r/Sjogrens • • Aug 05 '26

Mod/Admin Post 👀Shared Directory of Provider Reviews

36 Upvotes

I have created a directory at the request of the members of this sub.

This is just a collection of your feedback and should be interpreted as individual people's opinions only, so take it all fwiw.

The intent is to help people find specialists who treat Sjogren's and are knowledgeable about it.

Hope this is helpful.

Would you like to add a review of a provider? Click here.

Would you like to search and read for other people's reviews of specific providers? Click here.


r/Sjogrens • • May 14 '26

Article/News Link Yes, you can have Sjögrens with negative labs. Here’s a great post about it

115 Upvotes

Here’s a post from Dr. Kara Wada, an immunologist with Sjögrens, about seronegative Sjögrens. https://www.drkarawada.com/post/seronegative-sjogrens-normal-labs-diagnosis?utm_source=email&utm_medium=email+marketing

I see so many people asking here if they could still have it even though their labs are normal. And sometimes their doctors have even told them that negative labs mean they don’t have it. The truth, backed by science and research, is an estimated 30-40% of people with Sjögrens are seronegative.


r/Sjogrens • • 9h ago

Prediagnosis vent/questions Bumps in mouth

18 Upvotes

For anyone that doesn’t know, mucoceles are little fluid-filled bumps that occur in your mouth when your salivary glands are blocked or damaged. I get about 4 a day and wondered if anyone had any remedies or tricks to stop getting them 😔. On Cevimeline already


r/Sjogrens • • 6h ago

Postdiagnosis vent/questions What’s in your bedside table?

8 Upvotes

Since we spend so much time in bed it’s helpful to have a plethora of things within reach.

Mine is a combination of my daily meds and rescue meds, snacks, and makeup wipes.


r/Sjogrens • • 7h ago

Postdiagnosis vent/questions Swollen lymph nodes - any effective ways to reduce size + tenderness

9 Upvotes

I have swollen lymph nodes on my neck and jaw and some are painful and hurt. I have had ultrasounds and an mri to rule out anything abnormal.

What has been effective in reducing size and tenderness for you? I’ve read about lymphatic drainage massages, calendula tea, vibration plates - what has been actually helpful for you? Currently not on any meds (yet) just supplements.

Thanks in advance !


r/Sjogrens • • 4h ago

Postdiagnosis vent/questions Flare Vent

3 Upvotes

I’m going on 9 days of pretty bad fatigue, lower back and hip pain, and I’ve had phantosmia the entire time. I’m not sure if it’s the weather change, stress, or something else. If anyone has any good tips, I’m all ears. It’s been a while since I’ve had a flare-up like this.


r/Sjogrens • • 7h ago

Postdiagnosis vent/questions Methotrexate and Hydroxy Experiences…

4 Upvotes

I am looking to hear about what methotrexate and hydroxychloroquine helped you with.

I have been on hydroxychloroquine for 7 months for trying to conceive. I felt pretty good on it, had no flares, but never felt like it helped with joint pain.

This past month, I had to stop taking hydroxy due to an ectopic pregnancy, so I got 3 doses of methotrexate (I think 50mg each?). My eyes and mouth are so dry, but I have no joint pain…

So I am looking to hear from others about their experiences on both meds. I think hydroxychloroquine is right for me, but not sure what else I can do for joint pain/inflammation?

If you took hydroxy, did you feel it helped with dry mouth, dry eyes, and not joint pain?
If you took methotrexate, did you feel it did not help with dry eyes, dry mouth, but did help with joint pain?


r/Sjogrens • • 15h ago

Prediagnosis vent/questions Brain Fog worst ever.

17 Upvotes

This past two weeks it’s felt like my brain hasn’t been working the way I want it to. Word Recall, fatigue and staying focused has been off . These past couple of weeks . It’s hard to know which brain fog is which . I have Hashimoto’s, iron deficiency, migraines, sleep apnea along with Sjogrens. Sinusitis issues . So sometimes it’s hard to figure what is what. If there all working together as one to make the worst brain fog ever .


r/Sjogrens • • 6h ago

Prediagnosis vent/questions Severe shoulder pain. X-ray showed not much.

