Hello XXXXXXX

Thanks for posting your query.

I assume having been to so many specialists you might have undergone some investigations or blood tests. Please let me know the results if feasible. You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.

The common causes for your symptoms could be Diabetes, sjogrens syndrome, any autoimmune illness like systemic lupus erythematosis, fungal infection, anemia, salivary gland infection,
Less likely causes are urinary tract and kidney disorders, metabolic liver disorders or psychological stress lowering your immunity.

So to come to any conclusion, some of the blood tests ruling out the above conditions might be necessary like blood counts, blood sugar, urine routine and culture, renal and hepatic profile etc.
Kindly let me know if you have done any, so that I can provide you a satisfactory answer.

Awaiting your response.

Regards,

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Hello XXXXXXX .
Thanks for the follow up.

If your baseline blood investigations are normal , most likely diabetes and anemia are ruled out.
But for ruling out autoimmune illnesses or salivary gland pathology you still need to do certain tests like XXXXXXX Anti Ds-DNA, and rarely ultrasound or biopsy of salivary glands.

Also you should get a urine routine and culture and blood renal profile done to rule out pathology of water and electrolyte imbalance.

I would suggest you consult orofaciomaxillary surgeon who is a specialist Ent or dental doctor specialising in any issues related to oral cavity. Even the doctors you have visited are specialists and well versed with dealing in such cases but since you have tried many,you can just give it a try, hopefully something positive might come up.

Please accept this answer if you do not have any more queries.

Wishing you good health.
Regards.

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