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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest therapy for Pots syndrome

I have been to a Dr who is treating me for pots syndrome. I have been taking fludrocortisone. .3mg and symptoms have been good. Today it is acting up really bad. I am dizzy, shaky, eyes don t focus heart feels like it is racing my blood pressure is 5pm. 103/68 heart rate 65. Sitting. 68/45. Heart rate 64. Standing 6pm. 92/60. 74. 80/59. 118 it feels like my pills aren t working. When should I be worried and go to emergency. We have a dr shortage and it may take 6 hours.
Wed, 31 Dec 2014
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General & Family Physician 's  Response
Hi welcome to HCM.
I understand your query and concern.
Its very important to classify POTS in your case as it could of 4 varieties like Hypovolemic type,Neurogenic type,hyperadrenergic type and the deconditioned type.I advise you to take certain tests like EKG,serum electrolytes,serum osmolality,tilt table testing to get yourself classified and get treated accordingly.You most likely belong to hypovolemic type POTS in my opinion.You need to continue all your prescribed medications,but at a slightly higher doses since you are more frequently prone to very low heart rates as well as blood pressures.Intake of foods rich in high salt content is encouraged,ex hamburgers,hot dogs, and oysters.Compressive garments help to improve the heart rate and blood pressures.Discuss the same with your cardiologist pertaining the dosages of the prescribed drugs.
Post your further queries,if any.
Thank you.
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