Ways To Manage Postural Orthostatic Tachycardia Syndrome (A Form Of Dysautonomia) Part 1


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 We’ve medicalized chronic illness such that, if we talk about our experiences at all, we use the language of medicine. — Katie Willard Virant MSW, JD, LCSW

Postural Orthostatic Tachycardia Syndrome (POTS), a type of dysautonomia, is an irregular spike in heart rate that occurs when a patient goes from being laid down and then, standing up. Treatment is prescribed depending on the symptoms, and it is a combination of methods to address cardiovascular dysfunction.

Some examples of the treatments include consuming salt tablets. Trying fludrocortisone can also help. Other doctors recommend pyridostigmine, while midodrine is the usual treatment by some medical practitioners. Beta-blockers may be prescribed for POTS treatment as well.

Some things can also help – which you need to be reminded of when it comes to Postural Orthostatic Tachycardia Syndrome:

  1. Thigh-high compression stockings can alleviate Postural Orthostatic Tachycardia Syndrome signs and symptoms. These stockings can constrict the legs by pushing the blood up as it circulates to the heart.
  2. Cardiac Rehab programs can also help in revitalizing one’s health while providing the best data for proper diagnosis of the Postural Orthostatic Tachycardia Syndrome symptoms.

It can be especially upsetting and confusing to learn you have a chronic illness/condition. It’s natural to feel overwhelmed, and wonder “Why me?!” “Where did this come from?” — Dan Mager MSW

How To Manage Postural Orthostatic Tachycardia Syndrome On A Day-To-Day Basis

Maintenance for Postural Orthostatic Tachycardia Syndrome requires a healthy lifestyle and regimen every single day. It consists of a balanced diet, strict health monitoring, and some moderate exercise.


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With that mentioned, here are the following guidelines for maintenance if you have Postural Orthostatic Tachycardia Syndrome:

Diet And Nutrition For Those With Postural Orthostatic Tachycardia Syndrome

If you have POTS, maintain a diet with portions of protein, vegetables, dairy, and fruits. Fiber and complex carbohydrates can regulate glucose levels, which is advisable to consume since it reduces the symptoms of Postural Orthostatic Tachycardia Syndrome, but do not eat a large amount of food in one sitting. Small frequent meals are better to curb the signs and symptoms of POTS.

Another recommendation from specialists for Postural Orthostatic Tachycardia Syndrome is the consumption of salt. Add more salts into your diet – about 3,000 mg to 10,000 mg per day is the best. Sources of this nutrient include chicken, beef or vegetable broth, pickles, nuts, olives and salted fish which can be sardines and anchovies. Chips and crackers are high in salt, but it is not nutritious. It is better to stay away from these.


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Daily fluid recommendation of a person with Postural Orthostatic Tachycardia Syndrome is two to two and a half liters. Sports drinks are okay, but water is a safer choice if you want to watch your calories or if you have other food sensitivities.

Being positive can be helpful; patients should just make sure there are enough loved ones who can listen when the chips are down. — Tamara McClintock Greenberg Psy.D.

POTS patients may have low stamina to go outside of their rooms and prepare their meals. Plan your meals ahead of time to accomplish it in one go if your energy is sufficient. The same thing goes for groceries. You must plan your purchases and request assistance if needed.

Processed foods are easy for consumption but have less nutritional value. This may be a quick fix when low on energy but don’t rely on these excessively. Health conditions are costly but don’t compromise health and nutrition to cut costs. Early phases of POTS aren’t pleasing so be careful of fad diets or supplements that induce weight loss.


If you want more updates about ways to manage POTS, wait for Part 2 next week.