Aa
can you have pots if...
Can you have POTS if you dont Faint?
I mean i FEEL my Blood pressure Drop as my heart rate drops.
I am also anemic but on cardizem for SVT, Thing is, its such a small dose.. 120mg 24hr.
I stand up.. my heart rste jumps to 150-160... sometimes only 140..
i do have real bad anxiety as well..
Very deconditioned as well.. Starting physical therapy etc..
any ideas?
5 "11 110 pounds male..
Ya not good. Can i rule out pots by myself.
it bothers me because my resting BP never leaves 85-90 / 55 60 range unless im eating or something.
SALT doesnt help..
I mean i FEEL my Blood pressure Drop as my heart rate drops.
I am also anemic but on cardizem for SVT, Thing is, its such a small dose.. 120mg 24hr.
I stand up.. my heart rste jumps to 150-160... sometimes only 140..
i do have real bad anxiety as well..
Very deconditioned as well.. Starting physical therapy etc..
any ideas?
5 "11 110 pounds male..
Ya not good. Can i rule out pots by myself.
it bothers me because my resting BP never leaves 85-90 / 55 60 range unless im eating or something.
SALT doesnt help..
I'm sorry I dropped out of this conversation for a minute. I think there is a distinct likelihood that given the features of your primary diagnosis, the POTS-like-symptoms are fully explained by that. I FULLY believe that you are experiencing these same signs and symptoms of orthostatic intolerance, but it is part of the diagnostic criterion of POTS that if it's due to something like what you are experiencing, POTS will either be excluded as a diagnosis inherently OR at most you will be diagnosed with secondary POTS (secondary to your primary diagnosis). Treatment of this secondary POTS would be focused on controlling your primary diagnosis, which it seems you've already got your doctors working on. It also sounds a bit like the medical professionals around you are a little shaky on the diagnostic criteria of POTS and how to take orthostatic pulses and pressures; I'm really not trying to insult them in any way as this is EXTREMELY common. I don't think these things are taught (or taught well) to most medical professionals.
Treatment of secondary POTS/orthostatic intolerance can be two-fold: symptom management of the POTS/OI and treatment of the underlying cause/primary disorder. It sounds like your docs are already doing everything they can for your digestive condition. Focusing on leg exercises in PT would help what is called "skeletal muscle return" of blood to your heart (you can kind of think of it as your leg muscles squeezing the blood back up like a tube of toothpaste being squeezed), which should address the deconditioning and hopefully will get your symptoms in better control. Leg exercises can also be done while sitting or lying down if doing them whilst upright is too strenuous or triggers too many symptoms in the beginning.
I really hope that the PT helps you a great deal. I think that if they can get your other health problems under better control, you will be able to improve or even resolve these orthostatic intolerance symptoms in time! You're definitely on the right track, in my opinion.
Treatment of secondary POTS/orthostatic intolerance can be two-fold: symptom management of the POTS/OI and treatment of the underlying cause/primary disorder. It sounds like your docs are already doing everything they can for your digestive condition. Focusing on leg exercises in PT would help what is called "skeletal muscle return" of blood to your heart (you can kind of think of it as your leg muscles squeezing the blood back up like a tube of toothpaste being squeezed), which should address the deconditioning and hopefully will get your symptoms in better control. Leg exercises can also be done while sitting or lying down if doing them whilst upright is too strenuous or triggers too many symptoms in the beginning.
I really hope that the PT helps you a great deal. I think that if they can get your other health problems under better control, you will be able to improve or even resolve these orthostatic intolerance symptoms in time! You're definitely on the right track, in my opinion.
Oh ok! I KNOW pt helped ME. I have been feeling really bad the last month and have not been up and moving like I was and my heart rate has gone back up again and I feel worse then when I do something.
After a weird reaction to a drug left me hospitalized and not able to move my legs for three days, I got weaker and over a month could not walk, slowly I was able to use a walker then a cane, and then just me. I got up to 15 minutes outside and then it got too hot outside.
I keep doing as many exercises as possible as often as possible and the more I do the better I feel. The ONE patient education pamphlet the Mayo has on POTS has two case outlines and one person runs five miles a day and if she does not she gets really sick. Many of us can't do this but it gives me hope that someone runs this long and hard and doesn't drop from doing it. (I am sure she did not start out at five miles so don't overdo it :->)
Keep doing what you can and set mini goals! You can reach them!
After a weird reaction to a drug left me hospitalized and not able to move my legs for three days, I got weaker and over a month could not walk, slowly I was able to use a walker then a cane, and then just me. I got up to 15 minutes outside and then it got too hot outside.
