 |
 |
|
|
|
|
DESCRIPTION
Sjogren's syndrome is named after a Swedish ophthalmologist, Henrik Sjogren. In the early 1900s, Sjogren called the syndrome "keratoconjunctivitis sicca." The name sicca syndrome is technically now used only to describe the combination of dryness of the mouth and eyes, regardless of cause. The term "sicca" refers to the dryness of the eyes (and mouth).
Sjogren's syndrome is a chronic inflammatory autoimmune disorder. Autoimmune diseases are characterized by the abnormal production of extra antibodies in the blood that are directed against various tissues of the body. The Sjogren's syndrome occurs by itself or can, and often does, occur with other autoimmune diseases such as lupus, polymyositis, rheumatoid arthritis, scleroderma, and other lesser known rheumatic autoimmune diseases. Sjogren's syndrome that is not associated with another connective tissue disease is referred to as primary Sjogren's syndrome. Sjogren's syndrome that is also associated with a connective tissue disease, such as rheumatoid arthritis, systemic lupus, erythematosus, or scleroderma, is referred to as secondary Sjogren's syndrome.
MoonDragon's Health & Wellness: Lupus
In Sjogren's syndrome, the immune system produces lymphocytes (white blood cells) that produce self-reactive proteins called auto-antibodies which attack the mucous membranes such as the tear (lacrimal), salivary, and other moisture-producing glands, thus destroying the glands and their ability to produce moisture.
Inflammation of the lacrimal glands that produce tears leads to decreased water production for tears and eye dryness. Inflammation of the glands that produce the saliva in the mouth (salivary glands, including the parotid glands), leads to dry mouth and dry lips.
Many parts of the body can be affected by Sjogren's syndrome, such as the lungs, brain, nerves, joints, kidneys, thyroid, and liver. In the majority of cases, the autoimmune response is confined to the tear ducts, salivary glands, and vagina.
Sjogren's syndrome can affect both men and women at any age; however, the majority of patients are women, and the onset is most common in middle age (age 40) or older. There is no cure, but treatments can relieve many symptoms.
CAUSES OF SJOGREN'S SYNDROME
Sjogren's syndrome is an autoimmune disorder. This means that your body attacks its own cells and tissues.
While the exact cause of Sjogren's syndrome is not known, researchers believe that a combination of factors causes something to go wrong with the immune system. These factors may be related to heredity, hormones, a viral or bacterial infection, or the nervous system. There is growing scientific support for genetic (inherited) factors. The illness is sometimes found in other family members. It is also found more commonly in families that have members with other autoimmune illnesses, such as systemic lupus erythematosus, autoimmune thyroid disease, juvenile diabetes, etc. About 90 percent of patients with Sjogren's syndrome are female.
In the case of Sjogren's syndrome, white blood cells called lymphocytes mistakenly target, attack and damage the moisture-producing glands. They can also damage other organs, including the lungs, kidneys and liver.
SYMPTOMS OF SJOGREN'S SYNDROME
Symptoms of Sjogren's syndrome can be difficult to diagnose because the signs and symptoms are similar to those of other diseases and can vary from person to person. In addition, the side effects of a number of medications can mimic some signs and symptoms of Sjogren's syndrome.
Typical signs and symptoms of Sjogren's syndrome include:
- Dry eyes.
- Dry mouth.
- Dental cavities.
- Fatigue.
- Enlarged parotid glands - one particular set of your salivary glands, located behind your jaw and in front of your ears.
- Difficulty swallowing or chewing.
- Change in sense of taste.
- Hoarseness.
- Oral yeast infections, such as candidiasis.
- Skin rashes or dry skin.
- Vaginal dryness.
- Dry cough that does not produce sputum.
- Joint pain, swelling and stiffness.
Symptoms of Sjogren's syndrome involve the glands, as above, but there are also possible affects of the illness involving other organs of the body (extraglandular manifestations).
When the tear gland (lacrimal gland) is inflamed from Sjogren's, the resulting eye dryness can progressively lead to eye irritation, decreased tear production, "gritty" sensation, infection, and serious abrasion of the dome of the eye (cornea). Dry eyes can lead to infections of the eyes.
