Am I Crazy?

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Hello, everyone. I’m a 27-year-old caucasian female who has been dealing with various symptoms for just over a year. I have had an increased heart rate upon standing, varying blood pressure (extraordinarily high and extremely low), severe flushing, inability to control body temperature, upset stomach, dizziness, nausea and fatigue. I recently went to a cardiologist who did blood work, EKG, echo and stress test. Everything has come back normal, and he has chalked it up to anxiety. I was diagnosed with General Anxiety Disorder in my childhood and have been on medication for years. I do not feel like this is the case, as I have been able to manage it for a significant period of time.

Furthermore, I am overweight, and he implied that because of this, I couldn’t have POTS. I’m stuck with not knowing what to do next and feeling like I am a hypochondriac. Any help is appreciated!

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    The next step is to get a referral to an autonomic specialist.

    Have you done a "lie, sit, stand" test? (There are a couple of variations – see poor man's tilt table test or NASA lean test.) You can do this at home or ask your GP to do it.

    Also, may I ask which country you live in? Then I can point you to some resources for getting to a specialist.

    And, no, you're not crazy. Something is going on, maybe POTS, maybe another autonomic condition, or maybe something in a different medical specialty that causes POTS-type symptoms. The tests performed by the cardiologist have ruled out some of these, so don't think of that appointment as a total waste of time.

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