It may have several causes, including your body working harder to move the blood. People with POTS may experience different symptoms to a different extent. These symptoms may include but are not limited to:. Some people feel as though their heart is beating really fast or skipping a beat. This is called heart palpitations. There are no established risk factors for POTS.
However, it is known to run in families, so it could have a genetic component. So if you have one of these conditions, you might also have the other. A big group of those diagnosed with POTS is young women and teens. This is entirely possible. Given how common POTS symptoms are and how unfamiliar many doctors are with this condition, diagnostic mishaps happen. POTS is frequently misidentified as chronic fatigue syndrome , fibromyalgia , myofascial pain syndrome, anxiety disorder , ADHD , irritable bowel syndrome , myositis, etc.
It is also possible that you have both POTS and one of these conditions, which may complicate the diagnosis.
Although many people recover quickly from COVID, the disease caused by the coronavirus, others who recover may continue to experience symptoms for months. Problems with the autonomic nervous system can be difficult to diagnose. The standard test for POTS is the tilt table test. During the test, you are secured to a table that tilts from being horizontal to almost a degree angle. Some people with POTS faint during this test, even if they rarely faint standing up. Although the test seems straightforward, many things can interfere with it.
This could be a cardiologist, a neuromuscular specialist or another doctor. While there is nothing that can make POTS go away for good, there are ways to address the symptoms. The list is very long, and fatigue does not mean that you have a disease. Some medical problems known to lead to fatigue are: anemia, cancer, chronic heart and kidney disease, obesity, sleep apnea, diabetes and hypothyroidism, to name only a few.
If the symptoms of being too tired to do what you used to do persist, and you have ruled out the common causes for normal fatigue, then see your physician to be sure you don't have one of the many diseases that are associated with chronic fatigue. Most of the diseases have a medical treatment that can improve one's lack of energy. Another very common cause of chronic fatigue is psychological in origin.
The most common and potentially severe is depression. This is treatable, but needs to be diagnosed by a professional. It is nothing to fool around with or just endure; there are many medicines that are effective to treat depression. Anxiety will lead to chronic fatigue and needs evaluation and a method of treatment.
Grief and stress tend to be time dependent, meaning that time makes them better, but both lead to chronic fatigue and can be combated by counseling. The new onset with sudden and profound change in ability to do what one used to do can be an urgent or emergent condition. If the fatigue is associated with chest pain, shortness of breath, irregular heart rate, or sense of imminent passing out, these are urgent conditions that warrant immediate medical attention.
These could be symptoms of a serious heart condition or major vascular insufficiency. Likewise, if this type of fatigue is associated with suicidal or homicidal thoughts, then immediate medical attention is required. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information.
Please try again. Something went wrong on our side, please try again. Show references Jameson JL, et al. In: Harrison's Principles of Internal Medicine. McGraw Hill; Accessed Nov. Ferri FF. Chronic fatigue syndrome. In: Ferri's Clinical Advisor Elsevier; Chronic fatigue. Mayo Clinic; Fatigue and traumatic brain injury. Archives of Physical Medicine and Rehabilitation. Accessed Dec. Cancer treatment: Side effects. National Cancer Institute. Heine M, et al. Exercise therapy for fatigue in multiple sclerosis.
Cochrane Database of Systematic Reviews. Vogelaar L, et al. Fatigue management in patients with IBD: A randomized controlled trial.
Excessive daytime sleepiness. Crichton A, et al. Fatigue in child chronic health conditions: A systematic review of assessment instruments. Fosnocht KM, et al. Approach to the adult patient with fatigue. Kryger MH, et al. Fibromyalgia and chronic fatigue syndromes. In: Principles and Practice of Sleep Medicine.
Elsevier Saunders; Simon NM. Treating complicated grief. Warning signs and symptoms. National Alliance on Mental Illness. Piazza GM, et al. Emergency first aid. London, England; New York, N. Medical conditions. Bone, joint and muscle injuries. Wilkinson JM expert opinion. Mayo Clinic, Rochester, Minn.
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