Why You Can't Have Orthostatic Hypotension with POTS

A person cannot be diagnosed with both orthostatic hypotension and POTS simultaneously, as they are mutually exclusive conditions. In orthostatic hypotension, blood pressure drops upon standing, and the heart rate does not increase enough to compensate, leading to symptoms like fainting or blacking out due to cerebral hypoperfusion. In POTS, the heart rate increases excessively upon standing to compensate for the drop in blood pressure, preventing syncope or loss of consciousness.
Let's cover a case study of a patient diagnosed with orthostatic hypotension due to small fiber neuropathy, where the blood pressure drops upon standing, and the heart rate increase is insufficient to maintain adequate cerebral perfusion, leading to syncope events. Proper diagnosis is crucial for determining the appropriate treatment approach, whether addressing the underlying neuropathy for orthostatic hypotension or managing POTS symptoms.
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[@nebc_yukonyeti]

Your information has been life changing for me after a neuro-Lyme infection. Thank you so much.

[@laidymagallanes7849]

I was diagnosed with both. I am located in Long Island, NY. I started treatment with a Functional Nurologist jist last week. I would have loved to be able to visot yoir clinic unfortunately it is too far from where i live. As of my first visit i felt great for the next two days but i am feeling farigued and off balance after three days of my first session. I am hoping with the right treatment i will be able to get better soon 🙏

[@Manuel-6]

Good to see a doctor who cares about his patients

[@anjolotito385]

Wow 😮, I have intolerance orthostatic and hypo perfusion and vasovagal syndrome, and sometimes my heart rate is up and then down 🥹🥹🥹 … I want to visit you Doc but i live in Mexico 🥲🥲

[@mountainmolerat]

You have such great videos. Thank you. Is small fiber neuropathy the only diagnosis that explains the OH in case #3? (drop in bp and rise in hr)

[@loanadooty]

I would also like to know that!! And if the small fiber neuropathy could be due to fybro because I don’t habe any weight struggles or diabetes or similar.

[@vela7447]

​​​@@loanadooty SFN explains more than Fibro, as SFN has specific signs and tests to be done, but Fibro is not a specific problem and mostly indicated by pain I would like to know if SFN causes this too or what else! my BP spikes then falls and I have symptoms similar to SFN, that is what neurologist expects but cannot test for it yet

[@loanadooty]

THANK YOU SO MUCH this video is so so helpful and informative! I just now realized that I probably have the 3rd case or OH and not Pots since I‘m also having trouble with temperature regulation and I read that that could be due to small fiber neuropathy. So if I understood properly the way to „heal“ the 3rd case would be exercises/physio for the small fiber neuropathy?

[@loanadooty]

Also why do some people that have Pots pass out too?

[@ddflower7]

If i have small fiber neuropathy patchy around body but in legs too face so forth does that mran it should not be called pots syndrome?. Is there anyway fond out whats causing it i did have some tests.but did not find the reason. The metoprolol and meclizine does not cure everything else. Help