 At our last meeting in September, we heard antacids like TUMS, Maalox, Peptone can be Liver Up to 6% of SS patients may have some a CD presentation by Dr. Matthew Nichols, of effective for a short time. When one has recurrent Denver, CO, on Gastrointestinal Manifestations primary biliary cirrhosis (PBC), autoimmune of Sjogren’s Syndrome. Dr. Nichols gave this blockers such as zantac or pepcid, or proton pump hepatitis, rarely idiopathic portal hypertension, talk at the SSF National Patient Conference in inhibitors such as nexium, prevacid, prilosec, etc. viral hepatitis (Hepatitis C). Blood tests pick April 2012. We had a large poster of the Long term use of acid blocking medicines are gastrointestinal system, generously donated by generally safe, but long-term high-dose use may Dr. Noar’s office, so we could follow pictorially increase risk of intestinal infections and may Autoimmune pancreatitis is characterized by reduce absorption of some nutrients, such as diffuse or localized swelling in the pancreas or His talk is about the GI tract. The path we are calcium and Vitamin D supplementation, causing scarring of the pancreatic duct. Associated going to follow is the same pathway that your with elevated levels of IgG-4 This is rare. breakfast followed this morning, starting with the esophagus through the stomach, into the epigastic pain, and dyspepsia. Breakdown of the small intestine, the liver and pancreas, then protective stomach barriers, ulcer disease gastritis common, with women twice as likely to be moving down into the colon and lower GI tract. due to medications or H.pylori bacteria, etc. Use diagnosed as men. Symptoms include change Esophagus Starting in the mouth, laryngo- of NSAIDs and steroids predisposes the patient to in bowel habits, episodic abdominal pain or pharyngeal reflux is a condition caused by discomfort, diarrhea, constipation, alternating gastric acids and digestive enzymes flowing into Atrophic Gastritis is a concern in SS. It is an diarrhea and constipation. Possible causes the upper esophagus. Symptoms are hoarseness, autoimmune process that destroys the acid could be abnormal contractions of the GI tract sensation of something caught in the throat, mild producing cells of the stomach parietal cell. Up to (spastic bowel), food intolerence, bacterial difficulty in swallowing, chronic cough. These 20% of SS patients can have this problem, causing imbalance, spasms. Anxiety and stress, can symptoms can be increased in Sjogren’s due to indigestion (dyspepsia) and upper abdominal pain. decrease in salivary flow. The flow of saliva It can lead to impaired Vitamin B12 absorption, multi-prong approach with increase dietary plays a key role in washing away the acid.
fiber, insoluble and soluble fibers. Gradually Difficulty swallowing, dysphasia, is a common increase fiber intake until regularity in the GI complaint in SS, and could mean problems with tract is obtained. Supplemental fibers can be the esophagus. The mucous producing glands of bacterial infection in humans. It interferes with helpful. Medications available. Important to the esophagus can be affected and lead to a “dry” the normal protective barriers in the stomach. esophagus, causing difficulty in swallowing. It Treatment is with antibiotics, but can be difficult Colorectal Cancer Screening
is important to drink plenty of liquids with food Very important. Everyone age
and while taking medication to prevent sticking Gastroparesis, motility in GI tract is impaired 50+ should get regular
or delayed stomach empyting. Treatment includes screening. - Dr.Matthew Nichols
Management of gastroesophageal reflux disease. (GERD) can be obtained withhout medication Small intestine. Moving out of the stomach into Please join us on November 17th to
taking into consideration lifestyle changes for the small intestine, Dr. Nichols spoke about Celiac welcome Linda Gherman, a dentist from the
obesity, hiatal hernia, cigarette smoking, Also disease. Celiac disease causes blunting of the Bel Air area., who will speak on up-to-date dry avoid large or late meals, decrease use of intestinal lining, leading to malabsorption of caffeine, chocolate, carbonated beverages and dietary nutrients. Other symptoms include diarrhea, weight loss, abdominal discomfort, fatigue, gas/bloating, osteoporosis, etc. It is an secretion, but rather excessive acid exposure in allergic sensitiviy to gluten, found in wheat, rye, the esophagus. Saliva plays an important part in barley and a multitude of prepared foods. neurtralizing the acid. If lifestyle changes do not Sjogren’s patients can be 10 times more affected. work, over the counter medications, such as Diagnosis is made based on blood tests or small intestine biopsy. Treatment is a gluten-free diet.
May 18, 2013
September 21, 2013
November 16, 2013
Our support group meets four times a
year. Patients & families always
Harford SS Support Group Email:
Telephone: 410-836-1040
For Copies of CD
The Sjogren’s Syndrome
Foundation 6707 Democracy
Blvd, Suite 325
Bethesda, MD 20817
Info: 800-475-6473
Directions to Bel Air UM Church:
From I-95 take Exit #77A towards Bel Air
Continue on Rt. 24 for approx. 5 miles
Right turn on Ring Factory Road to light
Left turn on Rt 924
Turn right at Linwood Avenue
Church is on the right
Take second right into Church parking lot
Park on other side of McComas Hall
Proceed to Armstrong Center - Room 103
November 17, 2012
Linda Gherman, DDS
March 16, 2013

Source: http://www.jclass.umd.edu/652352/2012fall/young/madden/Images/HydrationMessenger1112.pdf


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