Homeopathy treatment for Sjögren’s Syndrome

Sjögren’s Syndrome is an autoimmune disorder of unknown cause, characterised by lymphocytic infiltration of salivary and lacrimal glands, leading to glandular fibrosis and exocrine failure.

The typical age of onset is between 40 and 50, with a 9 : 1 female preponderance.
The disease may occur in isolation (primary Sjögren’s syndrome) or in patients with other autoimmune diseases (secondary Sjögren’s syndrome).
Sjogren’s causes your immune system to go haywire and attack healthy cells instead of invading bacteria or viruses.
Conditions like this are called autoimmune diseases.
Your white blood cells, which normally protect you from germs, attack the glands that are in charge of making moisture.
When that happens, they can’t produce tears and saliva.
About half of people with Sjogren’s also have another autoimmune disease, like rheumatoid arthritis or lupus.
Dry eyes and dry mouth are the most common symptoms.
You can sometimes get problems in other parts of your body, such as swollen glands around your face and neck, dry skin or nasal passages, or painful and stiff joints.

Causes

In Sjögren’s syndrome, the body’s immune system produces inflammation that damages the tissues and nerve signals to certain glands in the body.
The inflammation mainly attacks glands that produce fluids, such as the lacrimal glands behind the eyelids, and the salivary glands in the mouth. This reduces the amount of saliva, tears and other fluids the glands produce.
We don’t know what causes the immune system to start attacking the body, but it’s thought it could be partly due to the genes we inherit from our parents.
However, this doesn’t mean that children of people with Sjögren’s syndrome will automatically get the condition.
It’s also thought that the female hormone oestrogen could be linked to Sjögren’s syndrome, as more women get the condition than men.

Types

1. Primary Sjögren’s Syndrome:

Description: This type occurs on its own, without being associated with any other underlying autoimmune disease.
Characteristics: The immune system attacks the moisture-producing glands, particularly the salivary glands (leading to dry mouth) and the lacrimal glands (leading to dry eyes). It can also lead to symptoms affecting the joints, skin, and other organs.
Symptoms:
- Dry eyes (keratoconjunctivitis sicca), leading to irritation, redness, and difficulty seeing clearly.
- Dry mouth (xerostomia), which can make swallowing, speaking, and tasting difficult, and increases the risk of tooth decay and gum disease.
- Joint pain, swelling, and stiffness.
- Swelling of the salivary glands, particularly the parotid glands.
- Fatigue, muscle aches, and general discomfort.

2. Secondary Sjögren’s Syndrome:

Description: This form occurs in individuals who already have another autoimmune disease, such as rheumatoid arthritis (RA), lupus (SLE), or scleroderma.
Characteristics: The symptoms of secondary Sjögren’s syndrome are similar to those of primary Sjögren’s, but they occur in the context of another autoimmune disorder. The presence of the other disease can complicate the diagnosis and treatment of Sjögren’s syndrome.
Symptoms:
- Same as primary Sjögren’s syndrome (dry eyes, dry mouth, joint pain, fatigue), but these symptoms are typically seen alongside those of the primary autoimmune disease (e.g., joint inflammation in rheumatoid arthritis or skin changes in lupus).
- Symptoms might be more complex and involve interactions with the other autoimmune disease, affecting multiple organs like the kidneys, lungs, and nervous system.

Sign and Symptoms

Many people who have the condition don’t have any other symptoms.

However, symptoms can vary a lot from person to person.

Some people find they can manage their condition well, while others find it has a big effect on their daily life.

Sjögren’s Syndrome

Eye:

Eyes may be dry and feel sore, irritable or as if they have grit or sand in them.
Some people feel discomfort under strong lights, or find their eyes become sticky with mucus.
Sometimes the eyelids might be sore or swollen, or your vision might become blurred.

Mouth and throat problems:

Mouth may be dry and you may get mouth ulcers.
Throat or mouth might also feel sticky.
It can sometimes be hard to swallow, or you might find that things taste different.
You may find that you need to drink water while eating.
Your voice may be hoarse or weak, and some people have a dry cough.
You could also have cracks in the skin at the corners of your mouth, or your tongue might look red and smooth.
These include fungal infections such as thrush, an unpleasant taste in your mouth, and more tooth decay.
Your salivary glands, which are on your face, just in front of your ears, may feel painful and swollen.

Fatigue:

Fatigue is an overwhelming feeling of tiredness that can happen after doing very little and has no obvious cause.
You may feel extremely tired, both physically and mentally, and you might find it difficult to concentrate.
Some people start to feel down or depressed as a result of their condition and the fatigue it causes.

