Patient's question:
I've been married for several years, and so far, we don't have any children. I'm very anxious about it and don't know if it's my problem. I've asked my husband to get checked, but he refuses. I'm very worried that my condition might worsen. Can Sj?gren's syndrome be managed without hormones?Doctor's answer:
Sjogren's syndrome (SS) is a chronic inflammatory autoimmune disease that primarily affects exocrine glands. Due to its autoimmune inflammatory response primarily manifesting in the epithelial cells of exocrine glands, it is also known as autoimmune exocrine gland epithelitis or autoimmune exocrinopathy. Clinically, it presents with symptoms such as dry mouth and dry eyes due to damage and impaired function of the salivary and lacrimal glands. Additionally, it can involve other exocrine glands and extraglandular organs, leading to multisystem damage. The serum of patients with SS contains various autoantibodies and high levels of immunoglobulins.Recommendations: It is advisable to consume light, juicy, and vitamin-rich fresh fruits and vegetables. Avoid alcohol, smoking, and foods that are too salty, acidic, spicy, or irritating. However, patients with Sjogren's syndrome typically have a prolonged course of the disease, and dietary restrictions should not be too strict, as this may affect nutrient absorption and worsen the condition.
Sjogren's syndrome is a systemic disease. Learning some daily self-care measures can help reduce the burden of the disease and improve your quality of life. Maintaining a positive mindset, staying cheerful, undergoing regular follow-ups, actively improving symptoms, and controlling or delaying organ involvement are key principles in managing Sjogren's syndrome. Follow your doctor's advice, and I wish you a speedy recovery!!