About 1 to 3 million people suffer from POTS in the United States. The majority of POTS patients are women ages 13-50 years old. Low blood volume can cause similar symptoms that may overlap in neuropathic and hyperadrenergic POTS. Low blood volume POTS: Reduced blood volume can lead to POTS.Hyperadrenergic POTS: Overactivity of the sympathetic nervous system.Neuropathic POTS: Peripheral denervation (loss of nerve supply) leads to poor blood vessel muscles, especially in the legs and core body.And POTS symptoms may subside if an underlying cause is found and treated. In most cases, with adjustments in diet, medications and physical activity, a person with POTS will see an improvement in quality of life. POTS patients may see symptoms come and go over a period of years. This means the blood pressure can't be kept steady and stable.Įach case of POTS is different. People with POTS can't coordinate the balancing act of blood vessel squeeze and heart rate response. Heart rate and blood pressure work together to keep the blood flowing at a healthy pace, no matter what position the body is in. The primary symptom of an orthostatic intolerance is lightheadedness, fainting and an uncomfortable, rapid increase in heartbeat. POTS is a form of orthostatic intolerance, the development of symptoms that come on when standing up from a reclining position, and that may be relieved by sitting or lying back down. It involves the autonomic nervous system (which automatically controls and regulates vital bodily functions) and sympathetic nervous system (which activates the fight or flight response). Postural orthostatic tachycardia syndrome (POTS) is a condition that affects circulation (blood flow). Psychological support and treatments, such as cognitive behavioural therapy (CBT), can be useful.What is postural orthostatic tachycardia syndrome (POTS)?.However, physical exertion can sometimes initially worsen PoTS therefore, it is very important to start with light exercise and gradually increase. Light to moderate exercise can be very effective to reduce the symptoms of PoTS. A fan or a bottle of water to cool you down can be helpful. Wear thin layers of clothes, so that one or two layers can be removed to prevent overheating. These should be worn waist-high to help reduce the amount of blood pooling in your legs.
The risk of fainting can be reduced by standing up slowly if you have been sitting for a while. Eat lots of unprocessed foods such as vegetables, fruit, beans and wholegrain foods. Avoid sugary foods and those containing white flour. Symptoms can become worse after a large meal. Eating small amounts and often can be helpful. Extra salt should therefore only be taken if recommended by your doctor. Extra salt can be dangerous in some conditions such as high blood pressure, and in kidney and heart disease. Coffee and other caffeinated drinks may worsen symptoms. At least 2-3 litres of fluid per day is usually advised. The following may be effective at helping to reduce the symptoms of PoTS:
General lifestyle changes may be all that are needed to control symptoms. What are the treatments for postural tachycardia syndrome (PoTS)? Lifestyle advice Women may find the symptoms are worse during a menstrual period. The symptoms of PoTS may also develop after an illness such as a viral infection or after an operation.
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