Aches and pains:

Your joints may be painful and swollen due to inflammation, or you might feel that various parts of your body, such as your muscles, are achy and tender.
Some people with this condition have headaches and migraines

Other symptoms:

You may feel as though other parts of the body are drier than normal, such as:

Bowel – this may cause symptoms similar to irritable bowel syndrome (IBS), such as tummy pain, diarrhoea and constipation.
Bladder – this may cause irritation, soreness, or the need to pee more than usual.
Vagina – this can make sex uncomfortable and could cause symptoms of the menopause to feel worse.
Skin – this can make you feel itchy or unusually sensitive to strong sunlight & also get rashes.
Air passages – this may make you more sensitive to things in the air, such as smoke or dust, and cause a dry cough.

Associated autoimmune disorders:

SLE
Progressive systemic sclerosis
Primary biliary cirrhosis
Chronic active hepatitis
Myasthenia gravis

What to eat

1. Hydrating Foods:

Since Sjögren’s syndrome causes dryness (especially in the mouth and eyes), it is essential to stay hydrated and incorporate foods that help with moisture retention.

Water: Aim for plenty of water throughout the day to keep the body hydrated and to reduce dry mouth and throat.
Coconut water: Natural coconut water is hydrating and can be soothing for dry mouth.
Water-rich fruits and vegetables: Incorporate foods like watermelon, cucumbers, oranges, celery, and strawberries.
Broths and soups: Hydrating and nourishing, broths can help soothe the throat and provide hydration.

2. Omega-3 Fatty Acids:

Omega-3 fatty acids have anti-inflammatory properties and can help manage inflammation associated with Sjögren’s syndrome. They also support eye health and may help reduce dry eyes.

Fatty fish like salmon, mackerel, sardines, and tuna.
Chia seeds, flaxseeds, and walnuts are plant-based sources of omega-3s.
Algal oil is a plant-based alternative to fish oil.

3. Anti-Inflammatory Foods:

Sjögren’s syndrome involves chronic inflammation, so eating foods that fight inflammation can help improve symptoms.

Fruits and vegetables rich in antioxidants, such as blueberries, spinach, kale, tomatoes, and bell peppers, can help reduce inflammation.
Turmeric and ginger are both potent anti-inflammatory agents. Incorporating them into soups, smoothies, or teas can be beneficial.
Green tea: Contains antioxidants (like catechins) that can help reduce inflammation and support the immune system.

4. Foods Rich in Vitamin A:

Vitamin A is essential for eye health, and since dry eyes are a common symptom of Sjögren’s syndrome, consuming foods high in vitamin A can help.

Carrots, sweet potatoes, pumpkin, kale, and spinach are great sources of vitamin A and beta-carotene, which support eye health.

5. Hydrating and Moisture-Rich Foods for Dry Mouth:

In addition to drinking water, certain foods can help soothe dry mouth and keep it moist.

Plain yogurt: Helps soothe the mouth and is good for maintaining oral health.
Apples, pears, and other juicy fruits can help stimulate saliva production and provide hydration.
Smooth, moist foods like avocado, mashed potatoes, and hummus are easy to eat if dry mouth makes chewing difficult.
Broths and soups are great to keep the mouth moist and can provide additional hydration.

6. Foods Rich in Vitamin D:

Vitamin D helps regulate immune system function and supports bone health. People with autoimmune conditions, including Sjögren’s syndrome, may be at higher risk for vitamin D deficiency.

Fatty fish (like salmon and mackerel) and fortified foods like milk, cereal, or plant-based milk (soy, almond) are good sources.
Eggs, cheese, and mushrooms are also good sources of vitamin D.

7. Probiotic Foods:

Probiotics are beneficial for gut health, which is important because autoimmune conditions can impact the digestive system. Including probiotics can help maintain a healthy balance of gut bacteria.

Yogurt (with live cultures), kimchi, sauerkraut, and kefir are rich in probiotics that support immune health and digestion.

8. Whole Grains:

Whole grains provide fiber, vitamins, and minerals that support overall health and may help reduce inflammation.

Oats, brown rice, quinoa, barley, and whole wheat are excellent whole grain options.

Diet for Sjögren’s Syndrome

1. Focus on Hydration:

Staying hydrated is one of the most important things you can do to alleviate dryness, particularly dry mouth and dry eyes.

Water: Drink plenty of water throughout the day (at least 8 cups), and sip water frequently to keep your mouth and throat hydrated.
Coconut water: Natural coconut water is a good hydrating option, and it’s gentle on the stomach.
Water-rich fruits and vegetables: Incorporate watermelon, cucumbers, oranges, celery, and strawberries to increase hydration.
Herbal teas: Consider chamomile, peppermint, or ginger tea to soothe dry throats and provide additional hydration.

