Это видео недоступно.
Сожалеем об этом.
How to Shift Out of POTS Adrenaline Surges (When Fight or Flight Sets In)
HTML-код
- Опубликовано: 18 авг 2024
- How to Shift Out of POTS Adrenaline Surges (When Fight or Flight Sets In)
With Postural Orthostatic Tachycardia Syndrome, our dysregulated nervous system can get caught up in continuous waves of adrenaline surges. Fight or flight response sets in and we get high heart rate, nausea, palpitations, or feelings of anxiety or panic.
We can navigate adrenaline surges successfully by slowing down and tapping into the mind-body connection.
Here are some of my favorite techniques:
Breathing & shifting - breathing has a powerful ripple effect on body & mind
Reciting a personal mantra - self-affirmations with a focus on grounding
Doing a somatic practice - helping body awareness with touch or movement
Massaging the vagus nerve - the major nerve of parasympathetic nervous system
I encourage you to try out one of these techniques. I'd love to hear which one is your favorite - drop a comment below the video!
If you're interested in further guidance in how to navigate adrenaline surges & thrive with POTS and chronic fatigue, reach out for a free 30-minute coaching session calendly.com/m...
Check out my private Facebook group Thriving with POTS: / thrivingwithpots
Wearing compression calf sleeves (like marathon runners wear to prevent shin splints) can be very helpful to prevent or reduce blood pooling in the legs of POTS patients.
Saline infusions during the hot months of summer can also be helpful for some, but not all, POTS patients.
Thanks for bringing that up. I mention those in some of my other videos 🙂 there's a good research paper out there by Dr Satish Raj et al about the most effective types of compression for those with POTS. Compression helps some individuals a lot - others not so much especially if other things contributing to symptoms
@@thrivingwithpots Dr. Satish Raj is very good! He's the specialist who gave my doctor the idea to try Mestinon (Pyridostigmine) to treat my gastroparesis and chronic constipation, since it's a prokinetic and also stimulates the parasympathetic nervous system (rest and digest functions). Mestinon can be beneficial to treating POTS in certain patients as well.
@@thrivingwithpots
This is why Guanfacine or Clonidine have become popular medications to treat hyperadrenergic POTS. Both of these directly act on the sympathetic nervous system (fight or flight response) to tell the body not to dump so much adrenaline and norepinephrine into circulation. Clonidine tends to be the better one for preventing blood pooling in the legs, and it's also prescribed off-label to treat hot flashes.
thanks for your comment. The information I shared here is related to nervous system regulation within the aspects of coaching and physical therapy. As I am not a physician or pharmacist, I do not discuss medication. Response to medications varies and there are many factors to be considered such as presence of low blood pressure or histamine intolerance that are best figured out working closely with one's physician.
Big pharma always the last resort, the science updates daily on all under researched illnesses because the medicine could be endless. Only now I am dedicated on not seeking mind altering prescribed meds and focus more on diet and michrochondria and Pilates from bed, no tap water has helped so much. Subscribed great video ❤
@@shonacpaisley9877 It's great that Guanfacine and Clonidine are not mind altering. This is why they're gaining in popularity over typical medications that prevent adrenaline surges.
And you're right about Big Pharma. Since Guanfacine and Clonidine are older and inexpensive medications. Big Pharma doesn't like cheap generic medications being repurposed for other uses, when they want to keep developing and patenting new medications in order to make maximum profits.
You made a great point about the recent research that has shown Guanfacine has a protective effect on mitochondria! Those recent studies of Guanfacine treating the cognitive deficits after being affected by Long-C19 showed a lot of promise!
@@shonacpaisley9877 It's great that Guanfacine and Clonidine are not mind altering. This is why they're gaining in popularity over typical medications that prevent adrenaline surges.
And you're right about Big Pharma. Guanfacine and Clonidine are older and inexpensive medications. Big Pharma doesn't like cheap generic medications being repurposed for other uses, when they want to keep developing and patenting new medications in order to make maximum profits.
You made a great point about the recent research that has shown Guanfacine has a protective effect on mitochondria! Those recent studies of Guanfacine treating the cognitive deficits after being affected by Long-C19 showed a lot of promise!
Those two inexpensive medications are a couple that big pharma doesn't want patients to know about, since they can't make tons of money off of medications that have become available as generics. Thankfully research hospitals are funding research studies to repurpose existing medications for other uses.
Those two are not mind altering, so even that other commenter would approve of these.
my methods are: embodiment, compression vest and intentionally doing things very, very slowly.
curious, have you tried tapping into slow paced breathing?
It’s also important to get lots of water! Taking salt supplements helps too, but make sure to talk to your dr before starting salt. I take salt because my blood pressure stays too low.
Yes salt is very helpful. Depending on the person, potassium, magnesium, and also vitamin C if adrenal fatigue is involved helpful. For those with hyper adrenergic POTS with higher blood pressure, it appears some salt helps but less than those with hypovolemia (lower blood volume, often lower BP)
I mention electrolytes often in my other videos so thanks for pointing it out here too!