Inflammation of the salivary glands can lead to mouth dryness, swallowing difficulties, dental decay, gum disease, mouth sores and swelling, stones and/or infection of parotid gland inside of the cheeks. Dry lips often accompany the mouth dryness.
Other glands that can become inflamed, though less commonly, in Sjogren's syndrome include those of the lining of the breathing passages (leading to lung infections) and vagina (sometimes noted as pain during intercourse recurrent vaginal infections).
Extraglandular (outside of the glands) problems in Sjogren's syndrome include joint pain or inflammation (arthritis), Raynaud's phenomenon, lung inflammation, lymph-node enlargement, kidney, nerve, and muscle disease. A rare serious complication of Sjogren's syndrome is inflammation of the blood vessels (vasculitis), which can damage the tissues of the body that are supplied by these vessels.
A common disease that is occasionally associated with Sjogren's syndrome is autoimmune thyroiditis (Hashimoto's thyroiditis), which can lead to abnormal thyroid hormone levels detected by thyroid blood tests. Heartburn and difficulty swallowing can result from gastroesophageal reflux disease (GERD), another common condition associated with Sjogren's syndrome. A rare disease that is uncommonly associated with Sjogren's syndrome is primary biliary cirrhosis, an immune disease of the liver that leads to scarring of the liver tissue. A small percentage of patients with Sjogren's syndrome develop cancer of the lymph glands (lymphoma). This usually develops only after many years with the illness. Unusual gland swelling should be reported to a health care provider.
RISK FACTORS FOR DEVELOPING SJOGREN'S SYNDROME
Although anyone can develop Sjogren's syndrome, it typically occurs in people with one or more known risk factors. These include:
- Having a rheumatic disease. It is common for people who have Sjogren's syndrome to also have a rheumatic disease, such as rheumatoid arthritis, lupus, scleroderma or polymyositis.
- Being female. Women are nine times as likely as men are to have Sjogren's syndrome.
- Being a certain age. Sjogren's syndrome is usually diagnosed in people older than 40.
- Having a family history of Sjogren's. Sjogren's syndrome sometimes runs in families.
COMPLICATIONS OF SJOGREN'S SYNDROME
Many of the complications of Sjogren's syndrome are more annoying than serious. But serious problems can develop, especially if you have a rheumatic disease along with Sjogren's syndrome. Common complications of Sjogren's syndrome include:
- Difficulty swallowing. Lack of saliva may make it more difficult for you to chew and swallow.
- Dental cavities. Because saliva helps protect the teeth from bacteria, you're more prone to developing cavities if your mouth is dry.
- Vision problems. Dry eyes can lead to light sensitivity, blurred vision and corneal ulcers.
Less common complications include:
- Inflammation of organs such as your lungs, kidneys or liver. Inflammation may cause pneumonia, bronchitis or other problems in your lungs; may lead to problems with kidney function; and may cause hepatitis or cirrhosis in your liver.
- Heart problems for babies born to mothers with Sjogren's syndrome. If you are a woman with Sjogren's syndrome and you plan to become pregnant, talk with your health care provider or midwife about being tested for certain autoantibodies that may be present in your blood. In rare cases, these antibodies, anti-Ro (also called anti-SS-A) and anti-La (also called anti-SS-B), have been associated with heart problems in newborns.
- Cancer of the lymph nodes (lymphoma). A small percentage of people with Sjogren's syndrome develop lymphoma. Signs and symptoms include swelling of the salivary glands, fatigue, weight loss and night sweats.
- Peripheral nervous system disorders. Peripheral neuropathies may occur in people with Sjogren's syndrome. Your legs and arms may be affected, and you may experience symptoms of numbness, tingling and burning. Your cranial nerves - such as those relating to your eyes (optic nerve) or face (trigeminal nerve) - can be affected and may cause visual problems or facial pain.
DIAGNOSIS OF SJOGREN'S SYNDROME
The diagnosis of Sjogren's syndrome involves detecting the features of dryness of the eyes and mouth. Your health care provider will likely ask for a history of your signs and symptoms, including how long you have had them. He or she will also want to discuss other conditions you may have and medications you are taking. You may be asked about your diet, including the types and quantities of liquids that you drink in a day.
Beyond reviewing your medical history, your health care provider can use a variety of tests to diagnose Sjogren's syndrome.
