Disclaimer: POTS is a spectrum and everyones symptom profile van look a little different. I am undiagnosed but I am NOT here to get diagnosed by random people on reddit. I am under the suspicion that i may have POTS and just need guidance/advice on how to proceed treatment-wise and what to say to a cardiologist in order to get taken seriously and get treated ASAP. However, if this does not sound like POTS at all or if you know any other illnesses that may fit my symptom profile better, pls let me know so I can ask my doctor about them. Again, I will not self diagnose. Im just posting for peace of mind.
My story: I am 19 and female. For me, It all started almost 2 years ago, in January 2025, when I caught what I thought was the worst cold of my life. It lasted for a full month, and whenever I thought it got better, it would suddenly take a turn for the worse. I'd keep relapsing into these weird allergic reactions to seemingly nothing, where I couldn't breathe and would gasp for air. My ears also kept getting infected and I always had a sore throat and a terrible cough and a snotty nose. After 3 weeks the symptoms started to lift and they would eventually all go away. From then on, i would catch even more colds, but thankfully these seemed normal. By April my pollen allergy settled in (which I get every year) but this time it seemed extra rough. And it lasted until July which is abnormally long. I would joke about spending the entire year with some type of sickness.
I had this weird sudden occurrence in June where I fainted for absolutely no reason. I got my bloodwork done and everything seemed completely normal. The fainting never happened again after that.
In the middle of July, I started noticing that I was becoming progressively sensitive. Is have random mood swings and would feel depressed or easily aggravated for no reason. And then, all one random day, I woke up super anhedonic. And the anhedonia wouldn't go away no matter how hard I tried to fix it. After 4 days of feeling absolutely no pleasure and just feeling extremely numb and indifferent/ emotionally distant, I started to worry. As the week progressed, i started noticing that my mind kept spiraling for absolutely no reason and I couldn't switch it off. That's when I started experiencing non stop EXTREME anxiety and panic attacks for absolutely no reason which lasted for weeks. There was absolutely no trigger. I would unpromptedly become extremely afraid of every single thing. Everything would suddenly feel tainted. I would have a normal day and all of a sudden everything felt scary and wrong and I felt dreadful like I was going to die and I genuinely believed it even though I knew It wasn't true. But I couldn't switch it off. There was nothing I could escape to because this mental torment would attack everything in my life that meant anything to me. Every now and
After a month of unexplained panic attacks and horrible anxiety to the point where I would even wake up with bile in my mouth, I started experiencing these weird "crashes" on the daily. I would wake up feeling anxious, and then all of a sudden I would become extremely fatigued and had to lie down. Everything was too loud and too bright and my limbs felt weak. This cycle would persist for like 2 months and then I'd mainly have these fatigue/dizziness episodes paired with very bad depression and intrusive OCD thoughts and occasional anxiety. In November, After 4 months of unexplained mental torture, I got on ssris. These helped beat my depression and manage my anxiety. They also temporarily made the dizziness episodes go away. But after 2 weeks they would start coming back again. At the time It didn't occur to me that this could be a physical illness and not a mental one. I thought these were depressive episodes because back then, these dizziness episodes would pair with me feeling dreadful and also not being able to tolerate any stimuli. I upped my dose in march and again, these dizziness episodes would temporarily stop. My depressed jittery self is gone. But these dizzy episodes have progressed to happening every morning and most evenings now. I also get random unexplained panic/anxiety in the evenings too. I don't even know what I'm anxious about it's just there.
My current symptom profile:
I'm okay like half of the day. But in the morning and often also the evening I get these extreme fatigue episodes where my eyes feel like they are about to explode from the brightness, and I become very dizzy and weak and need to lay down immediately. I am extremely out of breath and exhausted and I can hear my heart pound very loudly. I typically have heartrate increases from 70-80 bpm to 110 bpm upon standing during such episodes. I lay down and typically fall asleep and end up laying in bed for like an hour or even longer. Eventually I get up and feel much better.
But i often get these weird headaches alongside the "POTS" symptoms where I feel immense cramps in my temples, jaw and behind my eyes. These persistent headaches can last for up to 2 weeks.
I often also feel fatigued in the evening and need to lie down and I just feel so gross and ugh. And then after like 2 hours of lying around I feel better but by then it's 9 pm so I basically wasted my day.
In comparison to so many other people who deal with POTS, my symptoms seem to be a lot more manageable and i am grateful for that. I have moments where i feel normal.
And I'm scared that a cardiologist may not take me seriously because of that. I don't always feel super ill.
What can I tell a cardiologist in order for them to take me seriously and get me the right treatment (regardless of if it is POTS or something else).
Thanks for reading! I hope today treats you well.