Hey Chikadee. Trouble swallowing is a very common problem with Sjogren's. For a person with Sjogren's it usually indicates that the salivary glands are producing less saliva. And yeah, to quote my Sjogren's book, the salivary glands and saliva, protect, lubricate, clean oral mucosa, maintain a neutral PH and aid with taste and digestion. Normally, little saliva is produced during sleep so those of us with Sjogren's get severe cotton mouth in the morn. I use Biotene Oral Balance gel (OTC) each night before closing my eyes and sometimes wake during the night, take a sip from my water bottle and use more Oral Balance.
I'm absolutely the worse person to preach about dental hygiene. I brush, floss, and use ACT mouthwash which helps build enamel, but it's been over two years since I've seen the dentist. I just hate to go. I have a BS in Medical Technology (lab) and microbiology is my forte, so I of all people know what's growing in our mouths. (Bacteria next to the tooth surface produce acid.) Saliva replenishes calcium and phosphate ions as they are lost from the tooth surface. Basically with decreased saliva your teeth rot.
As a side note, the first ENT I saw since symptoms began really didn't know squat. A nurse told me about her ENT and he's the doc who did my surgery. He would not perform the surgery until I bought a device that one sticks up their nose as it produces a fine mist of sterile saline. I hated buying the thing and I hate using it, but it sure works. Have you considered changing ENTs? Love, Butterflake
Lupus '05, Sjogrens, fibro, major depressive disorder, CNS problems, GERD, colitis, 1st stage kidney disease. Many meds: better living through chemistry