Postural Orthostatic Tachycardia Syndrome (POTS)- Symptoms, Causes, and Ayurvedic Management

Postural Orthostatic Tachycardia Syndrome also known as POTS, is a disorder characterized by an unusual rise in heart rate while standing along with numerous types of disturbing symptoms. Ayurveda considers health as a delicate balance between the body’s doshas—Vata, Pitta, and Kapha—governing both physical and mental well-being.

And POTS are connected with vata imbalance, which controls mobility, circulation, and the neurological system. Also, the nervous system is one of the most complicated systems in the human body. When the Vata dosha is disrupted, it can cause disturbances in the body’s autonomic functioning and result in conditions like POTS.

Types of POTS

The classification of POTS is still unclear, however, most sources agree that POTS has distinct features that occur in some people more than others. There are many kinds of POTS, which sometimes overlap:

  • Neuropathic POTS: This form is associated with injury to tiny nerves that regulate blood arteries in the arms and abdomen.
  • Hyperadrenergic POTS: This is characterized by increased levels of norepinephrine, a stress hormone.
  • Hypovolemic POTS: This condition is characterized by decreased blood volume.
  • Secondary POTS: This arises when POTS is caused by another disorder, such as diabetes, Lyme disease, lupus, or Sjögren’s syndrome.

However, the exact cause of POTS differs from person to person. Researchers are still learning about the root cause of this disease.

The symptoms of POTS

POTS (Postural Orthostatic Tachycardia Syndrome) develops when your body struggles to respond to changes in posture, especially while standing up. Here are some typical symptoms of POTS:

  • Dizziness or light-headedness
  • Rapid heart rate
  • Fatigue
  • Tiredness
  • Digestive issues:
  • Headache
  • Anxiety and panic attacks
  • Tremors
  • Excessive sweating
  • Chest Pain
  • Extreme Cold

Causes of Postural Orthostatic Tachycardia Syndrome (POTS)

POTS mainly affects young women more than men, but it can strike anybody, regardless of age or gender. As we know, the exact cause of POTS remains unknown. But there are certain factors that  mainly trigger its development. They are as follows: 

  • Physical Stress: Physical tensions such as major surgery, trauma, and viral diseases can lead to the development of POTS.
  • Hormonal Fluctuations: Hormonal variations during pregnancy and menstruation might affect the autonomic nervous system, potentially leading to POTS symptoms.
  • Lifestyle: Lifestyle factors such as inadequate hydration, excessive alcohol intake, and extended inactivity or overexertion can worsen symptoms.
  • Emerging Connections: Recent analyses indicate a possible connection between COVID-19 and the development of POTS-like symptoms.

Ayurvedic Management of POTS

The Ayurvedic therapy for POTS tries to restore dosha balance, improve digestion, and strengthen the overall nervous system.

Increase fluid and salt consumption (Jal and Lavana): An increase in fluid and salt intake will help to regulate blood volume and pressure. Consult with a Vaidya for advice on the proper doses depending on your dosha and condition.

Exercise and Physical Therapy (Vyayama and Abhyanga): Low-impact exercises like walking, swimming, or stationary cycling help boost cardiovascular fitness and circulation. Abhyanga (oil massage) with medicinal oils can help improve muscular strength and overall health.

Compression Garments (Vasti and Anuloma Gati): Wearing compression stockings or an abdominal binder can improve blood circulation and relieve lightheadedness and dizziness.

Increase the head of your bed (Shiro Ucchaasana): Sleeping with your head elevated helps enhance blood flow to the brain and alleviates nocturnal problems.

Avoid Triggers (Pariharya Vishayas): Identify and avoid conditions that worsen symptoms, such as high temperatures, specific foods, or extended standing.

Managing Stress (Manasa Shanti): Stress might exacerbate POTS symptoms. Adopt stress-reduction strategies like meditation (Dhyana), deep breathing exercises (Pranayama), yoga (Asanas), and mindfulness activities in your everyday routine.

Maintain a Balanced Diet (Sattvic Ahara): Eating a nutritious diet with whole foods, fruits, vegetables, and lean proteins promotes general health and balance. In simple terms, to keep your body in balance, eat food that is compatible with your dosha.

Adequate Rest and Sleep (Vishrama and Nidra): Get enough rest and sleep to allow the body to repair and operate properly.

Herbal Supplements (Aushadhi and Rasayana): Use herbal medicines and supplements to treat the fundamental cause of POTS and promote a healthy lifestyle without side effects.

Biofeedback and Relaxation Techniques (Svastha Vritta and Atma Vidya):  Biofeedback and relaxation techniques can significantly improve control over your body’s reactions and ease symptoms. For significant relaxation, incorporate techniques such as Shavasana (Corpse Pose) and Yoga Nidra (Yogic Sleep).

Herbs that Can Help in Treating POTS

Some special herbs can help strengthen the cardiovascular system, improve circulation, and regulate the autonomic nervous system.

  • Ashwagandha (Withania somnifera): Ashwagandha is a potent antioxidant that balances Vata and strengthens the neurological system.
  • Brahmi (Bacopa monnieri): Brahmi has relaxing properties that can lower anxiety and improve cognitive performance.
  • Arjuna (Terminalia Arjuna): Arjuna enhances heart health and improves cardiac function.
  • Liquorice (Glycyrrhiza glabra): Liquorice promotes adrenal support and energy levels.

Are POTS and COVID-19 the Same?

A lot of people mistakenly connect POTS (Postural Orthostatic Tachycardia Syndrome) with COVID-19. But the answer is simple: no. Both diseases can have similar symptoms, such as fainting, heart palpitations, higher heart rate, irregular blood pressure, lightheadedness, and dizziness. 

However, the severity and form of these symptoms vary greatly. COVID-19 symptoms are more severe and often accompanied by additional viral-specific symptoms.

Conclusion

POTS can make life difficult with symptoms such as dizziness, racing heartbeat, and tiredness when standing up. While doctors are still researching it, Ayurveda takes a holistic approach. You can get relief from POTS symptoms by regulating your body’s energy and changing your lifestyle.

In the end, remember that everyone’s path is unique, so connect with your vaidya to determine what works best for you.

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