BLOOD TESTS
Your health care provider may order blood tests to check your blood count and sedimentation rate and to check for autoantibodies, proteins formed when your immune system attacks your body's own cells. Checking your blood count lets your health care provider know the proportion of the various types of blood cells in a given volume of your blood. Sedimentation rate refers to the speed at which the red blood cells settle to the bottom of a column of blood in a glass tube. Certain inflammatory conditions increase the sedimentation rate.
Patients with Sjogren's syndrome typically produce a myriad of extra antibodies against a variety of body tissues (autoantibodies). These can be detected through blood testing and include antinuclear antibodies (ANAs), which are present in nearly all patients. Typical antibodies that are found in most, but not all patients, are SS-A and SS-B antibodies, rheumatoid factor, thyroid antibodies, and others. Low red blood count (anemia) and abnormal blood testing for inflammation (sedimentation rate) are seen.
EYE TESTS
The dryness of the eyes can be determined in the health care provider's office by testing the eye's ability to wet a small testing paper strip placed under the eyelid (Schirmer's test using Schirmer tear test strips). In another version of the tests, a cotton swab is used to stimulate the tear reflex in your nose.
More sophisticated eye testing can be done by an eye specialist (ophthalmologist). Your eye practitioner may examine your eyes with a slit lamp after placing a drop of liquid containing a dye in your eye. The dye stains areas of the cornea that have been damaged by the dryness.
IMAGING TESTS
Salivary glands can become larger and harden or become tender. Salivary-gland inflammation can be detected by radiologic nuclear medicine salivary scans. To check on the condition of your salivary glands, your health care provider may order a special x-ray called a sialogram. It detects dye that is injected into your parotid glands, located behind your jaw and in front of your ears. The dye is injected through the opening of a small duct in your mouth. This procedure reveals the flow of saliva into your mouth.
Your health care provider may also perform a parotid gland flow test to determine the amount of saliva that you produce over time. Another imaging test is salivary scintigraphy, which measures your salivary gland function.
The diminished ability of the salivary glands to produce saliva can be measured with salivary flow testing. The diagnosis is strongly supported by the abnormal findings of a biopsy of salivary-gland tissue.
Your health care provider may also order a chest x-ray to check for lung inflammation.
BIOPSY
The glands of the lower lip are often used to obtain a biopsy sample the salivary-gland tissue in the diagnosis of Sjogren's syndrome. The lower lip salivary-gland biopsy procedure is easily performed under local anesthesia with the surgeon making a tiny incision on the inner part of the lower lip to expose and remove a sample of the tiny salivary glands within. The biopsy sample is then examined under a microscope. The lip biopsy is used to detect the presence of clusters of inflammatory cells, which can indicate Sjogren's syndrome.
URINE SAMPLE
Your health care provider may want to provide a urine sample that can be analyzed in the laboratory to determine whether Sjogren's syndrome has affected your kidneys.
SLIT-LAMP EXAM
Your health care provider may use magnifying equipment to determine how dry your eye is and whether the outside of your eye is inflamed.
CONVENTIONAL MEDICAL TREATMENT OF SJOGREN'S SYNDROME
The treatment of patients with Sjogren's syndrome is directed toward the particular areas of the body that are involved and complications, such as infection. There is no cure for Sjogren's syndrome.
EYE DRYNESS
Dryness of the eyes can be helped by artificial tears, eye-lubricant ointments at night, and minimizing the use of hair dryers.
When dryness becomes more significant, the ophthalmologist can plug the tear duct closed so that tears cover the eye longer.
Cyclosporine eyedrops (Restasis) are recently approved medicated drops that can reduce the inflammation of the tear glands improving their function.
Signs of eye infection (conjunctivitis), such as pus or excessive redness or pain, should be evaluated by a health care provider.
DRY MOUTH
The dry mouth can be helped by drinking plenty of fluids, humidifying air, and good dental care to avoid dental decay.
The glands can be stimulated to produce saliva by sucking on sugarless lemon drops or glycerin swabs.
Additional treatment for the symptom of dry mouth are prescription medications that are saliva stimulants, such as pilocarpine (Salagen) and cevimeline (Evoxac). These medications should be avoided by people with certain heart diseases, asthma, or glaucoma.
