Anyone been diagnosed with POTS - Postural orthostatic tachycardia syndrome?

Would love to hear from anyone who has been treated or is being treated for POTS to understand what your treatments are, have been, what worked and what hasnt? That would be great. Thanks so much for sharing

Replies

  • Shredder583
    Shredder583 Posts: 180 Member
    Awesome thankyou both so much for the advice his is awesome!!
  • psuLemon
    psuLemon Posts: 38,386 MFP Moderator
    It depends on your severity of your symptoms. My wife has POTS and we have been managing it for about 7 years now. Universally, a diet high in sodium, magnesium and potassium is key. Literally, salt everything. My wife also has to supplement with potassium and magnesium. Her medical treatments include sodium chloride infusions every other week and used a beta blocker when she wasn't pregnant (probably going back ok one since she is post partum).

    Weight training also seemed to improve her condition when it was focused on the core lifts (DL, squat, OHP, Bench) since it engages a lot of muscles.
  • Hello. I'm new here and looking for others diagnosed with POTS/hEDS symptoms, too.
    I have been under a specialist, here in Australia, for about 6 months and, as well as all the advice above re: salt, compression socks etc, I am on a vasoconstrictor drug called Midodrine and it has been a revelation! Seems I've had this all my life and whenever I see my specialist or Occupational Therapist I learn yet another thing I thought was normal is, in fact, a coping mechanism for my severely low blood pressure and orthostatic intolerance!
    Seeing an OT is a really great idea - for example, the simple act of washing and rinsing my hair with my head down under the shower, instead of putting my head back drastically changed the exhaustion I suffer from showering.
    Good luck with your treatment and thank you for starting this thread, I'll be watching it with interest
  • justkeeprunning91
    justkeeprunning91 Posts: 96 Member
    I also have POTS and vasovagal syncope and take midodrine to manage my symptoms. As a distance runner, by far the most important things I can do are to stay hydrated and listen to my body when I work out. I mostly drink Gatorade while I run, though I do get dizzy when I push too hard for too long (longer than 10 mile runs can cause prolonged lightheadedness unless I take it steady). Weight training has been very helpful for me as well.
  • psuLemon
    psuLemon Posts: 38,386 MFP Moderator
    I also have POTS and vasovagal syncope and take midodrine to manage my symptoms. As a distance runner, by far the most important things I can do are to stay hydrated and listen to my body when I work out. I mostly drink Gatorade while I run, though I do get dizzy when I push too hard for too long (longer than 10 mile runs can cause prolonged lightheadedness unless I take it steady). Weight training has been very helpful for me as well.

    Id suggest looking at nuun tablets or emergen-c. Much higher concentrations of electrolytes. For the most part, Gatorade sucks as an electrolyte drink.
  • CompulsiveCreative
    CompulsiveCreative Posts: 2 Member
    edited February 2018
    I also have POTS and vasovagal syncope and take midodrine to manage my symptoms. As a distance runner, by far the most important things I can do are to stay hydrated and listen to my body when I work out. I mostly drink Gatorade while I run, though I do get dizzy when I push too hard for too long (longer than 10 mile runs can cause prolonged lightheadedness unless I take it steady). Weight training has been very helpful for me as well.

    10 mile runs might be too much too far? I fall over walking down my hallway! Maybe I need to take my doctor seriously when he says my symptoms are severe.
    Seriously, though, was running something you have been able to take up since diagnosis and treatment, or were your symptoms never severe? If the former, it would give me great hope for midodrine helping me build at least normal stamina.
  • Shredder583
    Shredder583 Posts: 180 Member
    Hello. I'm new here and looking for others diagnosed with POTS/hEDS symptoms, too.
    I have been under a specialist, here in Australia, for about 6 months and, as well as all the advice above re: salt, compression socks etc, I am on a vasoconstrictor drug called Midodrine and it has been a revelation! Seems I've had this all my life and whenever I see my specialist or Occupational Therapist I learn yet another thing I thought was normal is, in fact, a coping mechanism for my severely low blood pressure and orthostatic intolerance!
    Seeing an OT is a really great idea - for example, the simple act of washing and rinsing my hair with my head down under the shower, instead of putting my head back drastically changed the exhaustion I suffer from showering.
    Good luck with your treatment and thank you for starting this thread, I'll be watching it with interest

    Hi there you are welcome. I just thought it was a good way to collect and share information from those who arensuffering this syndrome. Thanks for the information, vey uninformative and something i will be looking into futher. Cheers
  • AlexMorganMc
    AlexMorganMc Posts: 42 Member
    Not POTS, but I also have a type of dysautonomia. It's rough navigating it, but it gets better. The thing that helped me the most was figuring out a lot of my "triggers" (and yes, there were/are a lot of them). When do I get dizzy? Is there a pattern? When am I most likely to fall down? I pay special attention to my temperature, how long I've been standing, stress levels, sleep, nutrition, etc. Once you start narrowing down what's causing symptoms, you can more easily manage them. It doesn't help *everything*, and even if you do all those things "right" you might still have problem days. But managing symptoms seems to be a key part of this illness.

    Don't go without the salt! I bring small packets in my bag wherever I go. Don't go too long without eating, make sure you drink plenty of water, and don't be afraid to sit or lay down if you need to. Also, check to make sure you don't have any other conditions that could affect this one. Make sure any and all medications are lined up and taken if necessary.

    Running (especially in the heat) was always something that made me incredibly sick. Weight lifting was out because of the lifting above my head. Etc. However, swimming is an activity I can do without worrying about gravity putting me on my butt. You might want to ask your doctor if they think that would be a safe activity for you.

