I am bumping this back up. I am hoping someone who also has Sjogren's can help me. I have had to use my Restasis eye drops lately 4 or 5 times a day. I am only supposed to use them twice a day. I also have been having difficulty swallowing and my tongue is swollen and has a lot of red bumps. And, I have been getting hard lumps on the inside of my lips. They are not cold sores because they are too hard and painless. However, they come and go. It is my understanding that the saliva gland problems with Sjogren's are permanent and don't come and go. Is that right? I don't want to go to the doctor, however, because they usually don't believe me until things get really bad. And, I really loathe doctors. Really. I am trying to get over that. Hopefully some day. How do they diagnose Sjogren's when a person also has CFS? It seems like a lot of the symptoms would over lap. It also seems like many times we will have an illness, but it qualifies as A-typical (meaning it does not show up on antibody tests or other tests like it normally would). Has anyone here who also has Sjogren's had an Sjogren's antibody test? Did it turn out positive or was the only way you could be diagnosed was through a lip or mouth biopsy? If you have any information that would help, please let me know. My husband just got out of the hospital and we are really low on funds. I would like to avoid unecessary tests and unecessary doctors if I can.