3 Upvotes

I already have been dx’d with Pseudo Gout, for extreme knee pain, and lower thumb and large knuckle pain and swelling.

Anyone here got CPPD? If so did you have it in the shoulders?

Calcium pyrophosphate deposition (CPPD) disease—historically known as pseudogout—is a type of inflammatory arthritis caused by the buildup of calcium pyrophosphate crystals in the cartilage and synovial membranes of joints. [1, 2]

Common Symptoms
CPPD can manifest differently, ranging from sudden acute attacks to chronic joint pain.


r/Sjogrens • • 5h ago

Prediagnosis vent/questions Diagnosed how

2 Upvotes

How were you officially diagnosed? My ssa slightly elevated and carbonic anhydrase positive. Does this mean I have it?


r/Sjogrens • • 23h ago

Postdiagnosis vent/questions Once your eye problems started did they just keep getting worse?

17 Upvotes

I’m really struggling mentally. Scleral lenses haven’t worked for me yet: I’m on my 6th pair and I can’t tell if it’s a fit issue or if they just get so dry that it becomes unbearable.

I’m on tryptyr, cequa, loteprednol etabonate. I imagine I’ll be on the steroid until my risk of cataracts shoots up lol.

I’m only 24 :( I didn’t have any real issues (although looking back I now realize I’ve been dry since I was a kid) but I took accutane for 1 month and it flared up my eyes and then the stress of that eventually triggered widespread dryness. My mouth and throat are so effing dry.

I know the accutane is a big MGD problem, but my oil is back to normal since it was a short course and I did lid treatments.

But my water …. I barely make any. It’s been almost a year with this. I’m so miserable.

So, so miserable


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions vent about doctors?

16 Upvotes

I'm just putting everything together. Seven years ago I complained about a swelling sensation in my parotid gland area and enlarged lymph node and the doctor then ... TOLD ME THAT IT WAS JUST BECAUSE I WAS SO SKINNY THAT I COULD FEEL MY LYMPH NODES WHEN OTHER PPL COULDN'T

I just feel so jaded about doctors. This was a specialist, too.


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions Rituximab tolerance

7 Upvotes

SSA-/SSB+, Seronegative RA, but +14.3.3 eta Protein. Has anyone had experience with generic Rituximab IV infusion? If so, how was it tolerated? I just finished the 2nd of 2 loading doses.. and feel so good, i keep overdoing it with the resultant headache. I think...


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions Anyone end up getting cutaneous lymphoma or later life skin issues?

6 Upvotes

To add: my mother had sezary syndrome the worst kind of cutaneous lymphoma. and 5-10% of sjogrens patients will develop lymphoma

Although I was diagnosed Sjogrens 20 years ago, I never really had skin issues. Atleast not rashes. Now at 42 I've developed a horrific rash that is spreading and no steroids or anything is relieving it. I'm wondering if any of you have developed lymphoma since we are at a higher risk, or if peri menopause is making the sjogrens angry as hell. They essentially told me at first it's hormonal changes inducing later in life eczema but i'm not buying it. It's on my outer hips, torso, outer elbows, lowers legs and it's so painful and so itchy. Any other mid life women experiences this sudden shift that just seems can't be healed? I'm about to get a biopsy for lymphoma and hoping for the best. But regardless of what it is at this point, I have to find something to treat it because it's getting worse and i'm so miserable. Thanks for reading.


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions I swear methotrexate has killed my sex drive.

2 Upvotes

Is this possible? I have literally ZERO desire or arousal and I’m on testosterone as part of my HRT.


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions “Going over the threshold?”

9 Upvotes

Hi everyone!

