Doctor Online

Non-pharmacologic management of POTS - A first-line approach

2025-09-16

Feeling dizzy when you stand up? It might be more than just a head rush. Understanding Postural Orthostatic Tachycardia Syndrome (POTS) is the first step toward getting a correct diagnosis, managing your symptoms, and reclaiming your daily life.

What are the main causes of Postural Orthostatic Tachycardia Syndrome?

  • The exact cause is often unknown, but it is a form of dysautonomia, meaning the autonomic nervous system that controls involuntary functions does not work correctly.
  • Common POTS syndrome triggers include major surgery, significant trauma, or a preceding viral illness that can disrupt the body's regulation of blood flow.
  • The condition involves an abnormal response to gravity, leading to inadequate blood volume returning to the heart and brain when a person stands up.
Pots symptoms and common health indicators
Pots symptoms and common health indicators

Key symptoms of Postural Orthostatic Tachycardia Syndrome to watch for

  • The defining sign is a heart rate increase of 30+ beats per minute (40+ for teens) within 10 minutes of standing, without a drop in blood pressure.
  • Common POTS symptoms include severe lightheadedness, brain fog, fatigue, palpitations, and fainting or near-fainting, especially after standing for a prolonged period.
  • Many individuals also experience headaches, nausea, shakiness, and poor sleep, which can significantly interfere with daily functioning, work, and school.

How is Postural Orthostatic Tachycardia Syndrome managed?

  • A cornerstone of POTS treatment is increasing fluid and salt intake according to a specialized POTS diet to help expand blood volume.
  • A formal POTS diagnosis is often confirmed with a tilt table test, which carefully measures how your heart rate and blood pressure respond to changes in position.
  • Management strategies also include specific exercise protocols to improve conditioning and medications to help stabilize heart rate and blood pressure.

>>> Discover more: Pompe disease – symptoms, diagnosis and treatment

Image of the disease Postural Orthostatic Tachycardia Syndrome  

Pots diet and supportive nutrition guidelines
Pots diet and supportive nutrition guidelines
Tilt table test for pots diagnosis procedure
Tilt table test for pots diagnosis procedure
Postural orthostatic tachycardia syndrome overview
Postural orthostatic tachycardia syndrome overview
Pots diagnosis and clinical evaluation methods
Pots diagnosis and clinical evaluation methods
Pots treatment and management strategies
Pots treatment and management strategies

>>> Learn now: Amyloidosis – causes, symptoms and care options

If you suspect you have POTS, don't try to manage it alone. Consulting a cardiologist or neurologist is essential for an accurate diagnosis and a tailored treatment plan. Proper medical guidance can make a significant difference in your quality of life.

>>> Learn now: Mast cell activation syndrome – symptoms and treatment