So I having been dealing with POTS since December. Nothing seems to help. I have tried fluids, salt, compression socks, beta blocker, florinef with no change in symptoms. I was feeling so out of it mentally I stopped taking the beta blocker and florinef. I also have a lot more issues besides just the tachycardia. I have head, face, neck and ear pressure and pain. I feel out of it a lot, like maybe I had a drink or something. I do not really think of it as dizzy but maybe I am just slightly. I just found out I have a cholesteatoma in my ear. It is eroding my hearing bones and my skull, it is possible my skull is eroded enough that some of my brain is herniating into the ear space. I have surgery in two weeks. My question is, is it possible that this could cause the heart rate issue. Maybe a csf leak or because of the dizziness? Has anyone experienced ear issues and POTS? POTS is rare and so is the ear thing. How many rare things can people have and they not be related?