instruction: hello doctor according to my doctor I have sjorgen syndrome my big issue is that at times I have shortness of breath and it comes and goes it used to happen not too often years ago but now it happens every other month last year I had to be hospitalized due to my racing heart which went to the 180 bum and no one knew the cause of it my pulmonologist prescribed me var and I take it daily my symptoms are starting again where I get so tired even to eat while sitting at rest what should I do
output: hello from your description it is clear that you have confirmed sjogren syndrome unfortunately it is a chronic autoimmune disorder and treatment options are very limited the treatment is only symptomatic and supportive in the sense that whatever symptoms you have we intend to alleviate those symptoms but no definitive treatment is effective in the long run as you said you experience shortness of breath on exertion it suggests that your airways and lungs are probably affected by the disease so it is our first aim to detect up to what extent is the lung involvement by doing various tests the characteristics of the disease is dryness of various mucous membranes and dryness of airways which leads to further symptoms like cough bronchitis or bronchiolitis and bronchial hyperresponsiveness pulmonary hypertension can set in the long run so keep watch on it by regular ad echo test of heart for pah pulmonary hypertension also keep watch on various complications of the disease corticosteroids and immunosuppressive treatment have shown some promise but it is not void of side effects var beclomethasone dipropionate inhaler will alleviate your cough and breathlessness but it is better if you take fluticasone plus formoterol inhaler twice daily along with spacer also taking levosalbutamol and ipratropium inhaler for emergency use is also advised immunosuppressive tablets like cyclosporine can be taken under your physician observation overall total treatment is symptomatic I hope this helps