This pain is usually a burning, tingling or stabbing sensation, and can be constant or on-and-off. The damage leading to neuropathic pain can also be a cause of POTS. Damage to the nerve supply can lead to dysfunction of blood vessel muscles.
How is POTS treated? Treatment for POTS should be tailored to each individual, because the symptoms and underlying conditions may vary widely. Although there is no known cure for POTS, the condition can be managed in most patients with diet, exercise and medications.
Postural orthostatic tachycardia syndrome (POTS) is a condition that affects blood flow. POTS causes the development of symptoms -- usually lightheadedness, fainting and an uncomfortable, rapid increase in heartbeat -- that come on when standing up from a reclining position and relieved by sitting or lying back down.
How Do Doctors Treat Post-COVID POTS?
Jun 2, 2021
New research from The University of Toledo College of Medicine and Life Sciences strongly suggests postural orthostatic tachycardia syndrome, or POTS, is an autoimmune disorder and may help pave the way for a simple blood test that could help physicians diagnose the condition.
In POTS there is not usually a significant drop in blood pressure. Blood tests, heart monitoring and other tests are typically performed during the test. Tilt table testing is considered generally safe, and medical staff will monitor throughout the test.
Secondary POTS is associated with a known disease or syndrome; chronic diabetes mellitus is the most common disease related to POTS. Other associated diseases include amyloidosis, sarcoidosis, alcoholism, Lupus, Sjogren's syndrome, heavy metal intoxication, and following chemotherapy (especially from vinca alkaloids).
In some cases, body stockings help, as does exercise, especially strength training of calf muscles. Sometimes, blood pressure medication is indicated. In addition to these measures, I suggest taking supplemental magnesium, which may help slow the rapid heartbeats characteristic of POTS.
At night when you are flat, the kidneys will eliminate a lot of excess fluid in your body, which is why people with POTS often feel worse in the morning. By retaining some of the fluid at night, the blood pressure is higher in the morning and people feel better.
POTS may follow a relapsing-remitting course, in which symptoms come and go, for years. In most cases (approximately 80 percent), an individual with POTS improves to some degree and becomes functional, although some residual symptoms are common.
Individuals with POTS have been shown to be deficient in B12 and B1. B12 deficiency was proven to be significantly lower in children with POTS and B12 supplements may reduce orthostatic symptoms in this population . Vitamin B1 (thiamine), is a water-soluble vitamin that is integral to energy metabolism.
Published experimental data provide evidence that vitamin D deficiency could cause the development of POTS symptoms. Vitamin D deficiency causes an alteration of catecholamine levels via a change in PNMT activity in the sympathetic nervous system causing higher levels of norepinephrine than epinephrine.
Because the often-accompanying GI symptoms and gut dysmotility may result in considerable weight loss and recurrent dehydration, POTS patients require special attention to their nutrition and hydration needs. In the individual with weight loss and malnutrition, oral nutritional supplements should initially be provided.
Most experts advise avoidance of alcohol in patients with postural orthostatic tachycardia. Alcohol use prevents blood vessels tightening as usual, stopping the return of the blood to the upper body and the head. This may lead to low blood pressure, dizziness and possibly passing out.
Although there is no strong evidence that is it harmful, certain individuals may be sensitive to caffeine and so it's probably worth avoiding caffeine to see if symptoms improve. Those with hyperadrenergic POTS should certainly avoid caffeine.
You should drink at least 80 ounces of water throughout the day, more if it's hot outside or you're doing sports or exercise. This should be mostly water, some non-fat milk, and a maximum of 8 oz.
Patients with POTS have long been perceived as anxious; however, many common orthostatic intolerance symptoms (e.g. palpitation, lightheadedness, nausea, chest discomfort) are also clinical features of anxiety disorders.
Stand up still as possible for 2 minutes without leaning. Take the pulse while still standing. If there is no significant change in pulse, repeat continue standing up to 10 minutes, taking the pulse every 2 minutes.
One of the most common symptoms reported by POTS patients is cognitive dysfunction or “brain fog.” These terms both indicate a loss of brain functioning in areas such as thinking, remembering, concentrating, and reasoning to a level that interferes with daily activities.
Your POTS may be considered a disability if you meet the SSA's definition of disability and meet a Blue Book listing. If your POTS does, then you may qualify for disability benefits.