Artificial saliva preparations can ease many of the problems associated with dry mouth. Many of these types of agents are available as over-the-counter products, including toothpaste, gum, and mouthwash (Biotene).
Vitamin E oil has been used with some success.
Infections of the mouth and teeth should be addressed as early as possible in order to avoid more severe complications. Diligent dental care is very important.
DRY NASAL SINUSES
Saltwater (saline) nasal sprays can help dryness in the passages of the nose.
VAGINAL DRYNESS
Vaginal lubricant should be considered for sexual intercourse.
OTHER TREATMENTS
Hydroxychloroquine (Plaquenil) has been helpful for some manifestations of Sjogren's syndrome. Serious complications, such as vasculitis, can require immune-suppression medications, including cortisone (prednisone and others) and/or azathioprine (Imuran) or cyclophosphamide (Cytoxan).
Infections, which can complicate Sjogren's syndrome, are addressed with appropriate antibiotics. Cancer of the lymph glands (lymphoma), a rare complication of Sjogren's syndrome, is treated independently.
MEDICATIONS
You can relieve many of the symptoms of Sjogren's syndrome with a self-care plan you can develop with your health care provider. He or she will likely review the medications that you are taking to be sure they are not contributing to the problem. Your health care provider may also prescribe medication to help ease certain symptoms.
Non-steroidal anti-inflammatory drugs (NSAIDs). This group of medications, which includes aspirin, helps relieve both pain and inflammation. Your health care provider may recommend you take these medications if you have painful or swollen joints. Side effects may include indigestion and stomach bleeding. Therefore, always take NSAIDs with food. Prescription NSAIDs can provide higher doses and more potency than do over-the-counter types of NSAIDs.
Your ophthalmologist may recommend topical non-steroidal eyedrops, but they need to be used with caution because they may affect your cornea. Your health care provider will want to monitor you closely while you are using these eyedrops.
Corticosteroids. These medications reduce inflammation and may slow joint damage. In the short term, corticosteroids can make you feel dramatically better. But when used for many months or years, they may become less effective and also cause serious side effects. Your ophthalmologist may recommend topical corticosteroid eyedrops for short-term use.
Hydroxychloroquine (Plaquenil). This anti-malarial drug may be useful if you have inflamed joints, as with rheumatoid arthritis.
Pilocarpine (Salagen). Your health care provider may prescribe pilocarpine if you have dry-mouth symptoms caused by Sjogren's syndrome. It is not an option if you have poorly controlled asthma, inflammation of the iris (acute iritis), glaucoma or significant cardiovascular disease, or if you are pregnant or breast-feeding.
Cevimeline (Evoxac). This prescription medication also is used to relieve symptoms of a dry mouth. It works by causing certain mouth glands to produce more saliva.
Cyclosporine. Your ophthalmologist may recommend you use eyedrops containing cyclosporine (Restasis) to treat symptoms of Sjogren's syndrome that affect your eyes.
Immunosuppressants. These medications, such as cyclophosphamide (Cytoxan), methotrexate (Rheumatrex), mycophenolate (CellCept) and azathioprine (Imuran), suppress the immune system. Your health care provider may prescribe them for you if you develop problems with your lungs, kidneys, blood vessels or nervous system.
SURGERY
One way to relieve dry eyes is to undergo a minor surgical procedure to seal the tear ducts that drain tears from your eyes (punctal occlusion). Collagen or silicone plugs are inserted into the ducts for a temporary closure. Collagen plugs eventually dissolve, but silicone plugs will keep ducts sealed until they fall out or are removed. Your health care provider may use a laser to permanently seal your ducts.
EXPERIMENTAL THERAPIES
One small study found that the injected medication rituximab (Rituxan) improved Sjogren's symptoms, but more research is needed to confirm these findings.
In other clinical studies, researchers found that etanercept (Enbrel) and dehydroepiandrosterone (DHEA) were not effective for Sjogren's.
Early studies using oral interferon alpha initially looked promising for the treatment of Sjogren's, but the treatment is not recommended because subsequent trials were not able to confirm the early results.
Epratuzumab (anti-CD22) is currently being studied for the treatment of Sjogren's syndrome.
Drops made from a person's own serum (a blood component) have been reported to be beneficial in patients with severe dry eyes.
RESEARCH
Sjogren's syndrome is an area of active immunology research. Many new treatments will be available in the near future.