I keep doing as many exercises as possible as often as possible and the more I do the better I feel. The ONE patient education pamphlet the Mayo has on POTS has two case outlines and one person runs five miles a day and if she does not she gets really sick. Many of us can't do this but it gives me hope that someone runs this long and hard and doesn't drop from doing it. (I am sure she did not start out at five miles so don't overdo it :->)
Keep doing what you can and set mini goals! You can reach them!
After a major surgery, I had a surgeon instruct me what to do to aid in my recovery and I think my health in general and I did it for quite a while. I might not remember perfectly the progression, but it was something like this: She had me walking just leisurely in the hospital and subsequently at my home three minutes twice a day for three to four days. Then she wanted me to increase to five minutes twice a day for three or four days. Then 10 minutes twice a day for three to four days, and so on until I reached an HOUR twice a day of leisurely walking in my home.
I believe it helped me in my recovery from surgery, as exercise can benefit in so many ways- getting the feel good endorphines going, helping build up stamina, helping bowel function, helping circulation which speeds up healing.
But you getting the hemoglobin up will make it easier, because having anemia makes a person feel exhausted and you can get short of breath so easily with the lack of oxygenation caused by anemia. Taking deep breaths while I sat on a doctor's exam table is one thing a doctor had me do prior to being diagnosed with POTS because he didn't like how fast my heart rate was. That slowed it down to his liking. You might try it while sitting and see if slows your sitting pulse some.
I believe it helped me in my recovery from surgery, as exercise can benefit in so many ways- getting the feel good endorphines going, helping build up stamina, helping bowel function, helping circulation which speeds up healing.
But you getting the hemoglobin up will make it easier, because having anemia makes a person feel exhausted and you can get short of breath so easily with the lack of oxygenation caused by anemia. Taking deep breaths while I sat on a doctor's exam table is one thing a doctor had me do prior to being diagnosed with POTS because he didn't like how fast my heart rate was. That slowed it down to his liking. You might try it while sitting and see if slows your sitting pulse some.
Did I say something wrong? I am confused by your first sentence of the last post.
I did not mean to be condescending if it came across that way.
I did not mean to be condescending if it came across that way.
i cant believe you said all that. I have been deconditioned now for 4 months. In and out of sleeping in a recliner. Barely doing anything but going to the bathroom..
After the whole session i was exausted. THE LAST exercise was just STAND up for 30-60 sec and check heart rate.. it was 165.
first one was 150
second was 150-160
so yes your right.
the whole exercise program is leg work outs.
knee lifts, lef lifts, and a few others. 3x a day. im going to try for 5..
After the whole session i was exausted. THE LAST exercise was just STAND up for 30-60 sec and check heart rate.. it was 165.
first one was 150
second was 150-160
so yes your right.
the whole exercise program is leg work outs.
knee lifts, lef lifts, and a few others. 3x a day. im going to try for 5..
Not being a doctor I don't want to say what it is or not. What I DO know is that deconditioning can cause your pulse to increase when you sit or stand and that it can mimic POTS.
I looked over this paper I was given that was written by Phillip Low M.D, He's at the main Mayo, and one of the neurologists who has been doing research on autonomic disorders for years. It's for their doctors to use when giving patients advice, it's not a published brochure, so I can't point you in its direction but it says that exercise especially leg strengthening is important. The leg muscles squeeze the veins and help pump the blood back up.
My PT gave me large pieces of elastic that I could use to do different exercises with sitting down. It can help to just sit and squeeze your leg muscles and hold them for a count of 15-30 or what ever you can do. Or sit and pump your foot pushing your toes into the floor and then pulling them up.
I also have counter maneuvers to do to slow my heart down, has your doctor or PT shown you any?
Don't give up!
I looked over this paper I was given that was written by Phillip Low M.D, He's at the main Mayo, and one of the neurologists who has been doing research on autonomic disorders for years. It's for their doctors to use when giving patients advice, it's not a published brochure, so I can't point you in its direction but it says that exercise especially leg strengthening is important. The leg muscles squeeze the veins and help pump the blood back up.
My PT gave me large pieces of elastic that I could use to do different exercises with sitting down. It can help to just sit and squeeze your leg muscles and hold them for a count of 15-30 or what ever you can do. Or sit and pump your foot pushing your toes into the floor and then pulling them up.
I also have counter maneuvers to do to slow my heart down, has your doctor or PT shown you any?
