[21F] Experiencing a range of chronic symptoms

What might be happening

Based on the information you've provided, here are a few possibilities:

• Sjögren's Syndrome: This is an autoimmune disorder that often affects the glands that produce tears and saliva, causing symptoms such as dry eyes and dry mouth. It can also cause fatigue and joint pain. The swollen glands you mentioned could be related to this condition.

  • Diagnosis typically involves blood tests, eye tests, and sometimes a minor salivary gland biopsy.
  • Treatment usually involves managing symptoms, such as using artificial tears for dry eyes and drinking plenty of water for dry mouth.

• Chronic Sinusitis: This is a condition characterized by inflammation of the sinuses lasting 12 weeks or longer. It can cause symptoms such as a sore throat, nosebleeds, and swollen lymph nodes. The tonsil stones you mentioned could be related to this condition.

  • Diagnosis typically involves a physical exam, nasal endoscopy, and sometimes imaging tests.
  • Treatment usually involves medications to reduce inflammation and manage symptoms, such as nasal corticosteroids and saline nasal irrigation.

• Lichen Planus: This is an inflammatory condition that can cause itchy skin, and in some cases, mouth sores. It could be responsible for some of your symptoms.

  • Diagnosis typically involves a physical exam and sometimes a skin biopsy.
  • Treatment usually involves topical corticosteroids to reduce inflammation and itching.

What you can do

While you should definitely seek care from a healthcare professional for a formal diagnosis and treatment, here are some things you can do in the meantime:

1. Keep your eyes and mouth hydrated. Use artificial tears for your eyes and sip water throughout the day for your mouth.
2. Try a humidifier in your bedroom to help with dryness in your throat and nose.
3. Avoid triggers that make your skin itch, such as certain fabrics.
4. Practice good oral hygiene to help with tonsil stones.

What you should look out for

Please seek immediate medical attention if you experience:

• Difficulty breathing or swallowing
• Severe pain
• Symptoms that significantly interfere with your daily life
• Symptoms that are getting worse or not improving despite self-care

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.