07/08/2025
Story of attack coughing
🥺 Oof, yeah—coughing and Sjögren’s syndrome can absolutely be a thing, and it’s more common (and more annoying) than people realize. Let’s talk about what’s going on under the hood.
💡 First: What Even Is Sjögren’s?
Sjögren’s syndrome is an autoimmune disorder where your immune system basically gets confused and attacks your body’s moisture-producing glands—most notably your salivary and lacrimal (tear) glands. So: dry mouth, dry eyes… and for many folks, dry everything else too.
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🫁 So Where’s the Cough Coming From?
If you’re coughing and you have Sjögren’s, here are the top culprits:
1. Dry Airways (aka Desert Throat Vibes)
• Your airways need moisture to stay happy.
• Sjögren’s dries up secretions in your trachea and bronchi, leading to chronic dry cough.
• It’s a constant throat tickle—irritating and unproductive (the worst kind of cough).
2. Laryngopharyngeal Dryness
• Dryness can irritate the larynx and upper throat, triggering cough reflexes.
• Talking for long periods or breathing dry air makes it worse.
3. Postnasal Drip / Sinus Issues
• Sjögren’s can mess with your sinuses too—chronic inflammation and nonallergic rhinitis can cause mucus dripping down your throat, especially at night.
• That tickle leads to you guessed it—coughing.
4. Gastroesophageal Reflux (GERD)
• Sjögren’s folks often have GERD too (probably due to reduced saliva, which normally neutralizes acid).
• That reflux can irritate your esophagus and trigger a cough, especially lying down.
5. Lung Involvement (Interstitial Lung Disease)
• Rare, but serious. Some people with Sjögren’s develop inflammation in the lungs.
• If you’ve got coughing plus shortness of breath or chest pain, see a doc ASAP.
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🛠️ What Can You Do About It?
Depending on what’s causing your cough:
✅ General Relief Tips:
• Hydration is key: Water, herbal teas, lozenges.
• Use a humidifier, especially while sleeping.
• Try saline nasal spray or nasal rinses if sinuses are part of the problem.
• Avoid irritants: smoking, scented products, dry/cold air.
• Honey (if you’re not diabetic) can help coat your throat and suppress cough.
💊 Medical Treatments Might Include:
• Pilocarpine or Cevimeline (for stimulating moisture production)
• Inhalers or nebulizers (if lung involvement or airway inflammation is suspected)
• PPIs or antacids if GERD is a trigger
• Steroid nasal sprays or antihistamines (for sinus inflammation)
• Immunosuppressants (for more severe cases)
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🚩 When to Call in the Pros:
If your cough:
• Is worsening, constant, or interfering with sleep
• Comes with fever, wheezing, shortness of breath, or chest pain
• Produces colored or bloody phlegm
…it’s time to let your rheumatologist or primary doc know. You might need imaging or a pulmonary consult.