The Driscoll Approach™

What Is POTS Syndrome?

POTS stands for Postural Orthostatic Tachycardia Syndrome and is a form of dysautonomia.

How Is The POTS Diagnosis Made?

Postural Orthostatic Tachycardia Syndrome is diagnosed with a tilt table. The patient is asked to lie on their back. The table is slowly tilted to a vertical position. A patient is considered to have Postural Orthostatic Tachycardia Syndrome if their heart rate increases by 30 beats per minute OR exceeds 120 beats per minute after being tilted for up to 10 minutes. With young children, the diagnosis is made when the heart rate increases by 40 beats per minute. This is considered a form of autonomic dysfunction, or dysautonomia that is “idiopathic” — puzzling most physicians today.

Common POTS Syndrome Symptoms

POTS Symptoms can be vast and typically include the following.

  • inability to be vertical without feeling faint
  • dizzy
  • nauseous or shaky
  • constipation
  • gastroparesis
  • delayed gastric emptying
  • IBS – Irritable Bowel Syndrome
  • episodic diarrhea
  • headaches (migraines and others)
  • flushing
  • poor temperature control
  • anxiety and panic
  • rashes
  • nausea and vomiting
  • pain when eating
  • inability to handle emotional or physical stress
  • mood disorders
  • extreme weakness
  • chronic and dramatic fatigue
  • difficulty breathing
  • insomnia
  • pain

What Conditions Might Be Confused With POTS

After ruling out structural heart problems, some neurological conditions (such as Parkinson’s or ALS), certain cancers (such as adrenal gland tumors, carcinoid cancer), some autoimmune problems (such as autoimmune autonomic gangliopathy), and other known causes of dysautonomia, the majority of POTS Syndrome patients are left with no clear answers and ineffective treatments geared toward the symptoms rather than the underlying cause of illness. These patients are said to have “Idiopathic Postural Orthostatic Tachycardia Syndrome” (no known cause is identified).

What Is Inflammatory POTS?

Approximately 80% of the patients seen at POTS Care have some form (or more than one form) of chronic inflammation as a cause or contributor to POTS. It is critical to locate these inflammatory conditions and treat these appropriately for optimal patient recovery. Such conditions can include (but are not limited to) autoimmune conditions of most any type, adrenal gland disorders, Addison’s disease, Nonclassical Congenital Adrenal Hyperplasia, mast cell disorders, eosinophil disorders, genetic disorders of inflammation, autoinflammatory conditions, and others. Learn more about Inflammatory POTS here.

What Can You Do If You Have POTS?

Many patients with Idiopathic Postural Orthostatic Tachycardia Syndrome / dysautonomia are incorrectly presumed to be suffering with “anxiety”, “hypervigilance”, or other psychological bases for their illness. Some are assumed to suffer from deconditioning or are considered to be lazy. At POTS Care, we believe this is a tragic error, minimizing a patient’s suffering opens up the potential for a worsening of their medical condition.

At POTS Care, we specialize in Idiopathic POTS. We leave no stone unturned to look for the underlying medical cause of POTS and utilize extensive research and scientifically proven algorithms to get answers as quickly and as non-invasively as possible.

We Are The Only Clinic Approaching POTS In This Way

POTS Recovery

It is difficult to find someone interested in medical management of our cases. Fortunately, response to the suggested medications is usually immediate and dramatic, giving doctors the assurance that patients are headed in the right direction.

– Dr. Diana Driscoll

Meet Our Patients

Fiona's Story

“I understand what is going on better than I have at any other doctor’s appointments that I’ve gone to. Finding that what I had been doing previously to treat my POTS was actually making me worse was so eye-opening!

Jaydon's Story

“I never thought healing from POTS could happen. I just thought it would be addressing symptoms enough to get by. Instead, I feel like I can heal!”

Jill's Story

“I got immediate relief for constipation, surprisingly. Also, the energy that I had, I mean I can feel it today… I feel really focused and the mental clarity I have…”

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