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What Causes Tingling Sensation On Nose While Suffering From Sjogrens Syndrome?

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Posted on Thu, 22 Jan 2015
Question: I have hypothyroidism, Sjogrens and Raynauds. I already have strange feelings in 3 toes to the left of my big toe after having surgery for joint issues and the big toe stings at times. That is probably from Chilblains? because I had little red blisters on it initially. Now I am getting tingling sensations on the tip of my nose. Is this related to the other issue? What can be done if anything and will it spread?
doctor
Answered by Dr. Naval Mendiratta (23 minutes later)
Brief Answer:
Is it Raynauds

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well i have gone through your history. Sjogrens syndrome and Raynauds can get a bit distressing especially in the cold weather. If you are getting tingling sensation in the toes along with the nose, there is a possibility that raynauds is not being controlled. Chill blains can happen as well but it normally wont affect just one side of the feet and nose is usually not involved.

1. What i am interested in knowing is, if you have noticed any color change in the nose or your feet.

2. Is it happening to any other parts of the body as well, like your hands?

3. Are you taking any medications for raynauds?Cause it is cold weather there and from the list of medications i dont see anything being prescribed for raynauds

Do let me know these queries. I would be happy to guide you further

Regards
Dr Naval
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Naval Mendiratta (23 hours later)
Hi,

The first thing that happened with my big toe was these red blood blisters. Then several months later while it was still somewhat warm outside, the tips of my toes starting turning purple. But this was all my toes. Then the discoloring kept spreading and now includes all the toes and bottom of my feet. Then I got the diagnosis of Raynauds from my Podiatrist. We waited till XXXXXXX 2013 to do the surgery on my hammer toe (middle) and the 2 toes on each side on it my left foot because he felt with the Raynauds it should be warm outside for the best result. I did not know I had an allergy to Vicral Sutures and so after surgery my toes have not been the same. They crack when I try to bend the joint. He's tried Cortisone shots a few times to break up the sutures? tissue? but has not totally corrected the problem. Now they feel numb, sometimes tingly, etc. Mostly, my toes get a deep purple almost black color. My big toe on left foot hurts if it gets cold and more recently so do the 3 toes I had surgery on. I just do the best I can at keeping them warm. My fingers in the last several months do get discolored too. As far as my nose, my sister asked me one day why my nose was so red. I hadn't noticed. I am not on any medication for Raynauds. I have to take meds for the Fibromyalgia, Hypothyroid and Sjogrens and I really would like to get off some of what I'm taking now. In the last 1.5 yrs I have had the allergic reaction XXXXXXX 2013 to the Vicral Sutures, then in August went through Thyroid storm, then after I developed a macular hole in my right eye in November. Then I had shingles in February and then in August this year the Vitrectomy I had for the Macular hole sped up the cataract in my right eye so had that removed and Toric lens put in but because my iris was floppy it took longer than my eye surgeon had hoped and that caused corneal swelling. I also have Fuchs' Dystrophy and so the drops I was given to reduce the corneal swelling have not taken care of the problem so I am now awaiting a surgery date for a corneal transplant. As far as my nose is concerned can Raynauds affect that as well? I have probably given more info than you need but I am getting a little tired of being ill. Even when my health really took a nose dive in 2010 which is when my neurologist thought I had Myasthenia Gravis but I guess it was actually Sjogrens, I have had one thing after another. There are several auto immune diseases in my family.
Thanks so much for your help.
doctor
Answered by Dr. Naval Mendiratta (16 hours later)
Brief Answer:
? Management Of raynauds

Detailed Answer:
Good evening

Sorry for the late reply. Was caught up in a few things

Thank you for answering the queries. You have a rough year so far. Well but what i am not able to figure out is: You are not on any medications foot raynauds or Sjogrens at present. Raynauds can affect your finger tips, feet, nose and ear. It gets precipitated in cold and can cause constriction of the blood vessels which can either cause pallor or bluish discoloration or sever shooting pain or ulcers over them. Considering the weather conditions you are in, you need to start some medications for it. Nifedipine will help in this case and try to keep your fingers warm.

Secondly, if it is Sjogrens you need to have some medications for it even it is involving only minor organs. They may not have put you on Hydroxychloroquine in fear of Fuchs Dystrophy, but if the ophthalmologist gives you a clear indication, you should start that. Sjogrens syndrome if uncontrolled can cause lot of fatigue and tiredness along with dry eyes and dry mouth. So if your fatigue and pain is due to fibromyalgia or Sjogrens you need to discuss. Get your ESR levels checked periodically.

I guess you should discuss these issues out and start medication for raynauds before it harms your toes and fingers more.

Do let me know for more queries. Would be happy to help out

Regards
Dr Naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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What Causes Tingling Sensation On Nose While Suffering From Sjogrens Syndrome?

Brief Answer: Is it Raynauds Detailed Answer: Good evening Thank you for writing on health care magic Well i have gone through your history. Sjogrens syndrome and Raynauds can get a bit distressing especially in the cold weather. If you are getting tingling sensation in the toes along with the nose, there is a possibility that raynauds is not being controlled. Chill blains can happen as well but it normally wont affect just one side of the feet and nose is usually not involved. 1. What i am interested in knowing is, if you have noticed any color change in the nose or your feet. 2. Is it happening to any other parts of the body as well, like your hands? 3. Are you taking any medications for raynauds?Cause it is cold weather there and from the list of medications i dont see anything being prescribed for raynauds Do let me know these queries. I would be happy to guide you further Regards Dr Naval