2. Anti-Inflammatory Foods:

Since Sjögren’s syndrome is an autoimmune disorder that causes inflammation, including foods with anti-inflammatory properties can help manage symptoms.

Omega-3 fatty acids: These have natural anti-inflammatory properties. Include foods like salmon, mackerel, sardines, flaxseeds, chia seeds, and walnuts.
Berries (blueberries, strawberries, raspberries): Rich in antioxidants, these fruits help reduce inflammation and protect tissues.
Green leafy vegetables: Spinach, kale, and collard greens are packed with nutrients and antioxidants that combat inflammation.
Turmeric and ginger: Both have strong anti-inflammatory effects. You can add turmeric to smoothies, soups, or teas and incorporate ginger in your daily meals.

3. Eye and Skin Health (Vitamin A & D):

Since dry eyes are a major symptom of Sjögren’s syndrome, promoting eye health is essential. Vitamin A is particularly beneficial for eye health, while vitamin D supports the immune system.

Vitamin A-rich foods: Include carrots, sweet potatoes, pumpkin, kale, and spinach.
Vitamin D-rich foods: Include fatty fish like salmon or mackerel, egg yolks, fortified plant-based milk, and mushrooms. You may also consider getting vitamin D from sun exposure or supplements if advised by your healthcare provider.

4. Foods to Promote Oral Health:

Dry mouth is one of the most common symptoms, so it’s crucial to incorporate foods that help stimulate saliva production and support oral health.

Moist and hydrating foods: Yogurt, hummus, avocados, and mashed potatoes are excellent options if dry mouth makes eating difficult.
Cucumbers and apples: These can help promote saliva production and keep the mouth moist.
Sugar-free gum or sugar-free lozenges: Chewing gum or sucking on lozenges can stimulate saliva production. Look for those containing xylitol, which may help prevent tooth decay.
Herbal teas: Consider drinking chamomile or peppermint tea to soothe the mouth and throat.

5. Probiotics and Gut Health:

Sjögren’s syndrome can impact digestion, so maintaining a healthy gut microbiome can be beneficial. Probiotics help support digestion and the immune system.

Probiotic-rich foods: Yogurt, kimchi, sauerkraut, kefir, and miso are great sources of probiotics that can enhance gut health.

6. Low-Sodium and Whole Grains:

To avoid dehydration and manage overall health, focus on low-sodium and high-fiber foods.

Whole grains: Choose brown rice, quinoa, barley, and whole-wheat pasta for better digestion and fiber.
Limit processed foods: These often contain excess sodium, which can contribute to dehydration and worsen symptoms of dryness.

Regimen for Sjögren’s Syndrome

1. Hydration Routine:

Drink water consistently throughout the day, especially after meals. Carry a water bottle and sip regularly to avoid dry mouth.
Include a glass of water before and after meals to help with digestion and ease swallowing.

2. Oral Care:

Dry mouth can lead to tooth decay and gum disease, so good oral hygiene is essential.

Brush teeth at least twice daily with a fluoride toothpaste. Consider using a toothpaste specifically designed for dry mouth.
Floss daily to remove food particles and prevent plaque buildup.
Use a saliva substitute: You may consider using over-the-counter saliva substitutes (such as gels, sprays, or rinses) to relieve dry mouth.
Visit your dentist regularly for professional cleanings and to check for signs of gum disease or cavities.

3. Skin and Eye Care:

Dry eyes and skin are common in Sjögren’s syndrome, so creating a skin and eye care routine can help minimize discomfort.

Eye drops: Use artificial tears or lubricating eye drops to relieve dry eyes.
Humidifier: Using a humidifier in your home can help prevent the air from becoming too dry, which can worsen symptoms of dry eyes and skin.
Moisturizer: Apply moisturizing creams and lotions after bathing to prevent dry, cracked skin. Look for hydrating products that contain ceramides or hyaluronic acid.

4. Regular Exercise:

Maintaining regular physical activity is important for overall health, including immune function and managing inflammation. Aim for at least 30 minutes of moderate exercise (like walking, swimming, or yoga) at least 5 days a week.

5. Manage Stress:

Stress can exacerbate autoimmune conditions, so it’s crucial to implement strategies to reduce stress.

Mindfulness practices such as meditation, deep breathing, or progressive muscle relaxation can help reduce stress.
Adequate sleep: Ensure you’re getting 7-9 hours of quality sleep per night to support your immune system and overall health.

