Doctor DanB : Hello and thanks for your question. Are you available to chat?
Doctor DanB : While I am an ophthalmologist, not a urologist, I do believe I can still help you with this problem. As an ophthalmologist, I see dozens of dry eye syndrome patients per week, and invariably amongst these patients, I have one or two that have dry eye syndrome as a result of Sjogren's syndrome. This is an auto-immune disorder that causes dry mucus membranes all over the body, namely the eyes, nose, mouth, and urogenital tissues. So to hear that you have this constellation of dry tissues makes me very much thinkIf someone with Sjogren's syndrome. There are blood tests that your doctor can do to determined you do have Sjogren's syndrome. Does that make sense?
Doctor DanB : Does this information help address your concerns? Do you have any other concerns or questions about this topic? It appears as though you are not in the chat room currently. I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need. If you would like to ask further questions or clarification regarding anything I've said, please let me know and I will be happy to address your concerns. Your feedback is important to me and will help me improve my encounter with future customers. If at any time you feel this process has been helpful, please rate your encounter with me by providing feedback; any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. This does not end our conversation, however-we can continue to discuss any of your concerns without further charges until you are satisfied. My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!
Doctor DanB : D you have any questions about this?
Have checked this out and really not sure that this is the case? I have also have psoriasis and slipped discs
Doctor DanB : What do you mean you've checked it out? Persons with one auto-immune disorder are much more likely to have another, such as Sjogren's.
Doctor DanB : Your one meaning psoriasis.
oh really? what can I do about this then? how do i get this confirmed?
Doctor DanB : You can get this confirmed by getting blood tests drawn that are ordered by either your primary care doctor or a rheumatologist. They are a group of blood tests called Sjogren's antibodies.
Doctor DanB : Does that make sense?
Doctor DanB : Do you have any other concerns or questions about this topic?
but is there treatment?
Doctor DanB : Essentially, unless it is associated with other auto-immune disorders, the only treatments for Sjogren's syndrome are the individual, supportive treatments for the different areas of the body that are symptomatic, rather than one overall drug that can treat all the symptoms. Since you have psoriasis, though, it's possible that treating your psoriasis systemically (oral and/or injectable medicines) may then help improve your Sjogren's syndrome if that's what this turns out to be.
Doctor DanB : Make sense?
not really understanding to be honest. My psoriasis is mainy in my nails though and there is no treatment that i have come across. I use inhalers, nasal sprays, drops for eyes.......................
Doctor DanB : For many people with psoriasis, they have extensive enough symptoms and signs that they benefit from taking oral or injectable medicines for their psoriasis. For these people, this can sometimes also help their other auto-immune disorders,much as Sjogren's syndrome. That's why I think it's a good idea to either have these tests drawn to see whether you have Sjogren's syndrome and/or to see a rheumatologist to have a complete evaluation in light of your psoriasis and possible Sjogren's syndrome.
Doctor DanB : Is there a reason why you graded me as giving poor service? I have tried to answer all of your questions. Do you need more clarification or have other questions? I'm happy to help you as long as we need to to resolve your concerns.
Its just the same old sorry. I have tried so many treatments for the various things and sick of taking meds. need to know what causes this
Doctor DanB : I'm sorry that you're so frustrated by all of this. I can only imagine how obnoxious it must be. That's why I mentioned looking into the tests because it's possible that you could be on ONE medication that could benefit both your psoriasis AND Sjogren's syndrome at the same time, rather than having to treat the dry eye, dry nasal passages, dry urogenital tissues, dry mouth, and your psoriasis in all the myriad of individual ways. Unfortunately, for people that have Sjogren's syndrome, it is a genetic, dysfunction of the immune system, And
Doctor DanB : Undortunately, not curable, but in many cases, treatable.
Doctor DanB : I sure hate being the bearer of bad news sometimes when it comes to patients who are clearly exasperated with their conditions. I would hope though that you wouldn't punish me giving you my time and expertise, but also trying to tell you things exactly as they are. I could tell you something that would be easier to har, but not necessarily true. I'm just trying to be as honest as I can--as I would hope any doctor would be with me :)
Doctor DanB : In light of that, Your feedback is important to me and will help me improve my encounter with future customers. If at any time you feel this process has been helpful, please rate your encounter with me by providing feedback; any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. This does not end our conversation, however-we can continue to discuss any of your concerns without further charges until you are satisfied. My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!
I will get back to you..got to go to work
Doctor DanB : Unfortunately your rating of poor service hurts my impression with other customers though.