Ok thanks. How do some people test positive for it though and say they feel better after meds? My blood pressure is so low that a transfusion has been suggested, but i'm scared of picking up things such as xmrv. I hear that blood transfusions are bad for cfs patients..?
as far as I know, blood transfusion is not a treatment for low blood pressure (except in an acute, dire emergency where you have lost a lot of blood through, say, an open wound or surgery). Otherwise it would be a temporary fix and expose the patient to unnecessary risk (though the blood is screened for everything they know about, and the risk is minimal, but it is not zero) and create extra antibodies for no good reason.
More standard treatments would be:
1) recommend increased water (and salt) - a doctor will often recommend sports drinks, but these will typically contain additives which we might not be able to tolerate. Lemon
vitalyte and lemonade
vitamin water are safe for me.
2) move on to compression stockings
3) consider a pharmaceutical such as florinef, but be sure potassium stays in the middle of the range because potassium can be a problem with this drug and it's a problem for us anyway (more details about pharmaceuticals in the
primer and in the below links); they recommend dietary intake but it may be necessary to use a prescription potassium (I do, though I'm not using florinef or any such at this time; the potassium is helpful)
see
http://www.dinet.org/
and
http://www.reumatologia-dr-bravo.cl/patients/Dysautonomia.htm (obviously the exercise may not be indicated for ME/CFS patients)
ETA: Dr. Bravo does maintain a list of physicians internationally who treat dysautonomia. It is a bit sparse, but there could be someone in your area. By scanning the list in the US, it appears most are cariologists, electrocardiologists, and neurologists (as one might have guessed)