SEEKING MEDICAL CONSULTATION
Sjogren's syndrome tends to develop slowly. But once symptoms occur, they can lead to complications that require medical attention. If you notice such symptoms as unusually dry eyes or a dry mouth that lasts longer than three months, seek medical advice.
If the dryness persists or if you frequently feel as if you have grit or sand in your eyes, you are probably experiencing unusually dry eyes. Or you may find you are frequently using artificial tears. Important signs and symptoms of oral dryness include daily dry mouth or recurrent or persistent swollen salivary glands. If you drink liquids to help swallow dry foods, you may also have an unusually dry mouth.
Keep your health care provider, eye practitioner and dentist informed about your symptoms. A diagnosis of Sjogren's syndrome can be missed or delayed if you report only individual symptoms to your dentist or eye practitioner. Therefore, it is important to also let your primary medical health care provider know about a symptom or combination of signs and symptoms. If you have a rheumatic disease, such as rheumatoid arthritis or lupus, tell your health care provider about any problems that may be related to Sjogren's.
Be aware that many medications can cause dry-mouth symptoms, including drugs used to treat high blood pressure, depression and insomnia. If your medications cause you to experience symptoms associated with dryness, ask your health care provider whether different medications are an option for you.
LIFESTYLE, HOME CARE, SELF-TREATMENT REMEDIES
Many symptoms of Sjogren's syndrome respond well to self-care. A self-care plan may mean you follow some of the following advice:
EYEDROPS & ARTIFICIAL TEARS
Use artificial tears and eyedrops. These can relieve the discomfort of dry eyes. Artificial tears and eyedrops are available by prescription or over-the-counter. Thicker drops are available that you do not have to apply as often as other drops, but they may cause visual blurring and collect along your eyelashes. Ask your health care provider about whether you should select artificial tears with or without preservatives, because the preservatives used to prolong the shelf life of some products can cause eye irritation in some people.
Another treatment that can keep your eyes moist is small pellets of hydroxypropyl cellulose (Lacrisert), which are placed in your lower eyelid. When you add artificial tears, the pellets dissolve and form a film over the moisture.
WATER & OTHER FLUIDS
Increase your fluid intake. Drinking lots of fluids, particularly water, helps to reduce dry mouth. Lemon juice in water may help stimulate salivary flow. Sugarless gum or hard candies also may help. Because the risk of dental cavities increases with Sjogren's syndrome, reduce your overall sugar intake, especially between meals. Avoid becoming dehydrated during hot weather, exercise, or illness. Dehydration can make symptoms worse.
MOISTURIZERS
Use moisturizers. If dry skin is a problem, avoid using very hot water to wash and avoid soaking your hands in water or cleaning solutions. Pat your skin - do not rub - with a towel and apply moisturizers when your skin is still damp. Use rubber gloves when doing dishes or housecleaning.
Vaginal moisturizers and lubricants help women who experience vaginal dryness.
SMOKING
Stop smoking. Avoid smoking or exposure to secondhand smoke because smoke can increase your dryness.
HUMIDITY
Increase humidity. Increasing the indoor humidity or protecting yourself in windy environments may help you reduce dryness. For example, avoid sitting in front of a fan or air-conditioning vent. You may also want to use goggles or protective eyewear when you go outdoors.
NASAL SALINE SPRAYS
Use nasal saline sprays. Nasal saline sprays can help moisturize dry nasal passages and may help relieve a dry mouth because a dry nose can increase mouth breathing.
DENTAL CARE
Protect your oral health. Brush your teeth after every meal and schedule regular dental appointments to protect against the increased risk of dental cavities. Your dentist or health care provider may also tell you to use daily topical fluoride treatments and antimicrobial mouthwashes. Artificial saliva products can help keep your mouth feeling moist. These products can also help to prevent cavities if they contain fluoride.
If you develop an oral yeast infection (such as candidiasis), your health care provider may prescribe antifungal lozenges - for example, clotrimazole (Mycelex) - that will slowly dissolve in your mouth. Antifungal medication is also available in liquid form, such as nystatin (Mycostatin), for you to swish around your mouth.
