In reply to Paula’s post a few weeks ago:
I have RA & Sjogren’s, although I’m not sure whether or not it’s secondary. I was diagnosed with Sjogren’s first, so who knows if it was in conjunction with the RA or not; it’s all kinda murky and the symptoms just blur together. Anyway, the main problems with Sjogren’s for me are dry eyes, dry mouth, raynaud’s phenomenon, and heartburn/nausea.
The eyes are what really did me in first a few years ago. I can’t wear contacts anymore, and my eyes are so dry that there is actually scratching and scarring on my cornea now. Restasis and an endless supply of OTC preservative-free eye drops keep it under control, but it can still be a real pain sometimes. It was a real blow to my vanity when I realized I seriously couldn’t wear contacts anymore, but I’m used to it now. The only time it really sucks is when I want to dress up and look fancy for weddings & other events. It is mega painful to wear contacts. I like my glasses now, but there are some times when it’s just not the look I want.
Biotene products help some with drymouth, and I always keep water, gum, or cough drops with me. I also drink a lot of tea. Yogi’s Throat Comfort is the best! Also, I take a prescription- Evoxac, which stimulates the saliva glands, so that helps a ton. BUT, evoxac has icky side-effects; it makes you clammy, nauseated, and mega sweaty. Lately I’ve only been taking it once a day instead of 3x a day like I’m supposed to. It doesn’t work as well when you take less, but it keeps the side-effects from being too ridiculous. Oh, and ps- it will make you drool all over yourself at night. Which is just kinda funny, but if you’ve ever experienced dry-mouth, it’s like YAAAAY! SPIT! It definitely beats feeling like you have sandpaper lining your mouth.
Raynaud’s, for me, is just an icy, tingly, stiff, feeling in my hands and feet, and sometimes even my elbows and knees. It intensifies the joint pain that is already there, but in a way, it also kind of masks the pain. I think that’s why for the longest time, when my Rheumatologist kept asking if I had joint pain, I was like, joint pain? What are you talking about? I can’t feel anything because my limbs are NUMB! As the pain intensified and spread, I began to identify it as pain and not just numb, cold tingling.
I always feel stiff and cold, even if it’s fairly warm out, so I wear tons of layers under my clothes. Fingerless gloves, scarves, heating pads, and microwavable rice-socks are my best friends.
Now, the Sjogren’s flares up just like RA does. If it’s raining outside, you can bet that my joints will be aching, and my eyes will be red. I know that seems backwards because moisture in the air should, in theory, help dry eyes, but dry eye caused by Sjogren’s is not the same as chronic dry eye, because the cause is different. In Sjogren’s, the immune system targets the moisture-producing glands. Humidity increases inflammation, so when your moisture-producing glands are inflamed, it not only stops working properly, but also causes further permanent damage to the gland (just like with inflamed joints.)
Honestly, compared to the fatigue and joint pain, Sjogren’s hasn’t been bothering me much lately; the symptoms from Sjogren’s improved once I started taking Plaquenil for RA, so it’s more under control now. The symptoms persist, they just aren’t as bad, and I guess I’ve just accepted them as part of everyday life now. With RA, I am still coping with the realization that I can’t do all the things I used to be able to do anymore. I’m still trying to figure out how to get through a day without enough spoons. L
butyoudontlooksick:

I have to find some comedy in this right now, but only because of my personal situation…Long story short, he determined that my RA had actually either morphed into Lupus, or that it was Lupus all along and I was misdiagnosed at the beginning…Turns out, it was not Lupus, but more likely Secondary Sjogren’s…
Does anyone on this blog have Secondary Sjogren’s? I really don’t know much about it. I had heard of it before, but all I know is what I googled and what my doctor told me. Anyone have any experience with this? (particularly RA and secondary Sjogren’s)…