What is your approach to management of persistent painless salivary gland swelling/sialadenitis in patients with Sjogren's?

This is a common problem in this patient population, and we had Rheumatologist send to worry about physical findings that we are having trouble explaining. In this particular situation, the printable concern would be for sites of damage. Unfortunately, there are no known immunologic interventions th...

In addition to the excellent answer by @Dr. First Last I recommend looking at @Dr. First Last's answer here.

Though her answer is about recurrent parotitis in Sjogren's, the tx and workup recommendations are similar and useful (leaving out the anti-inflammatories if no inflammation is present).