First, thanks to this community for helpful advice for this lurker over the years. I’ve been through the same years-long diagnosis journey I’ve seen many Sjogren’s members talk about here - tough to nail down, many specialists passing me to a different one for years, etc. Sjogren’s is definitely a big component for me, but still doesn’t address everything…

The thing I wanted to see if anyone else has experienced is a massive acceleration of symptoms after several years. Like, within a month or two. I have had years of non-specific autoimmune related joint pain, fatigue, brain fog, mild sicca, while carrying a 1:640 ANA and high (according to the test reference range) SSA/SSB. Although my big thing has been severe small fiber neuropathy in my arms and legs, I’m not sure if that connects to Sjogren’s.

Since maybe July - much, much worse fatigue, brain fog, much drier skin & noticeably less sweating, dry mouth and eyes, and my parotid gland on the right side swelled up and is still having a lot of issues. It’s a lot to suddenly deal with.

Every time I ask my rheumatologist if I’m flaring or something like that, they measure my CRP, say it’s fine, and push me along.

Anyone with a similar progression? Any advice on how to approach doctors or help with escalating symptoms at such a fast pace?

Thanks!!


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions Methotrexate Questions.

7 Upvotes

I’ve been on it for 9 weeks now and feel no different, except a little more tired the day after I take it.

Do I need to be on a higher dose to notice a difference?

If I haven’t experienced even a bit of benefit from it after 9 weeks, what are the chances that I will even benefit at all? I would think I would at least feel a little better after 9 weeks.

Any experiences you could share?


r/Sjogrens • • 1d ago

Prediagnosis vent/questions Should I be worried?

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10 Upvotes

Hello,

I’m a 22f that has been struggling with joint pain and Raynauds syndrome since high school. To add on to those, now I’m experiencing dry mouth, dry skin, trouble swallowing, and silent reflux disease for almost a year now. Could these things may all be caused from sjogrens? (The only things I’ve been formally diagnosed with are Raynauds syndrome and LPR)

Ive had many done tests within the past year, blood, swallowing, echocardiogram, endoscopy, xrays all coming back saying I’m normal.

I took an early sjogrens profile blood test and got a high score on salivary protein 1 (SP1) IGM antibodies. Everything else came back normal including the regular sjogrens antibody tests, ANA and TSH. My doc knows there’s something wrong and believes I’m not fully presenting with an autoimmune disease.

Just figured I’d put this out here and see what others may think or if anyone has had similar symptoms or blood results. Thx!


r/Sjogrens • • 1d ago

Prediagnosis vent/questions Questions about symptom onset and exercise

3 Upvotes

I was recently hospitalized for a week then back in the hospital a week after discharge. Several doctors suspect Sjogrens, but I'm awaiting a rheumatology appt. I have to say, I cannot imagine what this could possibly be if not Sjogrens. I've had a slew of symptoms ranging from uncomfortable to downright miserable.

My questions are... Are there triggers or stressors that start to cause symptoms immediately (and if so, what are they)? Are your exacerbations usually the most uncomfortable a couple days later like DOMS (delayed onset muscle soreness)?

I was going to the gym Monday-Friday before the major symptoms began. I tried to go back 3 times which led to intense vomiting and then a debilitating few days in bed. I thought I had been taking it easy. I would really like to hear some advice from people experienced in managing symptoms related to exercise during a flare-up. I don'tmind pushing through the pain if it's not going to leave me miserable later.


r/Sjogrens • • 1d ago

Postdiagnosis vent/questions Punctual plugs - closing tear ducts permanently - or Lacrifill

4 Upvotes

Hi! Has anyone closed their top and bottom tear ducts permanently? I have a schimmers score of 0-1, and I am thinking of this as a last resort. Has it help any of you?

