Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects the autonomic nervous system, leading to an abnormal increase in heart rate when a person moves from lying down to standing up. The symptoms of POTS can vary widely among individuals but generally include:

Rapid Heartbeat (Tachycardia): A significant increase in heart rate by 30 beats per minute (bpm) or more within 10 minutes of standing up. This is the hallmark symptom of POTS.
Dizziness or Lightheadedness: These symptoms occur upon standing and can sometimes lead to fainting (syncope).
Fatigue: Chronic exhaustion is common, which can significantly impact daily activities.
Palpitations: Feeling a strong or irregular heartbeat, especially upon standing.
Shakiness: An internal or external feeling of shaking when in the upright position.
Brain Fog: Cognitive impairments such as difficulty concentrating, confusion, and forgetfulness.
Nausea: Gastrointestinal issues including nausea can be present.
Headaches: Frequent headaches or migraines.
Sweating Abnormalities: Either excessive sweating or a reduced ability to sweat.
Exercise Intolerance: Difficulty performing physical activities; exercise can exacerbate symptoms.
Temperature Regulation Issues: Feeling too hot or too cold, indicating problems with regulating body temperature.
Blurred Vision: Visual disturbances when standing up.
It's important to note that POTS is a syndrome, meaning it is identified by a collection of symptoms that occur together. The severity and combination of symptoms can vary widely from person to person. Diagnosis typically involves a physical examination, patient history, and a tilt table test to measure the heart rate and blood pressure responses to changes in posture. Treatment for POTS may include lifestyle changes, dietary adjustments, physical therapy, and medication to manage symptoms.

After a severe dehydration I got the POTS changing my life. Here I will share some findings but please remember this is not a pro opinion.

After the ANS tries to balance the blood flow you are left with some secondary effects. What do I mean?

the blood flow of the feet should take part in regulation of entire system. The blood can be pushed up in the system if the feet vessels shrink. If the ANS can't change the diameter it will send more and more epinephrine in the walls to stimulate the shrinking of the walls.

Mean while the owner feels dizzy and sits down or faints . The epinephrine pump is then stopped but the volume left in the system is transformed in adrenaline and later that day the guy has an anxiety rush or as it is known a panic attack.

Trust me it can turn out into an aggressive panic attack and there is no solution if you try to control the panic. The only drug that worked on me was Xanax and I tried some drugs at that time. The only one that reduces the effect of adrenaline is Xanax. I advise you to read the side effects and be careful how you stop using it. It can give you suicidal thoughts when you try to stop it.

Now I managed to get well and my POTS experience is almost gone. I work out day in and day out in a regular gym with no special tools.

I use Celtic salt with almost every glass of water.

I sleep a lot since lack of sleep changes the ANS functionality.

I eat smaller portions and lately, I alternate fasting periods with feeding windows of 6 hours.

The risk factors for developing Postural Orthostatic Tachycardia Syndrome (POTS) are varied and can include a combination of genetic, environmental, and physiological factors. Here are some of the known risk factors associated with POTS:

Gender and Age: POTS is more commonly diagnosed in women than men, particularly in women of childbearing age (teens through 40s).

Genetic Predisposition: There is evidence to suggest that POTS may have a genetic component, as it sometimes occurs in multiple family members.

Autoimmune Disorders: Individuals with autoimmune conditions, such as Sjögren's syndrome, lupus, or celiac disease, may have an increased risk of developing POTS.

Viral Infections: Some cases of POTS develop after a viral infection, suggesting that post-viral syndromes can trigger POTS in susceptible individuals.

Physical Deconditioning: Extended periods of bed rest or inactivity can lead to deconditioning, which may predispose individuals to POTS upon reactivation.

Pregnancy: Some women may develop POTS during or after pregnancy.

Surgery or Trauma: Major surgery or physical trauma can sometimes trigger the onset of POTS.

Other Health Conditions: Conditions that affect the nervous system or blood volume, such as diabetes or Ehlers-Danlos syndrome, can increase the risk of developing POTS.

Medications: Certain medications that affect blood volume or blood pressure can increase the risk of POTS.

It's important to note that POTS is a complex condition, and its development may involve interactions between multiple risk factors. Additionally, many individuals with POTS do not have a clear precipitating factor, making it challenging to predict who will develop the syndrome. If you have concerns about POTS or its risk factors, it's advisable to consult with a healthcare provider who can offer personalized advice and assessment.