Common "Postural Orthostatic Tachycardia Syndrome" queries answered by top doctors | iCliniq

Postural Orthostatic Tachycardia Syndrome

Postural orthostatic tachycardia syndrome is an autonomic nervous system disorder that results in a rise in a heartbeat along with other symptoms of standing straight. This condition affects the nerves that control the heart rate, blood pressure, sweating, and fever. Long-lasting fatigue, troubled focusing, nausea, vomiting, headache, sweating, pale face, etc., are the symptoms of this syndrome. Adding salt to the diet, intake of medications like Fludrocortisone, increased fluid intake, etc., help in improving this condition.

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I am a 25-year-old woman who has been diagnosed with postural orthostatic tachycardia syndrome and paroxysmal atrial flutter. Please help.

Query: Hello, I am a 25-year-old female. I have been diagnosed with POTS (postural orthostatic tachycardia syndrome), and a Holter monitor also picked up paroxysmal atrial flutter episodes. I have no other heart conditions; my echocardiogram, 24-hour blood pressure profile, thyroid, electrolyte, and blood ...  Read Full »


Dr. Yash Kathuria

Answer: Hello, I am glad you chose icliniq for your medical-related queries. I understand your concerns regarding POTS and atrial flutter that you have been facing for some time now. Regarding the cause of palpitations, they may be precipitated by excess consumption of tea, coffee, smoking, and alcohol. S...  Read Full »

I have been experiencing distressing gastrointestinal symptoms after eating, including nausea, diarrhea, bloating, and pain. Please help.

Query: Hello doctor, I have been experiencing distressing gastrointestinal symptoms after eating, including nausea, diarrhea, bloating, and pain. These symptoms are severely impacting my ability to obtain the necessary nutrition and hydration. I also have postural orthostatic tachycardia syndrome and unde...  Read Full »


Dr. Ghulam Fareed

Answer: Hello, Welcome to icliniq.com. I have thoroughly reviewed your case history and the attached investigations (attachments removed to protect the patient's identity). Given your primary diagnosis of Postural orthostatic tachycardia syndrome (POTS), it is important to acknowledge that the autonomic...  Read Full »

I have postural orthostatic tachycardia syndrome. Help.

Query: Hello doctor, I have a recent diagnosis of postural orthostatic tachycardia syndrome. The symptoms are not recent and date back 30 years. They have worsened during periods of iron deficiency anemia. My echocardiogram taken seven years back was almost entirely normal, with an ejection fraction of 55%...  Read Full »


Dr. Prashant Valecha

Answer: Hello, Welcome to icliniq.com. Postural orthostatic tachycardia syndrome is secondary to low blood volume or anemia. It will improve with hydration, iron supplements, vitamin B12, vitamin B6, and folic acid supplements. But the cause of anemia should also be treated. Your first echocardiogram repo...  Read Full »

Is orthostatic intolerance indicative of POTS?

Query: Hi doctor, I currently take 60 mg Inderal once per day to help manage the following symptoms with prolonged standing. The symptoms faced are hot flash or sweaty, chest and neck tightening, heart palpitations, blurred vision, swelling in my hands and legs, legs get blotchy in color (I will attach a p...  Read Full »


Dr. Malay Shukla

Answer: Hi, Welcome to icliniq.com. As per your description, your current medical concerns are autonomic dysfunction and hypothyroidism. Medications are Levothyroxine, dose unknown, Propranolol LA 60 mg once daily and Andrographis paniculata extract twice daily. The patient suffers from multiple symptoms,...  Read Full »

Kindly sugget a remedy for short of breathe and chest tightness in postural orthostatic tachycardia.

Query: Hello doctor, I have been recently diagnosed with postural orthostatic tachycardia by my family doctor. I have been experiencing lightheadedness, fainted a few times after standing. My BP is really high 186/102 mmHg on average with a normal pulse while lying down, then as soon as I sit or stand up m...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. It is postural orthostatic hypotension, i.e. a significant drop of blood pressure which is causing fainting and giddy kind of symptoms. To prevent this avoid sudden movements like while getting up from the bed, sit with the legs hanging on the side for a while then get ...  Read Full »

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