Don't give up!
ya my hemoglobin was 7.5 last week. turns out a FISTULA over months time kept dropping my hemoglobin due to infection...
bone marrow must not been producing many cells.
with a hemoglobin that low..
i just stood for a minute.. it was 140...
i got up at BOUT 110 bpm..
so its JUST about 30-40 bpm which can indicate pots.. BUT the anemia is so low that my heart HAS TO WORK that hard..
plus i checked my bp.. when i sat back down it was 100/64..
i love HOW THIS FORUM is so supportive but to me it ISNT pots. UNLESS the hemoglobin atleast goes back to 10-13 range
bone marrow must not been producing many cells.
with a hemoglobin that low..
i just stood for a minute.. it was 140...
i got up at BOUT 110 bpm..
so its JUST about 30-40 bpm which can indicate pots.. BUT the anemia is so low that my heart HAS TO WORK that hard..
plus i checked my bp.. when i sat back down it was 100/64..
i love HOW THIS FORUM is so supportive but to me it ISNT pots. UNLESS the hemoglobin atleast goes back to 10-13 range
Okay, I have an article that says normalization is supposed to occur in about 60 seconds. But waiting that extra time is what I believe I was advised to do by a doctor in the past, giving the body even more time to normalize. If it does not normalize after waiting two to three minutes after standing, and your pulse is still up by 30 or more compared to your laying down pulse, you've got more grounds to be having your eye on pursuing a diagnosis of postural orthostatic tachycardia syndrome, although your deconditioning and anemia can cause tachycardia problems and need to be dealt with as much as possible so it won't convolute the picture as much.
Another criteria Vanderbilt uses for diagnosing POTS besides a positive tilt table test is a standing plasma noepinephrine of a minimum of 600 pg/ml. No one has tested me on that latter one, though I've had various catecholamine related tests come back abnormal at various times.
Another criteria Vanderbilt uses for diagnosing POTS besides a positive tilt table test is a standing plasma noepinephrine of a minimum of 600 pg/ml. No one has tested me on that latter one, though I've had various catecholamine related tests come back abnormal at various times.
stand for 2-3 minutes? like after 1 whole minute its like 145-150..
you think 2-3 minutes makes a difference?
you think 2-3 minutes makes a difference?
Well, the majority of people with POTS don't pass out and the pulse is what you want to be looking at. The body tries to compensate with the increased pulse and sometimes the blood pressure will go up, like it does at times with me, because the body is over-compensating. Why not lay 10 minutes, then take your pulse. Then stand two to three minutes and take your pulse and tell us what your numbers are?
no, i did this with my home care nurse also..
i took my blood pressure after standing up from a laying.to sitting and it was REAL HIGH.
which is normal for a minute..
than it normalized.
wasnt LOW LOW like where 1 would faint.
i took my blood pressure after standing up from a laying.to sitting and it was REAL HIGH.
which is normal for a minute..
than it normalized.
wasnt LOW LOW like where 1 would faint.
So what was your blood pressure when you stood up? You mention the blood pressure when you sat back down. I have POTS and the blood pressure can quickly return to normal with sitting.
You, not the therapist got a pulse of 115 after standing a minute? And what was your pulse before you stood up?
Did the therapist neglect to take your pulse laying and standing and only took your blood pressure when you sat back down? If they failed to do the home orthostatic test properly, shame on them! Waiting one minute is not long enough- one should wait two to three minutes after standing up from a lying down position before first taking the standing pulse & blood pressure.
You, not the therapist got a pulse of 115 after standing a minute? And what was your pulse before you stood up?
Did the therapist neglect to take your pulse laying and standing and only took your blood pressure when you sat back down? If they failed to do the home orthostatic test properly, shame on them! Waiting one minute is not long enough- one should wait two to three minutes after standing up from a lying down position before first taking the standing pulse & blood pressure.
I have no idea if i was having these heart rate issues before i spent a lot of time in my recliner...
It's just scary stuff to be walking around like this.
It's just scary stuff to be walking around like this.
Don't give up on yourself! I had to travel from Florida to Minnesota to get anyone to begin to give me answers. This was after 8 doctors in different specialties seen on a regular basis, a month in the hospital (and all the doctors and medical staff I saw while in the hospital above the original 8), several home health nurses, several home health PT's and 2 psychologists......ALL between September and April when I finally saw someone at the Mayo Clinic. I now carry around photocopied pages from a medical school book that explains what symptoms autonomic disorders can cause, what the tests are to diagnose them, and what POTS even stands for. These people go to school for a LONG time and still look at me with a "deer in the headlights" stare when I tell them what I have and most of them have looked over the information and say what now.
My understanding is that deconditioning can cause you to have POTS-like symptoms but....first comes POTS and you don't feel like doing anything and then you end up "deconditioned"
Did you have heart rate issues before you ended up spending two months in a recliner?
