears
.

 Sjögren's syndrome can be divided into primary Sjögren's syndrome and secondary Sjögren's syndrome, the latter secondary to other autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus and so on
.

 Sjögren's syndrome needs to be identified and treated as soon as possible.
The disease not only invades the exocrine glands, but also invades multiple organs and systems in the body, such as breathing, digestion, and nervous system, resulting in a variety of complex clinical manifestations
.

 However, patients do not know that these various symptoms are caused by one disease, nor do they know that it belongs to rheumatism, so they go to the rheumatology department, often to the departments of stomatology, ophthalmology, orthopedics, and respiratory department, and most patients develop symptoms.
It is slow, and a considerable number of patients take 5 to 10 years from the onset of symptoms to the diagnosis, so the diagnosis is often delayed for many years, so that the patients cannot receive timely treatment
.

 Symptoms of Sjögren's syndrome vary 1.
Dry mouth and nose, difficulty swallowing food such as steamed bread, dry, ulcerated or smooth tongue surface
.

2.
Dry eyes and less tears, foreign body sensation, recurrent purulent infection of the cornea or conjunctiva, and even decreased vision
.

3.
Multiple caries that are not easy to control, teeth become black, and small pieces fall off
.

4, parotid gland, submandibular gland repeated swelling, pain
.

5.
Fatigue, low fever, muscle and joint pain, muscle weakness
.

6.
Vaginal, dry skin, itching, purpuric rash
.

 If you have the above symptoms, combined with related tests such as blood drawing and B-ultrasound, you can determine whether you have Sjogren's syndrome
.

The treatment of this disease requires active communication with the rheumatology immunologist, and timely application of immunomodulatory agents for treatment.
In severe cases, hormone therapy is required
.

So what should patients with Sjögren's syndrome pay attention to in their daily life? Oral care and treatment of xerostomia For patients with xerostomia, they should avoid smoking and drinking alcohol, and avoid taking drugs that can aggravate xerostomia, such as atropine, phenothiazine, tricyclic antidepressants, antispasmodics, and antiparkinsonian drugs.
, Avoid long-term use of H2 receptor blockers including cimetidine, ranitidine and famotidine
.

Pay attention to oral hygiene and good oral care.
Be sure to use toothpicks to remove food residues after meals, and rinse your mouth frequently to reduce dental caries and secondary oral infections
.

When oral ulcers occur, attention should be paid to oral hygiene to avoid infection
.

 Eye Care and Treatment of Dry Eyes Drugs that reduce tear secretion, such as diuretics, antihypertensives, and antidepressants, should be avoided as much as possible
.

Using artificial tears (sodium hyaluronate) for eye instillation and improving the environment (such as using a humidifier) ​​can relieve symptoms of dry eyes.
Using chlortetracycline eye ointment and Runshu eye drops can protect the cornea, reduce corneal damage and discomfort, and reduce the chance of infection
.

If corneal ulceration occurs, aggressive ophthalmic treatment is recommended
.

Skin care For dry skin, scaling and itching caused by the involvement of sweat glands, use less or no alkaline soap, and choose neutral soap
.

You can use compound glycerin antipruritic milk, vitamin E milk and commercially available body lotion, etc.
, which have a good protective effect on the skin
.

Change clothes and bedding frequently and keep your skin clean
.

 Patients with primary Sjögren's syndrome with skin lesions should be debridement and dressings changed according to the skin lesions, and antibiotics can be used appropriately in case of infection
.

 If there is vaginal dryness, itching and burning pain during sexual intercourse, attention should be paid to genital hygiene.
Jieeryin lotion or lubricants such as glycerin and castor oil can be used appropriately
.

Respiratory Care Control the indoor humidity at 50%~60% and the temperature at 18~21°C, which can relieve symptoms such as dry cough caused by dry respiratory mucosa and prevent infection
.

 For patients with viscous sputum that is difficult to cough up, aerosol inhalation can be used
.

Antibiotics and chymotrypsin may be added when necessary to control infection and promote expectoration
.

 Source of this article: Friendship Rheumatism Information Editor in charge of this article: Cassette copyright statement This article is reprinted, welcome to forward it in the circle of friends~- End - Call for manuscripts "Rheumatology Immunity Channel in the Medical Community" long-term recruitment of online authors, 1.
Clinical practical skills and misdiagnosed cases of rheumatism and immunization , clinical medication, interesting content
; 2.
Interesting diagnosis and treatment stories of rheumatologists; 3.
Major progress in the field of rheumatology; 4.
Others (contents that rheumatologists are interested in)
Contributions are welcome to share! We will provide you with competitive royalties and a platform to showcase your talents
.

Submission email: zhaolijuan@yxj.
org.
cn (reply to manuscripts) The medical community strives for the accuracy and reliability of the published content when it is approved, but does not regard the timeliness of the published content and the accuracy of the cited materials (if any) and completeness, etc.
, and do not assume any responsibility for the outdated content, possible inaccuracy or incompleteness of the cited information
.

Relevant parties are requested to check separately when adopting or using it as a basis for decision-making
.