HomeAnswersPulmonology (Asthma Doctors)sjogren's syndromeI have Sjogren's syndrome with shortness of breath and increased heart rate. What should I do?

What is the best treatment for the symptoms caused by Sjogren's syndrome?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 26, 2020
Reviewed AtJune 27, 2023

Patient's Query

Hello doctor,

According to my doctor, I have Sjogren's syndrome. My big issue is that at times I have shortness of breath and it comes and goes. It used to happen not too often years ago, but now it happens every other month. Last year, I had to be hospitalized due to my racing heart which went to 180 bpm and no one knew the cause of it. My pulmonologist prescribed me Qvar and I take it daily. My symptoms are starting again and I get so tired even to eat while sitting (at rest). What should I do?

Hello,

Welcome to icliniq.com.

From your description, it is clear that you have confirmed Sjogren's syndrome. Unfortunately, it is a chronic autoimmune disorder and treatment options are very limited. The treatment is only symptomatic and supportive in the sense that whatever symptoms you have we intend to alleviate those symptoms. But no definitive treatment is effective in the long run.

As you said, you experience shortness of breath on exertion which suggests that your airways and lungs are probably affected by the disease. So it is our first aim to detect to what extent is lung involvement by doing various tests. The characteristics of the disease are dryness of various mucous membranes and dryness of airways, which leads to further symptoms like cough, bronchitis or bronchiolitis, and bronchial hyperresponsiveness. Pulmonary hypertension can set in in the long run. So keep watch on it by regular 2D (two-dimensional) echo test of the heart for PAH (pulmonary hypertension). Also, keep watch on various complications of the disease.

Corticosteroids and immunosuppressive treatment have shown some promise but it is not void of side effects. Qvar (Beclomethasone dipropionate) inhaler will alleviate your cough and breathlessness. But it is better if you take Fluticasone plus Formoterol inhaler twice daily along with a spacer. Also, taking Levosalbutamol and Ipratropium inhalers for emergency use is also advised. Immunosuppressive tablets like Cyclosporine can be taken under your physician's observation. Overall total treatment is symptomatic.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Amol Kumar Wasudeorao Diwan
Dr. Amol Kumar Wasudeorao Diwan

Allergy Specialist

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