6. Regular Check-ups:

Since Sjögren’s syndrome can affect various organs (e.g., kidneys, lungs, and nervous system), regular check-ups with your doctor are important to monitor your overall health and manage complications.

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Nux Moschata – For dry mouth:

Nux Moschata is a homeopathic medicine prepared from seeds of the Nutmeg plant.
The natural order of this plant is Myristicaceae.
Nux Moschata is beneficial for treating dry mouth in cases of Sjogren’s syndrome.
People who need Nux Moschata have an intensely dry mouth.
The dryness is so marked that the tongue sticks to the roof of the mouth.
The dryness of the mouth is most experienced while sleeping.
A peculiar symptom is a lack of thirst in spite of a dry mouth.
Besides this, A bad smell from the mouth may be present.
The lips are also dry.
The dryness may extend to throat from mouth.

Belladonna – For managing dry eyes:

Belladonna is a natural treatment for Sjogren’s syndrome prepared from the plant Deadly Nightshade.
It belongs to the natural order Solanaceae.
Belladonna is helpful for managing dry eyes in Sjogren’s syndrome.
Along with dryness, the eyes also appear red.
Itching in the eyes may be present, and in some cases, a burning, smarting and stinging sensation in eyes is present.
Sand-like gritty sensation in the eyes along with the above symptoms may also be present.

Rhus Toxicodendron – For joint pains:

Rhus Tox is an effective homeopathic cure for joint pains in cases of Sjogren’s syndrome.
People needing rhus tox experience pain, swelling, redness, heat in joints with marked stiffness.
Cracking on stretching the joints also appears.
They may feel better by warm application.
For using rhus tox, a characteristic feature is a joint pain that gets worse during rest whereas better by motion.

Arsenic Album – For fatigue:

Arsenic Album is an effective medicine especially for Sjogren’s Syndrome where the person experiences extreme fatigue.
Weariness and weakness prevail all the time, and intense fatigue makes a person want to lie down constantly.
The slightest exertion can cause fatigue, and there may be anxiety or restlessness.

Bryonia Alba – For dry cough:

Bryonia is a natural medicine prepared especially from the root of a plant named Bryonia Alba, of the natural order Cucurbitaceae.
It is well-indicated to treat a dry cough in cases of Sjogren’s syndrome.
People needing bryonia have a dry, spasmodic cough.
A tickling sensation in the throat may be present along with a cough.
The cough may worsen after either eating or drinking.
Pain in the head and chest appear with a cough.
Apart from the above symptoms, dryness of the mouth and cracking of the lips may be present.
Joint pains that are worse from motion, on the other hand better by rest is another prominent attending symptom.

Sulphur – For dry, itching skin:

Sulphur is a natural remedy specifically for dry, itchy skin in Sjogren’s syndrome.
The itching may be either localized or widespread all over the body.
Intense itching is present, also scratching the skin causes a burning sensation.
The itchy spots may also become painful after scratching.
In some cases, bleeding appears upon scratching the skin.
The skin itching is most worse in the evening and night time, especially upon getting warm in the bed.
Along with the above symptoms, a stitching, prickling sensation on the skin may also appear.

Sepia – For vaginal dryness:

Sepia is an effective natural medicine especially for vaginal dryness in sjogren’s syndrome.
Furthermore, Women needing sepia may experience itching in the vagina along with dryness.
They also complain of painful coition (intercourse) from extreme dryness of the vagina.
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What is Sjogren’s Syndrome?

This is an autoimmune disorder of unknown cause, characterised by lymphocytic infiltration of salivary and lacrimal glands, leading to glandular fibrosis and exocrine failure.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Sjögren’s Syndrome ?

Nux Moschata
Belladonna
Rhus Toxicodendron
Arsenic Album
Bryonia Alba
Sulphur

What triggers Sjogren’s Syndrome?

Age: older than 40.
Sex: Women
Rheumatic disease: either rheumatoid arthritis or lupus
HLA-B8/DR3

What are the symptoms of Sjögren’s Syndrome ?

Eyes may be dry also feel sore, irritable
Mouth may be dry also you may get mouth ulcers
Fatigue
Aches and pains
tummy pain, diarrhoea also constipation
Bladder irritation, soreness

Davidson’s Principles and Practice of Medicine (22nd edition) Ch. 25
https://www.mayoclinic.org/diseases-conditions/sjogrens-syndrome/symptoms-causes/syc-20353216

Reference

https://www.webmd.com/a-to-z-guides/sjogrens-syndrome#1
https://www.versusarthritis.org/about-arthritis/conditions/sjoegrens-syndrome/
https://www.drhomeo.com/homeopathic-treatment/homeopathic-remedies-sjogrens-syndrome/