this post was submitted on 14 Sep 2025
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[–] peopleproblems@lemmy.world 22 points 2 months ago* (last edited 2 months ago) (1 children)

I want to point out that Orthostatic Hypotension is normal to some degree.

If you experience it changing positions while sitting, or notice exercise and heat intolerance, talk to a doctor. In the short term drink enough fluids and get a bunch of sodium and potassium in you.

Edit: Im going to step out here and say that I am personally familiar with a condition called Postural Orthostatic Tachycardia Syndrome. It's somewhat uncommon, and has a lot of potential causes. COVID-19, specifically, can trigger it because of the way it attacks the nervous system. However, the symptoms of POTS are also the symptoms of a BUNCH of other much more serious conditions. It's a diagnosis by ruling out other things. When they get to the step of testing for POTS it's hilariously easy. They monitor your heart rate and blood pressure, stick you on a moving table, and tilt you.

On the downside, POTS itself is incurable unless the underlying cause changes or improves. This happens in many people, I was unfortunate enough that they discovered I had unexplainable neuropathies. Either the nerves were damaged when I was young, or they didn't grow correctly.

The upside is that we can manage POTS symptoms. Avoid heat. Build lower body muscle, increase electrolyte intake, and drink a lot of non-caffinated and non-alcoholic liquids. I take salt pills, drink Pedialyte daily, and have a prescribed (and extremely cheap) medication. It still happens, but it's manageable, and I won't die from a head injury anymore.

[–] Zaphod@discuss.tchncs.de 1 points 2 months ago

Interesting. For me it usually happens when I'm bouldering and rest for like 5+min. But the intensity varies alot. I feel like it might be more caused by lack of electrolytes in my case since I only drink water.

[–] bleistift2@sopuli.xyz 20 points 2 months ago* (last edited 2 months ago) (2 children)

The joys of getting old(er), issue 67: You can now “stand up too fast.”

[–] Reyali@lemmy.world 23 points 2 months ago* (last edited 2 months ago) (1 children)

Oh? I’ve had this issue as long as I can remember. Teens for sure, probably before.

It’s actually gotten better as I’ve aged because I eat more consistently and now know I need to eat tons of salt.

[–] peopleproblems@lemmy.world 9 points 2 months ago (1 children)

POTS?

I actually had to start taking salt pills. I still greyout, but I don't lose muscle strength anymore.

[–] Reyali@lemmy.world 7 points 2 months ago

My cardiologist called it “POTS or vasovagal syncope,” and said he could specify with a tilt test, but since he treats them the same he didn’t recommend the tilt test.

So I could just say “yes,” but instead I give a long-winded answer to say that it’s a technically undefined dysautonomia that I treat like POTS, lol.

I use electrolyte mixes, salt pills, and salt my food, with a goal of 7–10g of salt and 100 oz of water a day. It’s amazing how much better I feel when I hit both of those targets!

[–] scytale@piefed.zip 2 points 2 months ago

That’s also the same reaction I have when I suddenly stand up and a sharp pain on my lower back hits.

[–] unknown@piefed.social 5 points 2 months ago (2 children)

And also me when I've been standing for too long. I do not exist comfortably on the vertical plane

[–] peopleproblems@lemmy.world 6 points 2 months ago (1 children)

Does really hot weather seem to cause it?

Do you seem to eat less salt than other people?

Do you have persistently low blood pressure but a heart rate that is easy to spike?

If you stretch just right will it happen?

I don't want to just say "go see a doctor" but having collapsed at very bad opportunities, it is not worth finding out until it's too late that you have to make some lifestyle changes to function.

[–] unknown@piefed.social 4 points 2 months ago (1 children)

Aye, spot on on all counts, it's dysautonomia.

Doctor wasn't much help tbh, compression socks, lots of salt and try to sit down before you fall down, were basically all the advice I got. The nhs is a bit shit tho.

[–] peopleproblems@lemmy.world 2 points 2 months ago (1 children)

Well, bro, I got some bad news on that front.