I have had trouble getting the medical community here at home to NOT focus on my blood pressure and when they start reading out multiple numbers I get confused.
I also have great regard for PT's but they are not doctors and should not be telling you what you can or can't have without the correct testing in my opinion.
I may have read this but have forgotten, so I apologize in advance if you have said it, has a doctor mentioned POTS or any autonomic disorder?
Another symptom many people who have autonomic disorders have is "brain fog", for me this means I get easily confused, I forget everything, post something and forget the main thing I want to say, start sentences and forget what I am saying or can't get the words out. It can be very frustrating, depressing and anxiety causing.
Be gentle with yourself and keep asking eventually something will click and then if you are like me, you will forget it again :-)
My understanding is that deconditioning can cause you to have POTS-like symptoms but....first comes POTS and you don't feel like doing anything and then you end up "deconditioned"
Did you have heart rate issues before you ended up spending two months in a recliner?
I have had trouble getting the medical community here at home to NOT focus on my blood pressure and when they start reading out multiple numbers I get confused.
I also have great regard for PT's but they are not doctors and should not be telling you what you can or can't have without the correct testing in my opinion.
I may have read this but have forgotten, so I apologize in advance if you have said it, has a doctor mentioned POTS or any autonomic disorder?
Another symptom many people who have autonomic disorders have is "brain fog", for me this means I get easily confused, I forget everything, post something and forget the main thing I want to say, start sentences and forget what I am saying or can't get the words out. It can be very frustrating, depressing and anxiety causing.
Be gentle with yourself and keep asking eventually something will click and then if you are like me, you will forget it again :-)
i dont get it, I NEVER WILL AND ITS MAKING ME SO DEPRESSED.
I dont get how she said that I stood up and my Heart rate after a whole minute was 115.
and when i sat back down, the BP was 112/84?
I wake up this morning and try it myself and my pulse is beating like im running from a lion.
the moniter watch says 155... and it DEF feels like 155...
ill never understand.. im living in my recliner for 2 months now.. only to get up and use the bathroom.
I dont get how she said that I stood up and my Heart rate after a whole minute was 115.
and when i sat back down, the BP was 112/84?
I wake up this morning and try it myself and my pulse is beating like im running from a lion.
the moniter watch says 155... and it DEF feels like 155...
ill never understand.. im living in my recliner for 2 months now.. only to get up and use the bathroom.
POTS is based on if your heart rate goes up by at least 30 beats per minute from laying-to standing & standing should be at LEAST two minutes before taking your pulse. A tilt table test is the best way to test about POTS for the pulses and blood pressures, where they do a series of measurements, if POTS is suspected. Another additional test to determine POTS is a standing plasma norepinephrine test that is I believe 600+. I was diagnosed with just the tilt table test myself.
What were your pulses (though your therapist didn't give long enough of interval with standing to take it, if they did take it, if they indeed waited only a single minute)? And you listed one BP- what was it laying and what was it standing? Are you getting intravenous iron therapy?
What were your pulses (though your therapist didn't give long enough of interval with standing to take it, if they did take it, if they indeed waited only a single minute)? And you listed one BP- what was it laying and what was it standing? Are you getting intravenous iron therapy?
so my physical therapist concluded i dont have pots because after standing for a minute and sitting back down i had a BP over 118/82
well it turns out i might be a total goofball.
I dont think im having heart rates of 160....
these domb heart rate moniters only say its so fast because it thinks the second you move the heart rate is 160.. but it takes a WHOLE minute to calculate. obviously the best way is old fashion manual checking.
I dont think im having heart rates of 160....
these domb heart rate moniters only say its so fast because it thinks the second you move the heart rate is 160.. but it takes a WHOLE minute to calculate. obviously the best way is old fashion manual checking.
no no. im saying because of the Diarrhea and infllimation and low HGB may have something to do with it also.
Heart rates just seem too high at 160 walking.
Very deconditioned and anxious.
Heart rates just seem too high at 160 walking.
Very deconditioned and anxious.
Yes, i meant Kasper. Brain fog strikes again. Sorry. This is what happens when two screen names start with the same letter, LOL. Looks like we're going to need a larger alphabet to accommodate my brain fog!!
I don't believe tachycardia would cause inflammation in the bowels. Did you read that on a credible medical website or did a specialist tell you that?
But your low hemoglobin I believe could cause tachycardia. And low oxygenation to the tissues is never a good thing for them.
But your low hemoglobin I believe could cause tachycardia. And low oxygenation to the tissues is never a good thing for them.
I have been on every Crohn's Med on the market. Only option now looks like surgery. I guess inflimation is also due to tachycardia.
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