Poor Man’s Tilt Table
- Lay down for 5-10 minutes, perfectly still, record HR
- Take HR after five minutes
- Take HR after 10 minutes
- Be cautious not to shift weight side to side
- Having a chair nearby to sit down is important
- Discontinuing the test if feeling though one is going to pass out
- HR after 10 minutes
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- cautious not to shift weight side to side
- Having a chair nearby to sit down is important
- Discontinuing the test if feeling though one is going to pass out
Fluid Volume and POTS
Here are 3 questions I use to assess this:
- Do you feel better when you drink a liter of water first thing in the morning?
- Do you feel worse when in hot environments or hot showers?
- Do you crave salty snacks such as potato chips or french fries?
Autoimmunity and POTS
How doctors assess for this:
Testing for Hashimoto’s thyroiditis, lupus, celiac disease, Sjogren’s, Rheumatoid Arthritis. Cell Trend labs in Germany.
Small Fiber Neuropathy
The 4 things you can do to tell if you have it:
- Neurologic Evaluation
- Intraepidermal Nerve Fiber Density Test
- Quantitative Sudomotor Axonal Reflex Test
- Corneal Confocal Microscopy
Mast Cell Activation Syndrome
How Doctors Test for It:
- Tryptase
- Histamine Blood
- Histamine Urine
- Leukotriene E4
- N-Methylhistamine, 24 hour urine
- Prostaglandin D2 Urine
- KIT mutation
- Others:
- Chromogranin A, serum and urinary metanephrines.
Afrin, Lawrence. Never Bet Against Occam, Sisters Media LLC 2016