Inflammation of the parotid gland (parotitis) can be helped by massage, the use of warm compresses, and the stimulation of your salivary flow - such as through the use of sugarless hard candies. Non-steroidal anti-inflammatory drugs (NSAIDs) may help relieve your discomfort and inflammation.
HOLISTIC RECOMMENDATIONS & NUTRITION
NUTRITIONAL SUPPLEMENT RECOMMENDATIONS
These supplements are recommended for dry eye problems and general eye health.
The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.
DRY EYE & DRY MOUTH SUPPLEMENTS & PRODUCTS
Information, supplements and products for dry eyes and dry mouth problems. Dry eyes syndrome is a a condition which occurs when tear ducts do not produce enough fluid to sufficiently moisten the eyes, causing irritation and burning and Sjogren's syndrome, an autoimmune disorder with symptoms of dry eyes and dry mouth.
Beta Carotene (Natural Dunaliella Salina), 100% Natural, Nature's Way, 25,000 IU, 100 Softgels
Nature's Way Beta Carotene is 100% all natural from Dunaliella Salina.CamoClear Soothing Eye Wash, Herbal Eye Wash, CamoCare, 10 Single Use Droppers
CamoClear Soothing Herbal Eye wash gives you instant, natural and long lasting relief for dry, tired or irritated eyes, due to dust, pollen, pollution, smoke irritants, sun glare, wind, swimming, air conditioning/heating and computer work.Clear Eye Herbal Tea, 20 Tea Bags
To nurture the eye and pacify the nervous system, protect retina, and improve eyesight.Clear Eye & Sharp Ear, TCM Formula, Shanze Xiaozhi, 60 Caps
Clear Eye & Sharp Ear Chinese Formulas are made of extracts from astragalus root, pueraria root, seashore vitex, common peony root, cimicifuge, phellodendron, licorice, cnidium, Chinese angelica root (Dong Quai) and ginseng.Digestive Enzymes, 750 mg, 100 Caps
Since cooking destroys many of the digestive enzymes in food, taking plant fiber-based digestive enzymes aids in digesting even the heaviest meal.Dry Eye Relief Eye Drops, Homeopathic, 0.33 fl. oz.
Eye Doctor recommended Similasan Eye Drops for dry, red eyes stimulate the eye's natural ability to fight dryness and clear redness due to smog, stress, age, contact lens wear, etc.Essential Fatty Acids, By Deborah Lee
"Woodland Health Series". Describes the benefits and functions of the three essential fatty acids, linoleic acid, linolenic acid and arachidonic acid.EyeFactor HAÖ for Healthy Vision with HA, Hyalogic, 120 Count
Hyaluronic acid makes up 95% of the fluid inside the eye. Acts as a shock absorber for the eye and also serves to transport nutrients into the eye.Eye Support Formula With Bilberry, Lutein & Antioxidants, NOW Foods, 60 Caps
NOW "Health Care Provider Recommended" Eye Support Formula eye supplement offers a full range of antioxidant nutrients which may aid in maintaining some visual functions with Lutein and Bilberry.Fisol Fish Oil Supplement, EPA DHA, Enteric Coated, Nature's Way, 500 mg, 90 Softgels
Fisol, enteric coated, fish oil supplement delivers 30% EPA and 20% DHA. The unique coating withstands stomach acid so Fisol dissolves in the small intestine and maximizes the body's absorption of Omega-3 Essential Fatty Acids.Gum ReJuv Oral Treatment, 1 fl. oz.
Gum Rejuv is recommended for oral conditions like receding gums, dry mouth and bleeding gums. It is also used to help tighten loose teeth, making it perhaps the most powerful nourishing formula for gums available anywhere. Gum massage oil for revitalizing and healing the gums.Jason Healthy Mouth Mouthwash, Tea Tree & Cinnamon, 16 fl. oz.
