POTS Symptom Tracker
Take control of Postural Orthostatic Tachycardia Syndrome. Track your heart rate, meals, hydration, and positional symptoms to identify what drives your flares and build a management strategy that works.
Why Track Your POTS?
POTS affects an estimated 1-3 million Americans, yet triggers and severity vary widely. What causes a tachycardia episode in one person may be tolerated by another. Daily tracking reveals your personal trigger profile and helps optimize your management approach.
What to Track for POTS
Heart Rate & Blood Pressure
Resting heart rate, standing heart rate, blood pressure changes, palpitations, tachycardia episodes
Food & Meals
Meal composition, carbohydrate load, salt intake, meal size, eating timing relative to activity
Hydration & Electrolytes
Water intake, electrolyte drinks, sodium consumption, fluid timing throughout the day
Positional Symptoms
Dizziness on standing, lightheadedness, presyncope, exercise intolerance, fatigue severity
Sleep & Energy
Sleep quality, morning symptoms, energy crashes, post-exertional fatigue, naps
Medications & Supplements
Beta blockers, fludrocortisone, midodrine, compression garment use, salt tablets
How Our AI Helps
Postprandial Pattern Detection
AI analyzes your heart rate and symptom data after meals to identify which food types, meal sizes, and compositions trigger postprandial tachycardia or blood pressure drops.
Hydration-Symptom Correlation
Tracks your fluid and electrolyte intake against daily symptom severity, revealing your optimal hydration targets and timing strategies.
Activity Tolerance Mapping
Identifies your activity thresholds by correlating exercise type, duration, and intensity with subsequent symptom flares, helping you build a safe reconditioning plan.
Multi-Factor Flare Analysis
Detects when combinations of poor sleep, low sodium, dehydration, or heat exposure converge to trigger severe episodes, even when each factor alone seems manageable.
Common POTS Triggers
These are frequently reported POTS triggers. Track them to see which affect you:
Latest POTS Research (2025-2026)
Recent studies are advancing our understanding of POTS mechanisms and treatments:
Post-COVID POTS Prevalence (2025)
EpidemiologyResearch suggests a subset of COVID-19 survivors develop POTS symptoms. Studies into autoimmune mechanisms have identified autoantibodies against adrenergic and muscarinic receptors as potential factors, opening new therapeutic directions.
Ivabradine for POTS (2025)
TreatmentClinical trials show ivabradine, a selective heart rate reducer, significantly lowers standing heart rate and improves quality of life in POTS patients who cannot tolerate beta blockers, with fewer blood pressure side effects.
Small Fiber Neuropathy Connection
PathophysiologyResearch suggests a significant proportion of POTS patients may have small fiber neuropathy. Skin biopsy testing is emerging as a diagnostic consideration, and IVIG treatment is being explored for neuropathic POTS subtypes.
Exercise Reconditioning Protocols
LifestyleThe CHOP (Children's Hospital of Philadelphia) modified Dallas protocol and similar graded recumbent exercise programs may help improve POTS symptoms over time with consistent participation.
Frequently Asked Questions
How does food affect POTS symptoms?
Large meals divert blood to the digestive system, worsening blood pooling and tachycardia. High-carbohydrate meals can cause postprandial hypotension. Tracking meal size, composition, and timing against your heart rate and symptoms reveals which eating patterns minimize flares.
Why is salt intake important for POTS?
Most POTS patients are advised to increase sodium intake to 3-10 grams daily (under medical guidance) to expand blood volume. Tracking your salt intake alongside symptoms helps you find your optimal intake level and identify when low sodium days correlate with worse symptoms.
How long does it take to identify POTS triggers?
With consistent daily tracking of heart rate, meals, hydration, and symptoms, many users identify their primary triggers over time. Some patterns, like hormonal cycle effects, may take longer to confirm.
Can POTS symptoms improve over time?
Yes. Research shows that structured exercise reconditioning, adequate hydration, increased salt intake, and trigger avoidance can significantly reduce POTS symptoms over time with consistent management.
What is the connection between POTS and mast cell activation?
A significant subset of POTS patients also have mast cell activation syndrome (MCAS). Histamine release can worsen tachycardia and blood pressure instability. Tracking foods high in histamine alongside cardiovascular symptoms can reveal if this overlap applies to you.
Start Your POTS Symptom Diary Today
Join others who have identified their POTS triggers and built effective management strategies. Start your health tracking journey today.
Start TrackingRelated
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Medical Disclaimer: This tool is designed to help you track and identify potential POTS triggers. It is not a substitute for professional medical advice, diagnosis, or treatment. POTS requires proper evaluation by a cardiologist or autonomic specialist. Always consult with a qualified healthcare provider about your symptoms. Seek immediate medical attention for fainting episodes, chest pain, or severe shortness of breath.