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I just got diagnosed with POTS?
What is this disease? i know it can make you faint, but is there anything i should know about it?
3 Answers
- son of GodLv 71 decade agoFavorite Answer
Postural orthostatic tachycardia syndrome (POTS, also postural tachycardia syndrome) is a condition of dysautonomia,[1] more specifically orthostatic intolerance, in which a change from the supine position to an upright position causes an abnormally large increase in heart rate, called tachycardia. Several studies show a decrease in cerebral blood flow with systolic and diastolic cerebral blood flow (CBF) velocity decreased 44% and 60%, respectively.[2] Patients with POTS have problems maintaining homeostasis when changing position, i.e. moving from one chair to another or reaching above their heads. Many patients also experience symptoms when stationary or even while lying down.
Symptoms present in various degrees of severity depending on the patient. POTS can be severely debilitating. Some patients are unable to attend school or work, and especially severe cases can completely incapacitate the patient.
The hallmark symptom of POTS is an increase in heart rate from the supine to upright position of more than 30 beats per minute or to a heart rate greater than 120 beats per minute within 12 minutes of head-up tilt.
This tachycardic response is sometimes accompanied by a decrease in blood pressure and a wide variety of symptoms associated with hypotension. Low blood pressure of any kind may promote the following:[3]
lightheadedness, sometimes called pre-syncope (pre-fainting) dizziness (but not vertigo, which is also called dizziness)[4]
exercise intolerance
extreme fatigue
syncope (fainting)
Excessive thirst (polydipsia)
Chronic or acute hypoperfusion of tissues and organs in the upper parts of the body are thought to cause the following symptoms:
cold extremities
chest pain and discomfort
disorientation
tinnitus
dyspnea
headache
muscle weakness
tremulousness
visual disturbances
Autonomic dysfunction is thought to cause additional gastrointestinal symptoms:
abdominal pain or discomfort
bloating[5]
constipation
diarrhea
nausea
vomiting
Cerebral hypoperfusion, when present, can cause cognitive and emotive difficulties. Symptoms that persist in the supine (recumbent) state are difficult to attribute to "cerebral hypoperfusion"
brain fog
burnout
decreased mental stamina
depression
difficulty finding the right word
impaired concentration
sleep disorders
Inappropriate levels of epinephrine and norepinephrine lead to anxiety-like symptoms:
chills
feelings of fear
flushing
overheating
nervousness
over-stimulation
Symptoms of POTS overlap considerably with those of generalized anxiety disorder, and a misdiagnosis of an anxiety disorder is not uncommon.
The above notwithstanding, it should be emphasized that prolonged inactivity of any cause, especially when much time is being spent in the supine (recumbent) position, will lead to a diminution in the usual orthostatic reflex. In other words, chronic inactivity with frequent assumption of the supine position will lead to the hallmark signs of POTS. This raises the question as to whether, in some cases, POTS is actually an epiphenomenon, and has resulted from prolonged inactivity. Since many POTS sufferers feel compelled to remain supine, the potential for a vicious cycle is obvious.
- 1 decade ago
a doctor diagnosed you with POTS and you didn't bother to ask any
motherfcking questions
are you serious?
ever heard of google? check it out. it's new but seems cool
- medcenmanLv 51 decade ago
It is TB going somewhere other than your lungs. It depends on what stage you are at.


