POTS (Postural Tachycardia Syndrome) triggers include environmental factors like heat and prolonged standing, physical exertion and exercise, illness such as viral infections or Long COVID, physiological factors like dehydration and menstruation, certain medications, and high-carbohydrate meals. Triggers vary per person and can include stress, trauma, and underlying connective tissue disorders like Ehlers-Danlos syndrome.
Environmental & Lifestyle Triggers
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Hot environments, a hot bath or shower, or simply a hot day can trigger symptoms.
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Remaining in an upright position for extended periods, such as while shopping or waiting in line.
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Strenuous exercise or increased physical activity can worsen POTS symptoms, although gradual, carefully chosen exercise may be beneficial in the long term.
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Inadequate fluid intake can lead to dehydration, which exacerbates POTS symptoms.
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Some people find their symptoms worsen after eating, especially meals high in refined carbohydrates.
Physical & Physiological Triggers
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Being sick with a cold, the flu, or another infection can trigger a POTS flare-up.
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Many individuals with POTS experience an increase in symptoms right before their menstrual periods.
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Both physical and emotional stress can act as a trigger for POTS.
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Viral infections are a common trigger for developing POTS in the first place.
Medications & Medical Conditions
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Certain medications, including some anti-depressants, anti-psychotics, diuretics, and those used to treat high blood pressure, can cause or worsen POTS symptoms.
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POTS is often associated with or can be a result of other conditions such as Long COVID, Ehlers-Danlos syndrome, myalgic encephalomyelitis/chronic fatigue syndrome(ME/CFS), and diabetes.
How to Manage POTS Triggers
- Hydrate: Drink plenty of fluids and increase salt intakeas recommended by a healthcare professional.
- Avoid Heat: Stay in cool environments and avoid hot baths or saunas.
- Gradual Exercise: Engage in gentle exercise while lying or sitting down, such as swimming, and gradually increase intensity as tolerated.
- Manage Diet: Avoid high-carbohydrate meals and eat smaller, more frequent meals.
- Consult a Doctor: Discuss any medications you are taking with a healthcare provider and seek advice before stopping them.