Jason Healthy Mouth mouthwash is a super-refreshing, all-natural breath blaster that is saccharin-free and alcohol-free. Packed with delicious natural Clove and Cinnamon Oils that restore cool freshness, Healthy Mouth has Certified Organic Tea Tree Oil and Aloe Vera Gel that help maintain the toothpaste's power whitening. For protection against Gum Disease, Dry Mouth, Bad Breath, Bacteria, Sugar Acid Build-UpMagnesium Citrate Complex, Nature's Way, 250 mg, 100 Caps
Nature's Way Magnesium Citrate is an advanced chelate from which enhances absorption of magnesium by providing excellent solubility.Nature's Way Ginkgold Eyes Plus Lutein, 20 mg, Vegetarian, Eye Supplement, 60 Caps
Nature's Way Ginkgold eye supplement supports visual function and is the only Ginkgo extract shown to stimulate activity in all areas of the brainNeuromins DHA Supplement (Docosahexaenoic Acid), Nature's Way, 100 mg, 60 Softgels
Neuromins brand high quality DHA Supplement is sourced from microalgae and fortified with Vitamin C and E.Once Daily Multi-Vitamin With Iron, All Natural, Lactose Free, Nature's Way, 100 Tabs
Nature's Way Daily Multi Vitamin with Iron provides many of the essential nutrients that modern diets may lack. They are useful for protection, growth and maintenance of body systems as they age.Selenium, 100% Natural, 200 mcg, 100 Caps
Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. It is a popular choice in many antioxidant regimens.Synthovial Seven, Pure Hyaluronic Acid, Hyalogic, 1 oz.
Hyaluronic Acid (HA) has been proven by numerous medical studies to alleviate pain and suffering from arthritis of the knee and other joints.Taurine, Free Form, NOW Foods, 500 mg, 100 Caps
Taurine is a conditionally essential amino acid which is not utilized in protein synthesis, but is mainly found free in most tissues, especially throughout the nervous system.Thayer's Dry Mouth Spray, Citrus, Sugar-Free, 4 fl. oz.
Thayer's Dry Mouth Spray is an all-natural solution that aids in the temporary relief of dry mouth (xerostomia) caused by medications, Sjogren's syndrome, lupus, stress, aids, radiation therapy, mouth breathing or aging. Directions: Spray in your mouth as needed. Safe to use as often as needed. Safe to Swallow.Thayer's Dry Mouth Spray, Menthol, Sugar-Free, 4 fl oz.
Thayer's Dry Mouth Spray is an all-natural solution that aids in the temporary relief of dry mouth (xerostomia) caused by medications, Sjogren's syndrome, lupus, stress, aids, radiation therapy, mouth breathing or aging. Spray in your mouth as needed. Safe to use as often as needed. Safe to Swallow.Thayer's Lozenges, Dry Mouth Citrus, Sugar-Free, 100 Lozenges
Thayer's Lozenges provide temporary relief using natural ingredients, but no sugar or sodium. Our mouths are lined with sensitive mucous membranes which are moistened by salivary gland secretions. Their ability to secrete is often impaired by medication, Sjogren's Syndrome, radiation therapy, or aging. This is called Xerostomia. Take one tablet at a time and repeat every two hours as needed. In severe dry mouth cases, use Thayer's sugar - free dry mouth spray.Thayer's Slippery Elm Lozenges, Original, 24 Lozenges
Prized By Singers Thayer's Slippery Elm Lozenges are gentle all natural and used for temporary relief of minor discomforts and protection of irritated areas in sore mouths and throats. Nothing is better for singers, especially opera singers. Allow to dissolve slowly in the mouth. Repeat every 2 hours as needed.Toothpaste Gel, XyliWhite Whitening Gel With Xylitol Natural Sweetener, NOW Foods, 6.4 oz.
XyliWhite is a remarkable new toothpaste gel from NOW Foods that uses Xylitol, a natural sugar alcohol that looks and tastes similar to conventional sugar with one major exception - it has 40% fewer calories! Unlike many of the chemicals found in other fluoride based, whitening toothpastes, xylitol is a natural, well-tolerated substance commonly found in fruits, berries and other natural sources. In fact, the human body even manufactures its own supply - up to 15 grams, everyday. Xyliwhite is an all-natural "refreshmint" toothpaste made from select materials and guaranteed to be of superior quality. Xyliwhite toothpaste is completely safe for users of every age. Research have tested xylitol's ability to fight cavities, plaque, gingivitis, dry mouth and bad breath. Others have tested its ability to help neutralize plaque acids, assist in the re-mineralization of tooth enamel and attack the bacteria that can cause tooth decay. At the end of the day, this research ultimately suggests that xylitol may help promote a smile that is whiter, brighter and far more healthy.Visi Clear With Lutein, Bilberry, Zeaxanthin & Lycopene, 60 Caps
Visi Clear Eye Vitamin with Lutein and Bilberry is one of the few products that provide both lutein and whole kale and Zeaxanthin, another powerful carotenoid, to maximize antioxidant activity.Vision Formula With Lutein & Bilberry, Eye Supplement, 60 Caps
Vision formula with Lutein & Bilberry Eye Supplement supports normal eye function by utilizing Lutein, a key carotenoid found in fruits and vegetables, which protects the retina by blocking harmful blue light.Vitamin A, 100% Natural, Nature's Way, 100 Softgels
Nature's Way Vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.Vitamin B-12 Supplements & Products
An assortment of various B-12 products.Zinc Chelate, 100% Natural, Zinc Supplement, Nature's Way, 30 mg, 100 Caps
Nature's Way chelated Zinc supplement is 100% natural chelated with an advanced amino acid complex for superior absorption.
