Sjogrens World Forums

Sjogrens Topics => Living Life In Spite of Sjogren's => Topic started by: alwaysimproving on March 21, 2016, 08:44:56 AM

Title: Have intermittent dry mouth only - no other symptoms - early onset Sjorgens?
Post by: alwaysimproving on March 21, 2016, 08:44:56 AM
Hello all,

I have been interested in this forum for some time now and wanted to share my experience and get your thoughts on what my concerns could be.

Gender: Male
Age :21
Ethnicity: Indian (SE Asian)
Smoking: No

Back in December (about 3 months ago) I had an episode of extreme dry mouth that lasted about 10 days.
The onset was about 2 days of feeling as though my mouth was drying out, not necessarily gradual worsening, then bam out of nowhere - almost complete inability to produce saliva.
On many of those 10 days I was unable to produce any saliva which dried out my throat and made it painful to sleep/swallow, I could not produce enough to eat, had drying lips, etc.,

It was dry mouth with no other symptoms - markedly, I did not feel dry eyes.

I saw two dentists, both who said that there was a small amount of saliva production when stimulated despite dryness and no swelling of the glands so that I should just wait it out.
I saw a physician who said it could be lingering effects of stress/viral infection and that I should increase my water intake and wait it out.
A few days later I was fine but I had developed a possibly unrelated jaw pain that I thought may have been TMJ but subsided.
That subsided in two weeks and then I was "back to normal", as far as I could tell.

Tuesday of last week I saw the symptoms come back when I thought they had gone away.
The symptoms weren't as severe as last time until suddenly last night it began to worsen.
Now I'm wondering if it was simply a much longer time of onset...

Reasons I believe I could have Sjorgen's

Reasons I could not have Sjorgen's
? Lot of other reasons, supposedly, that are bengin and better explain dry mouth only conditions
? Any suspicions of nasal symptoms or ocular symptoms are likely just confirmation bias
? Not likely to have based upon typical age group, gender, or ethnicity
? No inflammation of glands; does not improve with NSAID use and not palpable
? No ocular involvement
? Seems like it should be chronic, my symptoms are both acute and intermittent
? Could be due to seasonal changes

I have a lingering suspicion that this may all just be related to my impacted wisdom teeth but that's perhaps more hopeful than anything.


Let me know what you guys think.

Title: Re: Have intermittent dry mouth only - no other symptoms - early onset Sjorgens?
Post by: bartolo on March 22, 2016, 02:35:15 AM
Do you think you were well hydrated? Dehydration causes dry mouth.

Did you eat pine nuts or some other food you usually don't eat?

Seasonal allergy? Aka allergy to pollens?
Title: Re: Have intermittent dry mouth only - no other symptoms - early onset Sjorgens?
Post by: Carolina on March 22, 2016, 05:01:59 AM
Dry mouth, intermittent, is too general to be considered a symptom of early onset Sjogren's, in my (non-medical) opinion. 

Just keep on with your life and time will tell.

Hugs, Elaine
Title: Re: Have intermittent dry mouth only - no other symptoms - early onset Sjorgens?
Post by: alwaysimproving on March 22, 2016, 08:41:58 PM
Bartolo, I do have seasonal allergies to pollen but I've never experienced dry mouth until these two incidents.

Thank you Carolina. I am afraid now even if it is not Sjogren's because it has only been worsening each day, slowly but worsening, since onset of symptoms last week.
Title: Re: Have intermittent dry mouth only - no other symptoms - early onset Sjorgens?
Post by: Carolina on March 23, 2016, 04:43:24 AM
Hi Always:

1.  If it is Sjogren's, you would just treat the symptoms at this point.  This would probably involve an RX medication for dry mouth.  There are two standard medications:  Salagen (and generic) and Evoxac (and generic)

2.  If it is NOT Sjogren's, you want to find out what is causing your increasing Dry Mouth.  I don't know all of the possible causes, but you have 'waited it out' and it's time to see a Rheumatologist, or return to the physician who suggested you wait it out.

Hugs, and keep us posted,  Elaine