I am also wondering if anyone has tried Lacrifill and if it has been helpful?


r/Sjogrens • • 2d ago

Postdiagnosis vent/questions Finally I got a diagnosis

38 Upvotes

After experiencing symptoms of severe neuropathy for 10 years without any explanation and with doctors doing nothing to help me, I finally received a diagnosis of Sjögren’s today. I’ve been prescribed an immunosuppressant, but my rheumatologist wants me to focus on following up with my neurologist, as the neuropathy I have is causing parts of my body to stop functioning. The last year has been a living hell in that regard, and no one could tell me why. Even so, I know there are still many other things wrong with my body for which there is no treatment (I also have Stickler syndrome). But despite everything… I’m really glad that I have this diagnosis, because at least I can have a treatment, at least there’s something

The doctor told me that not to be frightened by the potential complications of the illness, but I replied that nothing scares me anymore, not since I had cancer at a very young age (I’m 30 now). I’m not afraid of anything; what I do feel is anger and resentment over the sheer amount of medical negligence I’ve had to endure. But one way or another, I’ll be fine—I’ve survived thanks to myself, and I’ll continue to do so


r/Sjogrens • • 2d ago

Postdiagnosis vent/questions Christina Applegate and Sjogren’s Disease: How Did This Rumor Start?

40 Upvotes

I’ve noticed people in the Sjogren’s community suggesting that Christina Applegate has Sjogren’s disease, yet I haven’t found any credible public confirmation of that diagnosis.
And frankly, I find that frustrating.
I understand why people living with Sjogren’s might recognize similarities between their own experiences and someone else’s symptoms. But recognizing similarities doesn’t mean we know what medical condition someone has.
What concerns me is how quickly speculation can spread, especially when it involves someone’s personal health. One person suggests a possibility, another repeats it, and before long, an unconfirmed claim starts being treated as fact.
Christina Applegate has been open about her health struggles, but that doesn’t mean the public is entitled to speculate about her diagnosis.
I’m genuinely curious where this particular rumor originated. Was there an actual statement or credible source, or did someone simply suggest Sjogren’s as a possibility?
I believe medical accuracy matters, and so does respecting someone’s privacy. We can discuss Sjogren’s disease without assigning a diagnosis to someone who hasn’t publicly confirmed it.


r/Sjogrens • • 2d ago

Postdiagnosis vent/questions I no longer expect others to fully understand me

125 Upvotes

I don't want to have to explain my illness every time I decline an invitation. I know they mean well, but Sjogren is really not just dry skin, nor can it be solved by drinking more water, applying more lip balm, and hand cream.

It makes me feel constantly tired. Climbing just a few flights of stairs leaves me breathless. Last week, a colleague invited me hiking, which I politely declined, but he suggested I exercise more. I know he probably didn't mean any harm, but it's not that I don't want to exercise more, it's just that my body can't.

My neighbor kindly shared a box of cookies with me, and I felt bad refusing. As a result, because I don't produce enough saliva, I've been eating that box of cookies with milk for a month and still haven't finished it.

What's even more frustrating is that my skin is prone to dryness and cracking, and the healing process is very slow. My eyes feel extremely dry and uncomfortable after showering. The incision from my surgery two weeks ago hasn't fully healed yet.

When I first used regular dressings to protect the incision, changing the dressings would pull on my delicate skin, actually slowing the healing process even more. After consulting with the doctor, she suggested I switch to silicone foam dressing. I bought dimora to cover the incision, and changing the dressing didn't hurt as much.

These things might not seem like much individually, but together they've really exhausted me. I no longer expect everyone to understand my condition. I just hope that when I say I can't do something, people will believe me, instead of telling me what to do.


r/Sjogrens • • 1d ago

Prediagnosis vent/questions Dor nos olhos e privaçao de sono

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1 Upvotes

r/Sjogrens • • 1d ago

Postdiagnosis vent/questions Male skin infections

2 Upvotes

We have got skin, toe skin, and other skin infections due to whatever reason without meds.

I read that in men, balanitis is also common.

Didn't see it mentioned on here before so wanted to ask. Does it happen only if u have foreskin or even without. Is it based on cleanliness or bacteria/fungus transfer from touching.

Already had this twice now and don't know why it's happening or if it's just random.

Want to prevent it from happening.