There are definitely dietary measures that have been shown to help POTS patients reduce symptoms. The following is a list of the most commonly recommended areas to monitor. Be sure, however, to remember that any treatments for POTS, whether dietary, medicine or otherwise, need to be tuned to each person. This is because many POTS patients react differently to the same treatments and should be evaluated by their doctor before making any changes to your treatment plan or diet:
Eat Smaller Meals--after eating a large meal, much of our
blood is redirected to the gut and away from extremities, the head, etc, for
digestion process, which can cause problems for a lot of POTS patients.
So it’s usually recommended to eat several smaller meals throughout the
day instead of two or three larger meals.
Increase Fluid and Salt Intake--it is often recommended to
increase both fluid and salt intake in order to increase blood volume. This has
proven to help with blood pooling, hypovolemia, or hypotension. Other than
hyperadrenergic POTS, consuming approximately two liters and three to five
grams of salt per day is typically recommended by most POTS physicians. One
gram of table salt contains about 400 milligrams of sodium. That means that
five grams of salt contains approximately 2000 mg or 2g of actual sodium. This
can help when reading nutrition labels on food that list sodium amounts.
Minimize Simple Carbs, Get Complex Carbs and Lean
Protein--patients who notice a worsening of symptoms after eating may want to
try consuming fewer simple carbohydrates (like refined sugars and flours) and
get more complex carbs like sweet potatoes, oatmeal, whole wheat breads, etc.
Also focus on consuming healthy protein with each meal (such as skinned chicken
breasts, salmon, skim milk or low fat yogurt) and make sure any meats are 100%
antibiotic and hormone free, as these can disrupt many pathways and systems in
the body.
Consider Reactions To Gluten---patients who have ‘stomach
issues’ or gastrointestinal problems may want to check with their doctor about
gluten and possibly get tested for Celiac Disease. Don't go gluten free
until you have spoken with your doctor about a possible Celiac blood test. Some
of the blood tests for Celiac Disease require the person to have been eating gluten
for several weeks prior to the test. Many people have some reaction to
gluten so if you have those problems, it might be worth looking into as an
unhappy gut can also worsen POTS symptoms.
Get Organic Dairy, Watch for Any Intolerance and Consider Lactase
Supplements --in reaction to ingesting dairy, some people’s GI and stomach
react to the lactose becausae they don’t have the enzyme lactase. Others have
an actual allergy to milk protein and this causes a histamine or other allergic
pathway reaction. Either way, these reactions can exacerbate POTS symptoms so
if you’re reactive to dairy, consider taking lactose drops before eating diary
and get the advice of your POTS doctor before dropping dairy completely. Dairy
has many valuable nutrients and electrolytes that can help calm POTS symptoms
if you can manage to eat them.
Evaluate Caffeine -- caffeine is helpful to some POTS
patients and make symptoms worse in others. For this reason, figure out through
small doses whether you feel better or worse with caffeine and act
accordingly—but don’t overdose on it.
Don't Drink Alcohol - alcohol is dehydrating and can lead to
increased hypotension by dilating veins, which are already two common problems
for POTS patients.
And above all, if you have POTS and don’t have a POTS specialist you’re working with, find one
and always get their opinion as most family practitioners aren’t trained in all
the details that affect POTS patients. A great place to start is
Dysautonomia-MVP Center LLC in Birmingham, AL. The doctors there are
highly regarded in the treatment of dysautonomia, POTS and other autonomic
disorders. No matter where you are, if you need answers, call them today
at 1-205-286-3200. You’ll be glad you did.
Dysautonomia-MVP Center, LLC
Accurate Diagnosis & Treatment for Better Results
2470 Rocky Ridge Road Vestavia Hills, Alabama 35243
(205) 286-3200
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