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Poll: Has raising the head of your bed helped your OI/POTS/NHM?

How has raising your bed head affected your orthostatic intolerance?


  • Total voters
    43
Messages
46
So how does raising the head work with two people in the bed- one with POTS and one not (and the one without sleeps on their stomach).
 

Sasha

Fine, thank you
Messages
17,863
Location
UK
So how does raising the head work with two people in the bed- one with POTS and one not (and the one without sleeps on their stomach).


Unless you've got a gigantic bed and one of you can have a big, bed-length foam wedge, I guess it can't, unless your non-POTS partner is willing to sleep on a slope.
 

Sasha

Fine, thank you
Messages
17,863
Location
UK
Incidentally, I've found myself able to sit, or sit with my feet up, for longer without needing a rest although, weirdly, my total time spent resting hasn't changed (which I think must mean I'm sleeping longer, or at least staying in bed longer).

Not a major change, though I've only had the bed tilted for about a month.
 

DeGenesis

Senior Member
Messages
172
I've been taking Bystolic 5 mg for POTS for at least 6 months (and as low as 1.25 mg when I first started it. That was more than 6 months ago I think). For the past month my bed has been raised (I need to go measure how much). I raised it to combat GERD. POTS was an afterthought. (It was worked well for GERD though).

The past week I noticed that my heart rate was too low, and I had to lower my Bystolic dose to 2.5 mg. Keep in mind that dose had been stable for half a year, and I didn't add any other drugs or supplements. I credit elevating the head of the bed for improving my POTS, therefore forcing me to lower my Bystolic dose.

This is a great thing because I think Bystolic (a beta-blocker) was a negative thing overall for my OI. While it improved my vitals on paper and made my GP happy, it made me fatigued. The screwed vitals were a compensatory mechanism I suppose. Of course the beta-blocker would also lower blood volume over time as well.

Interestingly, I feel best with a low HR of 60-80 (not surprising) a moderate diastolic BP (also not surprising), but a HIGH systolic BP of 130-150 (surprising I think, but probably not to many of you).

Unfortunately doctor's can't understand that some people might require different BP's to function optimally.


Two side effects from raising the bed. I have to pee more frequently in the night and when I'm resting in bed, and I dream more vividly.

Just measured and it is elevated 8".
 
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DeGenesis

Senior Member
Messages
172
I'm increasing to 12". I'll post how it goes. It's usually pretty rough the first few nights of an increase, and benefit isn't seen for a couple of weeks. I need to be careful not to take anything that lowers blood pressure or else I'll have to move to the couch for a night or two.

I have been at 12" before, and unlike 8", I never totally got used to it. It always felt odd. But since I have the privilege of being healthy enough to stand that level of elevation, I'm going to give it another go. More is not always better, but I am almost ALWAYS guilty of breaking this rule.
 
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shannah

Senior Member
Messages
1,429
When my bed was raised, I had difficulty staying in it. Kept sliding down.

I'm curious. Doesn't this happen to anyone else?
 

pattismith

Senior Member
Messages
3,930
The lifestyle advice for orthostatic intolerance includes raising the head of your bed so that the whole bed is on a tilt. The idea is to both recondition your body and keep fluid in your blood rather than it moving to your bladder and dehydrating you during the night.

Advice varies considerably on how much to raise your bedhead. European Society of Neurology Federation guidelines say 8" to 12". A study on improving orthostatic function in healthy people used 18" and their measures had improved when they were assessed at the end of a week. The benefits are generally supposed to take several days to show up.

Info on how to raise your bed in this thread.

If you have both OI and CFS, please take the poll!

[Administrators, can it be made sticky, please? Also, have I messed up so that individual names will be shown in terms of how people vote? Also, I seem somehow not to have this introductory text above the poll, ermm...]

What a great informations! i need to change my bed in order to stop lying down flat, so I wonder what kind of bed would fit the best so that I can raise itin a "whole bed tilt". I wished to read the links in the message, but they arn't working any more, what a pity
 

Remi

Senior Member
Messages
169
My bed head is raised 18 cm, so a bit below 8". I don't have OI, but do have most of its symptoms. I'm not dizzy anymore when I get out of bed and I don't need to pee at night like I used to. Less reflux.
 

Remi

Senior Member
Messages
169
Wanted to add that I got rid of the reflux and morning dizziness, so my bed head is level again. Idk how it disappeared, the only changes are I quit SSRI and take thyroid meds and B12 injections. All other dysautonomia symptoms are still there.
 

Violeta

Senior Member
Messages
2,873
Hi there - I have a blog going where I am documenting my progress with Dr. Levine's Exercise protocol, a treatment for POTS (http://potsrecovery.com). As part of the protocol Dr. Levine recommends raising the head of the bed 7-8". I am definitely feeling better and I am mid-way through the protocol. However, I don't know what effect the bed raising has had versus the other parts of the treatment such as exercise, fluid intake and sodium consumption.
The link to Dr Levine's Exercise protocol is very helpful. Thank you.
 

perchance dreamer

Senior Member
Messages
1,688
When my bed was raised, I had difficulty staying in it. Kept sliding down.

I'm curious. Doesn't this happen to anyone else?

I'd suggest having something like a low, firm pillow for your feet to take pressure off your back and prevent you from sliding down. I recently got an adjustable bed and raise the head really high since that helps so much with my apnea. By raising the foot just a little bit, the position is much more comfortable.