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Postural Tachycardia Syndrome (POTS) – Mayo Clinic

for patient spots is feeling tired not

having much energy not being able to

live a normal life for physicians it

spots P OTS postural orthostatic

tachycardia syndrome tachycardia means

fast heart one of the signs of this

condition is when somebody changes their

posture their position from lying down

to standing up the heart beats

excessively fast

that's the postural orthostatic

tachycardia the s of clots is the

syndrome it's the collection of symptoms

including dizziness headache fatigue

tummy upset that gets people down so

pots is a condition that makes people

feel tired

makes them feel rundown often dizzy and

very uncomfortable with headaches or

tummy aches

anybody can be affected but there seem

to be two kinds there's the adult kind

of pots which affects mostly women

between age 30 and age 50 and then what

I see as a pediatrician it affects

teenagers teenagers usually within about

a year of their growth spurt in the

beginning of their puberty changes

usually their high achieving teenagers

majority or girls but it can be girls or

boys and they're what parents would

think are the ideal children high

achieving hard working thriving in life

and then they get sick a normal kind of

sickness like mono or something but

instead of bouncing back from it then it

tips their involuntary nervous system

out of balance and they're left tired

and run down their blood flow is

disturbed so they can't get the blood

going to the right place at the right

time so they stand up and feel dizzy

they can't move their food through their

intestines well and they feel rundown

and uncomfortable the pots isn't very

well known was first described and

recognized about 15 years ago

first recognize just about ten years ago

in teenagers so it's newly recognized

not known by everybody and a lot of

patients with pots look normal they're

high achieving happy nice people that

just have trouble getting out of bed and

doing much and some people looking at

the surface would just blame it on

depression or something that's all in

their head so often the patients when we

see them have gotten the impression from

other healthcare providers that there's

nothing wrong and it's all in their head

they feel especially relieved we can

when we can explain what's really going

on with

involuntary nervous system and we can

point them toward recovery you found it

was interesting because we know there

are ways to treat pots but we know that

because of what people have said and

what we have tried there have been some

studies and adults to see what works but

there have not been very many studies

and teenagers to say what really works

to help them get better from pots so we

decided to ask the patients what was

working we knew how we were treating

them we were basing it on the best

science available but we realized we

didn't know very well so we surveyed our

patients a year or so after we had seen

them and asked how they were doing and

we were fascinated to find that people

treated with one particular medicine

were doing a lot better than people that

were not treated with that medicine and

so appointed us toward a better

understanding of what medicines can

really help so one of the medicines

that's been used for pots and adults and

often in teenagers or beta blockers beta

blockers that most of us think of her

for older people with heart disease or

high blood pressure but one of the

things that beta blockers do is to

tighten up the blood vessels so they

don't go so floppy so that even when

people stand up and they have to pump

their blood against gravity the

tightened up blood vessels would be able

to keep the blood circulating and do

better we found that using beta blockers

is very effective there are two sorts of

medicines we can use to help stimulate

the circulation either the beta blockers

or a different alpha medicine called

might adran what we found that is both

are fairly effective but almost

everybody gets a lot better on beta

blockers and more than half but not

everybody gets better on mitogen so from

learning from our patients and surveying

them to see how they were a year or so

after we had initially seen them we

learned that we needed to put a better

emphasis on beta blockers in treatment

when we saw these results awhile back

and we were analyzing the data we

realized wow maybe we need to push beta

blockers more so I used to mix and try

to choose some patients got the beta

blockers some got my Turin I've shifted

based on what we learned from this study

so I use beta blockers almost always as

my first line of medical treatment for

pots pots is real it relates to the

involuntary nervous system and it points

out that we don't know everything in

medical science we're learning a lot

about pots we know things but not all

or even aware so I think people need to

know that pots is real it exists and it

explains lots of chronic fatigue and

teenagers secondly it's treatable most

patients with pots as teenagers do get

better they should be able to look

forward to a complete and good recovery

and if we help them along the way with

various kinds of treatment then we can

expect will facilitate the recovery and

help them function better while they're

recovering and thirdly as we get to the

medical treatment there are certain

medicines that do seem to work better

but people should also know that it's

not just about medicine it takes some

changes in diet people need to eat more

salt they need to drink a lot more fluid

usually with pots and they need to get

exercising their bodies are telling them

that they're too tired and they can't

exercise we need to overcome that

feeling that physical feeling and get

them exercising so they can get

reconditioned and rehabilitated using

those non medicine ways in conjunction

with good medicine people do better