<s>[INST] i am(36 years female) wt 67 kg ,height 5'4'' with sjogren syndrome and positive ANA tested in 2005 , RA factor tested 60 , the sliva and dryness is almost cured by homeopathy since then but now suffering from low grade fever 99-100 since last 3 months.hot sensation is on face ,palms and feet sole , Hb is 11.5 ,feeling tired , mild swelling in fingers after long working and lower back pain. [/INST] Hi, dearI have gone through your question. I can understand your concern. You have sjogren's syndrome.  So your symptoms are due to that.  It is autoimmune disease.  Treatment is immunosuppressive drugs like steroids.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>