Sjögren's Self-Help Questionnaire
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Fill in and print this questionnaire. It may be helpful in discussions with your doctor. |
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Symptom |
Yes |
No |
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Oral |
Dry Mouth |
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Sore Mouth |
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Difficulty in Chewing |
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Difficulty in Swallowing |
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Change in Taste |
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Ocular |
Dry eyes |
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Ocular discharge |
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Itchy eyes |
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Sandy feeling |
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Foreign body sensation |
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Tired eyes |
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Intolerance to light |
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Vaginal |
Dry vagina |
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Vaginal burning |
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Recurrent candidiasis |
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Gastric |
Hyper acidity/reflux |
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Indigestion |
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Diarrhea |
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Constipation |
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Pulmonary |
Chronic cough |
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Recurrent bronchitis |
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Skin |
Dry skin |
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Skin rash |
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Burning skin |
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Others |
Arthritis |
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Muscle pain |
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Psychological disorders |
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Thyroid gland disorders |
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Statistical analysis showed that combined symptoms of dry mouth, sore mouth, and dry eyes symptoms, correctly classified 93% of SS and 97.7% of the controls. Excluding mouth and eyes, combined gastric, muscle, psychological, vaginal, skin, nasal, and thyroid symptoms correctly classified 64.3% of SS and 86.1% of the controls.
For more information, call (214) 828-8490
