06/05/2026
POTS is more than “just dizziness.”
If you feel significantly worse standing up, your nervous system may be struggling to regulate blood flow and heart rate properly.
4 common symptoms of POTS (Postural Orthostatic Tachycardia Syndrome):
• Rapid heart rate when standing
• Dizziness or lightheadedness
• Fatigue/exercise intolerance
• Brain fog or difficulty concentrating
Other symptoms can include nausea, headaches, shakiness, palpitations, temperature dysregulation, and fainting.
Diagnostic criteria typically include:
• Symptoms occurring with standing
• Heart rate increase of ≥30 bpm within 10 minutes of standing in adults (≥40 bpm in adolescents)
• Symptoms present for at least 3 months
• No significant drop in blood pressure causing the symptoms
POTS is a form of dysautonomia, meaning the autonomic nervous system is not regulating properly. It is real, often overlooked, and can significantly impact quality of life.
Management may include hydration, electrolytes, compression garments, exercise rehabilitation, nutrition support, medication, and addressing underlying contributors.
If you’ve been told “everything looks normal” but you continue to struggle with these symptoms, it may be worth discussing POTS with your healthcare provider.