Kew2012, I have both fibromyalgia and Sjogrens. My nosebleeds are due to the extreme dryness of nasal passages caused by the Sjogrens. I've suffered dry eyes for decades but wasn't diagnosed with Sjogrens until 2015. I'm in a double flare of both right now, and my throat gets so dry talking I sometimes choke on words, literally. I have to grab water and drink before I can utter another word because it feels like my dry throat tissues are sticking together.