How do I know if I have Dysautonomia / POTS?

How to Determine if You Have Dysautonomia / POTS

Dysautonomia refers to a group of conditions that affect the autonomic nervous system, which controls various bodily functions. One specific type of dysautonomia is Postural Orthostatic Tachycardia Syndrome (POTS). POTS is characterized by an abnormal increase in heart rate upon standing up, leading to symptoms such as dizziness, lightheadedness, and fainting. If you suspect you may have dysautonomia or POTS, here are some steps to help you determine if you have the condition:

1. Recognize the Symptoms

The first step is to familiarize yourself with the common symptoms associated with dysautonomia and POTS. These may include:

• Orthostatic Intolerance: Feeling lightheaded, dizzy, or faint upon standing up


• Tachycardia: Rapid heart rate, often exceeding 100 beats per minute


• Exercise Intolerance: Inability to tolerate physical exertion, leading to fatigue and weakness


• Brain Fog: Difficulty concentrating, memory problems, and cognitive impairment


• Headaches: Frequent headaches or migraines


• Gastrointestinal Issues: Nausea, bloating, constipation, or diarrhea


• Temperature Regulation Problems: Sensitivity to heat or cold

2. Consult with a Healthcare Professional

If you experience several of these symptoms, it is important to consult with a healthcare professional, preferably one who specializes in autonomic disorders. They will evaluate your medical history, conduct a physical examination, and may order specific tests to determine the underlying cause of your symptoms.

3. Undergo Diagnostic Tests

There are several tests that can help diagnose dysautonomia or POTS:

• Tilt Table Test: This test involves lying on a table that is then tilted to simulate standing up. It monitors your heart rate and blood pressure changes in different positions.


• Autonomic Function Tests: These tests assess how your autonomic nervous system responds to various stimuli, such as changes in temperature or breathing patterns.


• Electrocardiogram (ECG): An ECG records the electrical activity of your heart and can help identify any abnormalities.


• Blood Tests: Blood tests may be conducted to rule out other potential causes of your symptoms.

4. Keep a Symptom Diary

Keeping a detailed diary of your symptoms can be helpful in identifying patterns or triggers. Note down the date, time, and severity of each symptom, as well as any activities or factors that may have preceded them. This information can assist your healthcare professional in making an accurate diagnosis.

5. Consider Lifestyle Changes

While awaiting a diagnosis or in conjunction with treatment, certain lifestyle modifications can help manage dysautonomia or POTS symptoms:

• Hydration: Staying well-hydrated can help regulate blood volume and improve symptoms.


• Diet: A balanced diet rich in nutrients can support overall health and potentially alleviate symptoms.


• Exercise: Engaging in a tailored exercise program, under the guidance of a healthcare professional, can improve cardiovascular fitness and reduce symptoms.


• Medications: In some cases, medications may be prescribed to manage specific symptoms or regulate heart rate.


• Compression Garments: Wearing compression stockings or abdominal binders can help improve blood flow and reduce symptoms.


• Stress Management: Learning stress-reduction techniques, such as deep breathing exercises or meditation, can help manage symptoms triggered by stress.

Remember, only a qualified healthcare professional can provide an accurate diagnosis of dysautonomia or POTS. It is essential to seek medical advice and follow their recommendations for proper evaluation and treatment.