Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

What is SICA. Difficulty swallowing, swollen tongue, wounds…

Customer Question
What is SICA Doctor's...

What is SICA

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Difficulty swallowing, swollen tongue, wounds inside my nose

Doctor's Assistant: Any recent injuries? How long have you been dealing with the swelling?

Off and on ~i year. Most bothersome is the chocking. I'm scared to eat because I choke on things that others normally don't. No recent injuries.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Had gall bladder surgery in June, still have acid reflux. It seems I have a set of symptoms, they eventually go away and another et of symptoms take over.

Submitted: 7 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 10 minutes by:
12/6/2017
Doctor: Dr. Muneeb Ali, Doctor replied 7 months ago
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,910
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified

Hi,

Welcome to JA and thanks for this question. I'm sorry to hear about your symptoms. I believe you are referring to sicca syndrome is a disease which is related to sjorgens syndrome. Dryness of the exocrine glands, particularly the eyes and mouth, is referred to as “sicca syndrome” or “sicca complex” when there is no evidence of autoimmune disease present. While sicca symptoms occur in the vast majority of Sjorgen's patients, not everyone with these symptoms has Sjögren’s. Because of this, it is important to establish an autoimmune cause for the dryness. Dryness from Sjögren’s may affect any organ in the body that secretes moisture. In addition to changing the quantity and quality of saliva and tears, dryness may manifest in the airways, nasal passages, sinuses, throat and in women, the vagina. Some Sjögren’s patients initially present with recurrent sinus infections, severe vaginal dryness, chronic dry cough, and so on.

So in simple terms, sicca syndrome or sicca symptoms basically refer to dryness inside the mouth, throat and also in the eyes. This usually results from damage to the salivary glands in the mouth. In your case, the decreased amount of saliva being secreted by the glands is leading to the difficulty swallowing, swelling of the tongue and also the wounds inside the nose. The choking could be a result of the food not getting enough lubrication from the saliva in order to be swallowed. Now the first step here would be to determine if there is an autoimmune cause for your symptoms and this would be done with the help of a complete autoimmune blood workup which would include tests like ESR, ANA, ENA profile, Anti SSA and SSB antibodies among others. Once diagnosed it can be treated with medications like steroids. Artificial saliva can be used as needed, although patient tolerance varies. Preparations include Salivart, Salient, Saliva Substitute, MouthKote, and Xero-Lube.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do I am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going to the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 9,910
9,910 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,788 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

18,060 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

16,284 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

14,060 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
I have fees test done it was fine .today while drinking
I have fees test done it was fine .today while drinking water I couldn't swallow so I have to throw up and my nose seems burning from inside .it is from nervousness .it I inhale water I am not coughin… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,184 satisfied customers
For past 1 week I am feeling full most of the time but it is
Hi . My name is***** past 1 week I am feeling full most of the time but it is not that I am not feeling hungry at any time. Also I am experiencing an abdominal uncomfortability mainly in the center an… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
I have had recent surgey on my gallstones they where taken
I have had recent surgey on my gallstones they where taken out. I want to know iam suppose to have heartburn like before . I have it for three months in a row. But since i had them remove sometimes i … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,834 satisfied customers
I have been unwell swollen stomach look as though I'm
Hi there I have been unwell swollen stomach look as though I'm expecting a baby , my right side is agony below my rib cage and back is sore also my lower right side is sore as though it's pulsating my… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
Doctor I had nissen fundoplication surgery about 1 month
Doctor I had nissen fundoplication surgery about 1 month ago. I still am experiencing pain after eating. The pain is not from swallowing but comes later as I can feel the food moving down my body. I h… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,834 satisfied customers
I have difficulty in swallowing after having gall bladder
I have difficulty in swallowing after having gall bladder removal 10 years ago with regurgitation of stomach fluids.… read more
DrRussMD
DrRussMD
Board Certified Physician
51,788 satisfied customers
I have esophageal sphinctoitis (I think) and today ifeel
I have esophageal sphinctoitis (I think) and today ifeel that my throat is narrowing inside and my neckfeels bigger and it's harder to swallow… read more
Dr Su S
Dr Su S
Doctoral Degree
20,475 satisfied customers
Could you please tell me why after thyroid surgery on the
Could you please tell me why after thyroid surgery on the right side only, I am choking a lot and have pain behind my sternman. Is this a common problem?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
Post-Doctoral Degree
14,060 satisfied customers
I am choking 50 times a day some worse than others. i have
i am choking 50 times a day some worse than others . i have sleep apnea and weigh 295 lbs i am sleeping with difficulty… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
Iam 46yrs old female in good health. In the last month a new
Hello iam 46yrs old female in good health. In the last month a new thing is happening to me and that is iam constantly chocking on my saliva when i swallow (2-3 times a day) especially when am lying d… read more
Dr. Saha
Dr. Saha
Doctoral Degree
480 satisfied customers
I have to costantly clear my throat because I feel like
Hello, I have to costantly clear my throat because I feel like there is something there. It is worse after I eat for about an hour.… read more
Dr. Abby
Dr. Abby
Family Physician
MD
10,247 satisfied customers
I went in for pre-admission testing and the Doctor said my
I went in for pre-admission testing and the Doctor said my thyroid was quite enlarged. I said I had thought so because I feel like someone is chocking me and it's hard to breathe and swallow. My ultra… read more
Dr. Hasan
Dr. Hasan
Consultant
Post-Doctoral Degree
3,629 satisfied customers
I have pain in mild pain in my back just under my right
i have pain in mild pain in my back just under my right shoulder. I've developed excessive belching and gas after every single meal. My gas smells really bad. The pain in my shoulder seems to radiate … read more
Handel Robinson
Handel Robinson
Doctoral Degree
83 satisfied customers
I have continous epigastric pain and nausea, I was in the ER
I have continous epigastric pain and nausea, I was in the ER last monday blood test revealed positive for H pylori, I was placed on 2 different antibiotics and was told to increase my prilosec which I… read more
Cosmetic Doctor
Cosmetic Doctor
Private practice
Doctoral Degree
654 satisfied customers
My throat has been sore deep inside on the left side it
my throat has been sore deep inside on the left side it started out as if i had something syuck in my throat when i swalloed. i went to a dr and he looked down my throat and said it was some kind of v… read more
Dr.Amita
Dr.Amita
Doctoral Degree
1,816 satisfied customers
I have been having pain in my thorax area radiating to the
I have been having pain in my thorax area radiating to the right side just under my ribs. My physician ordered an unltrasound of my gall bladder to rule out stones. There were none. When I eat, the pa… read more
Dr. Abid
Dr. Abid
PGR (Internal Medicine)
Doctoral Degree
5,444 satisfied customers
At least a few times a week When I begin eating the first
At least a few times a week When I begin eating the first mouthful of food I attempt to swallow gets caught low in my throat. I can sometimes force it down with water but most times I end up forcing m… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,771 satisfied customers
For the past 20 years I have dealt with choking on my food
For the past 20 years I have dealt with choking on my food and water. Over the years it seems to be getting worse. In the past several years, the symptoms have gotten worse. The food gets caught in my… read more
Internist
Internist
Physician
Doctoral Degree
3,243 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x