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Welcome to Phoenix Rising!
Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of and finding treatments for complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia (FM), long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.
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Postural tachycardia syndrome: a heterogeneous and multifactorial disorder.
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Many patients with POTS also report symptoms not attributable to orthostatic intolerance, including those of functional gastrointestinal or bladder disorders, chronic headache, fibromyalgia, and sleep disturbances. [emphasis mine]
Chronic Orthostatic Intolerance
In chronic orthostatic intolerance, patients are ill on a day-to-day basis. Chronic orthostatic intolerance may be confused with syncope because chronic illness is sometimes punctuated by acute syncopal episodes. However, this is unusual during real life (albeit common during artificial testing environments), and the author's work suggests no increase in the incidence of syncope above that in the general population. The physician should rely on the patient's history to determine whether chronic illness is present. Thus, chronic orthostatic intolerance is defined by a history of symptoms of orthostatic intolerance present on a day-to-day basis. Defining symptoms of chronic orthostatic intolerance include dizziness in all patients, with high incidence of the following conditions:
A large proportion of patients also experience the following symptoms:
- Altered vision (blurred, "white outs", "black outs")
- Fatigue
- Exercise intolerance (frequently post-exercise malaise)
- Nausea
- Neurocognitive deficits
- Sleep problems
- Heat
- Palpitations
These symptoms are divisible into symptoms of sympathetic activation and symptoms of reduced cerebral blood flow.
- Headache
- Tremulousness
- Difficulty breathing or swallowing
- Sweating
- Pallor
- Other vasomotor symptoms
Bad time to be doing that. That lousy theory is slipping fast.Mayo is really jumping on the BPS CBT bus. What a joke.
Many patients with POTS also report symptoms not attributable to orthostatic intolerance, including those of functional gastrointestinal or bladder disorders,