Herbal Remedies: Dry Eye Syndrome Supplements, Information & Products
Herbal Remedies: Dry Eye Syndrome Information
Herbal Remedies: Eye Problem Information
Aging Eyes: The Eye Digest - Dry Eye Treatments - List of Commercial DES Products & Ingredients
FOR MORE INFORMATION
American Academy of Ophthalmology
655 Beach Street
Box 7424
San Francisco, CA 94120
415-561-8500
Website: American Academy of Ophthalmology
NOTIFY YOUR HEALTH CARE PROVIDER IF...
You or a family member (such as a child) is having problems distinguishing colors or find colors confusing. This member may need to be tested for color blindness.
You or a family member are having problems with vision and/or you suspect an infection. Call your health care provider immediately if you experience severe eye pain or a sudden change in your vision, such as loss of vision or double vision.
You have any increase of symptoms. You may need frequent changes in your eyeglass prescription. If you have blurred or double vision that develops slowly; are having a problem seeing because of daytime glare or have difficulty driving at night because of glare from headlights, you need to see your health care provider.
You have any unexpected or unusual symptoms. There may be underlying health issues that need to be addressed.
Are having vision problems that are affecting your ability to perform daily activities.
Call your child's health care provider if your baby does not look directly at or respond readily to faces or large, colorful objects by age 2 to 3 months or if your child scowls, squints, or shields his or her eyes more than expected when in sunlight, or light seems to hurt your child's eyes.
You and your family members should have your eyesight checked regularly by your health care provider to rule out any problems and to receive a prescription for contacts or eyeglasses, if they are needed. Preserve you vision... it is very important.
TYPES OF EYE PROBLEMS & DISORDERS
Maintaining Healthy Eyes
HELPFUL RELATED LINKS
For a full list of available products from Mountain Rose Herbs, click on banner below:
HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
If you see a suggested Amazon product "not there" as indicated by an orange box with the Amazon logo, this only means the specific product link has been changed by Amazon.com. Use the "click here" icon on the orange box and it will bring you to Amazon.com and you can do a search for a specific product using keywords and a new list of available products and prices will show. Their product and resource links are constantly changing and being upgraded. Many times there are more than one link to a specific product. Prices will vary between product distributors so it pays to shop around and do price comparisons.
Educational materials and health products are available through Amazon.com. Use the search box provided below to search for a particular item.
HERBS, OILS, & SUPPLIES
Mountain Rose Bulk Herbs
Mountain Rose Aromatherapy Oils
Click Here To Visit Herbal Remedies Product Page
A Source For Medicinal & Ritual Herbs & Supplies
Aphrodisiacs Aromatherapy Bath & Body Care Bulk Herbs By The Pound Capsules, Tablets & Extracts Chinese Herbals Electronics Extracts First Aid Products Food Products, Mixes, Seeds, Snacks & More! Hair Care Products & Supplies Herbs & Oils, Kilo & Ton Hydroponics & Gardening Kava Products Kitchen & Housewares Mushrooms Musical Instruments Oral Care & Dental Products PC & IT - Computer Supplies & Assessories Skin Care, Cosmetics, & Gift Sets Smokes, Seeds, Cacti Spices, Salts, Sweeteners, & Seasonings Sports, Toys & Games Sweets, Candy, Chips & Snacks Stimulants Sedatives Teas & Coffees
Shaman Shop Home Page
