Do you need a tilt table test to diagnose POTS? Not always. Tilt table testing can be helpful—and I sometimes use it when the diagnosis is unclear—but it’s not always necessary. If a patient describes orthostatic intolerance—things like dizziness, rapid heartbeat, brain fog, or fatigue that worsens when standing and improves with lying down—that often tells me a lot. That’s the core of POTS: symptoms triggered by upright posture. Instead of jumping straight to a tilt table test, I often have pat

Tilt Table Test was “normal”? But you still feel dizzy when you stand? Let’s talk about it. I see this all the time: someone gets a tilt table test to rule out POTS (Postural Orthostatic Tachycardia Syndrome), and the result comes back “normal.” But here’s the kicker—they still feel awful when upright. Dizziness. Brain fog. Palpitations. Fatigue. So what gives? Just because you didn’t meet the strict definition of POTS doesn’t mean your body is handling gravity well. If your brain’s not getting

Introduction One of the conditions that I am very interested in is POTS - Postural Orthostatic Tachycardia Syndrome. This is a poorly understood and more importantly, poorly recognised condition which although not dangerous, can make the patient’s life miserable. POTS is characterised by symptoms of orthostatic intolerance - which means that patient’s struggle to maintain an upright posture for a prolonged duration of time because they notice their heart rates shoot up, they feel dizzy, they may