    If standing/fainting in the shower is an issue, they have shower chairs you can use to sit on. I seem to manage okay without one now, but I know I miss when I used to have one. High recommended to get through those tough days.

    Also, seconding the "Gatorade sucks" mentality. Those drinks are just sugar water with a little salt. Another recommendation for Nuun tablets on this end. I bought bulk on Amazon, and they come in convenient tubes you can slip in your bag to supplement whenever you need it.

    Know the signs and symptoms of a concussion, and do not be afraid to go to urgent care if you bang yourself that way. Brain swelling is no joke, and you don't want your condition to go from annoying to deadly because you didn't want to spend a day/evening in a clinic/hospital.

    Keep a log of your symptoms and what's happening. Be detailed. It's easier to have an intelligent conversation with your neurologist/cardiologist if you have a record handy.

    There's a bunch more, but I feel like I'm rambling. I hope this helped a little. :-)
  • justkeeprunning91
    justkeeprunning91 Posts: 96 Member
    I also have POTS and vasovagal syncope and take midodrine to manage my symptoms. As a distance runner, by far the most important things I can do are to stay hydrated and listen to my body when I work out. I mostly drink Gatorade while I run, though I do get dizzy when I push too hard for too long (longer than 10 mile runs can cause prolonged lightheadedness unless I take it steady). Weight training has been very helpful for me as well.

    10 mile runs might be too much too far? I fall over walking down my hallway! Maybe I need to take my doctor seriously when he says my symptoms are severe.
    Seriously, though, was running something you have been able to take up since diagnosis and treatment, or were your symptoms never severe? If the former, it would give me great hope for midodrine helping me build at least normal stamina.

    I took up running after my diagnosis and after a year or so of stabilizing my symptoms. My POTS isn't too bad, my biggest issue is my tendency to lose consciousness due to the syncope. But, I had to build up mileage slowly, and I'm very careful about calling when I have to run inside, in the air conditioning. Luckily I live in a cooler climate, so running has been good for me, and has actually helped manage my symptoms. But, according to my cardiologist, it's all really dependent on the individual (I'm also in my 20s, if that makes any difference).

    Thanks for the heads up about the Gatorade, I was looking purely at sodium content and not thinking about the rest of the electrolytes I need. I'm reluctant to try new things, but I've been curious about nuun for a while, so I'll have to give them a shot!



  • Colorscheme
    Colorscheme Posts: 1,179 Member
    edited February 2018
    Hi! I have Hyperadrenergic POTS. Recumbent bike is the best form of exercise for it that's what I do.

    I disgree about the salt. I have high blood pressure, I am on high blood pressure meds and have to eat a low salt diet. Only take the advise about salt if you know your bp is pretty low. if it is normal or high, salt will not do anything. I drink vitamin water zero mixed with water when I work out to get electrolytes without sodium. I also take beta blockers plus lisinopril.

    Standard POTS treatments really vary from patient to patient, all the standard advice doesnt work for me because hyperadrenergic POTS is very different than normal POTS.
  • bribucks
    bribucks Posts: 431 Member
    My mom has POTS! The most important thing I can say is to find a GOOD specialist, even if it’s bit of a drive. Her specialist was 90 minutes away but arguably the best in his field. Of course, she was diagnosed many years ago when drs didn’t know as much about it, so it might be a bit easier to find a specialist nowadays.

    Second most important, is learning how to get over your ego. Know your limits, and know that those limits don’t make you weak. My mom has to use a wheelchair at places like the zoo or Disney parks because she can’t walk those long distances. She had to learn to “get over it” for the sake of her health.

    And of course, the compression stockings, salt, electrolytes, etc. My mom also uses the recumbent bike for exercise, but of course consult your doctor.
  • psuLemon
    psuLemon Posts: 38,386 MFP Moderator
    Hi! I have Hyperadrenergic POTS. Recumbent bike is the best form of exercise for it that's what I do.

    I disgree about the salt. I have high blood pressure, I am on high blood pressure meds and have to eat a low salt diet. Only take the advise about salt if you know your bp is pretty low. if it is normal or high, salt will not do anything. I drink vitamin water zero mixed with water when I work out to get electrolytes without sodium. I also take beta blockers plus lisinopril.

    Standard POTS treatments really vary from patient to patient, all the standard advice doesnt work for me because hyperadrenergic POTS is very different than normal POTS.

    High salt diets is one of the main recommendations for POTS. You just so happen to have other medical conditions that throw in more variables.
  • Colorscheme
    Colorscheme Posts: 1,179 Member
    psuLemon wrote: »
    Hi! I have Hyperadrenergic POTS. Recumbent bike is the best form of exercise for it that's what I do.

    I disgree about the salt. I have high blood pressure, I am on high blood pressure meds and have to eat a low salt diet. Only take the advise about salt if you know your bp is pretty low. if it is normal or high, salt will not do anything. I drink vitamin water zero mixed with water when I work out to get electrolytes without sodium. I also take beta blockers plus lisinopril.

    Standard POTS treatments really vary from patient to patient, all the standard advice doesnt work for me because hyperadrenergic POTS is very different than normal POTS.

    High salt diets is one of the main recommendations for POTS. You just so happen to have other medical conditions that throw in more variables.

    Hyper POTS is POTS. I failed the tilt test like everyone else. The difference is that hyper POTS is caused by too much adrenaline which squeezes the blood vessels causing hypertension. it is true that salt is good for low blood pressure but not everyone with POTS has low bp, I just wanted to point that out.

  • Shredder583
    Shredder583 Posts: 180 Member
    Thanks #Coloscheme and #Bribucks for your insights and experiences into POTS it sure does help understanding what others go through. I really appreciate you posting and sharing this!