I've been to two of the best hospitals in the world (not on purpose, just coincidentally and they wanted to check it out in their specialty clinics) and went through some unpleasant testing (one is called a thermoregulation sweat test that they cover you in color changing sand), and that's the exact same thing I have to do.

I take 4 salt pills, drink 3 liters of water, Gatorade or Pedialyte and a beta blocker. I do cardio. The one thing I am starting to get better at now is lower body strength - my legs are pretty dinky and along with increased blood volume, bigger leg muscles can help ease the symptoms.

The beta blocker thing I got unlucky with though, there's a few of them that are better for pots but I can't metabolize them (or maybe I rapidly metabolize them so they don't work at all, I cant remember).

[–] Zwiebel@feddit.org 2 points 2 months ago (1 children)
[–] unknown@piefed.social 3 points 2 months ago

I appreciate the concern but I already know what causes it, it's a dysautonomic dysfunction. The other person who replied guessed it spot on, haha.

[–] LaunchesKayaks@lemmy.world 5 points 2 months ago

POTS got me like

[–] pruwybn@discuss.tchncs.de 4 points 2 months ago (1 children)

This might just be me, but when this happens does anyone else have these weird existential thoughts during the head-rush, like "I am really alive right now" or "I'm going to remember this moment forever"?

[–] adhocfungus@midwest.social 3 points 2 months ago

I always get the thought, "This can't be normal. Guess I'm dying."

[–] sundray@lemmus.org 3 points 2 months ago

"Standing up ain't like dusting crops, boy!"

[–] avg@lemmy.zip 3 points 2 months ago

I used to get this but the hypertension came to balance me out.

[–] Sam_Bass@lemmy.world 1 points 2 months ago

Been there. The Dark is your friend.

[–] ininewcrow@lemmy.ca -1 points 2 months ago (1 children)
[–] ceenote@lemmy.world 12 points 2 months ago (3 children)

Wait, is frequently getting a head rush when you stand up a sign of diabetes?

[–] Someonelol@lemmy.dbzer0.com 24 points 2 months ago (2 children)

No it's not necessarily because of diabetes. It's called Orthostatic Hypotension and it just means you have a temporary or chronic condition that relaxes your blood vessels too much so that more blood is in the lower half of your body than the upper half when sitting. When you stand up, there's a drop in blood pressure that drains a little blood from your brain and causes you to get lightheaded or in more severe cases, faint. It's a similar condition to what pilots get when they're pulling high g turns that pools blood away from their head. An easy solution is to keep your blood pressure up by squeezing your bottom leg and butt muscles as you get up to keep blood in your head.

[–] rc__buggy@sh.itjust.works 15 points 2 months ago (2 children)

lol, squeeze ur butt 2 keep blud in ur hed.

Sounds stupid but this person is correct.

[–] TheBat@lemmy.world 5 points 2 months ago (1 children)
[–] rc__buggy@sh.itjust.works 5 points 2 months ago (1 children)
[–] wreckedcarzz@lemmy.world 3 points 2 months ago (1 children)

When you're in combat and nut all over the controls

'uhoh'

[–] rc__buggy@sh.itjust.works 1 points 2 months ago (1 children)
[–] wreckedcarzz@lemmy.world 2 points 2 months ago

I was thinking AF but I don't judge. Stupid sexy adrenaline...

[–] shalafi@lemmy.world 4 points 2 months ago

It's what fast moving pilots do.

[–] sexybenfranklin@ttrpg.network 2 points 2 months ago

I started getting this after I got diagnosed with diabetes, because I started eating way less junk food, so my salt intake went down. My blood pressure is usually on the low end now. It's annoying, and I've talked to my doctor about it but she mostly said to drink more water.

[–] magic_lobster_party@fedia.io 8 points 2 months ago

I believe it’s more a sign of blood pressure problems or dehydration, but I’m not a doctor.

[–] FerretyFever0@fedia.io 4 points 2 months ago

Maybe??? I think it's a blood pressure thing too.