It just depends on the type of POTS you have. Some of us with hyperPOTS do not always respond to salt intake. We can also have high blood pressure with sudden blood pressure drops that cause syncope. While we do need it and I do take Salt Stick Vitassium, there are certain situations where salt does not help. For instance, when my son is intense pain (we also have Ehlers Danlos), he will pass out. He’s done this with dislocations.
@@jennifermcmillan9518 Yes ! thanks for pointing that out. about 9% of the population actually has BP drop with more salt intake. It really depends on the person. The potassium piece is important as also influences BP regulation. I'm sorry to hear about your son's pain - pain and the ANS are interconnected. I wish you luck navigating that
No idea that this was even a thing, just know I have it a lot. Glad to see this, I don’t want to do the tapping but some techniques are very unnoticeable, I don’t have any reason to have these issues. Thank you for this video
Had an adrenaline surge yesterday after waking up. Going through a flare-up due to stress. HR went up to 172, was in the 110s almost all day until I took midodrine. Woke up again with another adrenaline dump -- I noticed that if I wake up or even nap late during hours of "low cortisol" (noonish), my HR goes up to 130-150. I have symptoms of hyperadrogenism & I know I have an altered cortisol metabolism from years of severe stress on top of long covid. I know that's 100% my cause. Now on a strict diet, homemade food only from scratch, no processed food, taking lots of rest, and getting in essential supplements like Bs (esp 1, 6, & 12), D3, molybneum + copper, etc.. Can't take a beta blocker since they mess with my hormones. Can only take H1 or 2 blockers & midodrine. Guanfacine will lower my BP too much & clonidine is likewise unsafe for me. I use compression socks & it still happens. Having lots of fun. 😌
Stress can be a trigger for adrenaline surges as the body naturally releases cortisol and adrenaline when stressed. When the autonomic nervous system is dysregulated with POTS a little stress goes a long way I've found. Finding ways to bring the body back into a state of regulation can be helpful. You may like my videos about breathing to help POTS symptoms and mindfulness for POTS
ruclips.net/video/DjAMwK3QOng/видео.htmlsi=Pwutz67H2uE15M-k
B1 for sure
@@shoshishararecordingsshosh1501 hell yeah!
Thank you for this information. My hair has falling out. I look like a person on chemo. I take thyroid medication and blood tests are good and my hormones are in range. Has anyone else had this happen. When heart rate goes up I have panic attacks and feel crazy, I stutter and have excess saliva. Sometimes I feel like I am having a sensory overload. This is really good information! I have taken xanax to calm done. But I am trying to stop taking it.
In my journey, I had periods of my hair falling out and panic attacks actually. Hair falling out can be due to a myriad of reasons - stress and malabsorption and gut imbalances were mine. I was not aware of being in a stressed state so often...
When the body is in a stressed state, digestion and absorption are not prioritized - energy reserves are impacted.
In my learning about the nervous system, high heart rate can trigger panic attacks as the body is physiologically signaling panic shifting into sympathetic fight or flight- blood flow to the brain changes and communication can be affected ( by blood flow and nervous system state).
There are ways outside of medication to train the body to physiologically shift into a more neutral or calm state that I walk clients through. Happy to chat if you're interested.
calendly.com/meghan_varner_guide2resilience/discovery-call
Can these adrenaline rushes be most of the day everyday for months at a time? It seems like it calms down around bed time for me. I am losing so much weight
@@juliaarambula3153 yes from my personal experience and those of clients I've seen. The adrenaline surges appear to occur with the body perceives stress - with POTS something like a change in position, prolonged standing, heat exposure, foods, low blood sugar, mental stress. The sensation of calming down around bedtime may be worth exploring - is it a calm or a state of exhaustion from being in a high adrenaline state during the day? Happy to chat if you'd like calendly.com/meghan_varner_guide2resilience/discovery-call?month=2024-06
Great tips! I have to force myself to implement these when times get tough. I think I developed this from Long Covid. Never had any formal diagnosis.
I had it real bad back in 2021, seem to have recovered but then a bad case of food poison set it off again recently. In the early stages I'd be stuck in fight or flight for days and have gone w/o sleep for 3 nights in a row. When I would fall asleep, only for an hour or so at a time, I'd get hypnic jerks and snap awake w my heart and mind racing like my house was burning down. Just forcing myself to box breath and tell myself positive affirmations. Scariest thing I could've ever imagined.
When it first happened I went to the hospital w a really high hr, around 160-190 bpm. Before all of this I had bradycardia, 45-50 resting HR. I sat there for 10 hours in so much agony and got treating like an anxiety patient. I got laughed at for suspecting it was POTS and then had me speak w a therapist, "your going to have to breathe and think your way out of this"...🤦 end of rant 😜
Sounds like you've had quite an experience. I've worked with quite a few clients with symptoms post COVID infection - there's hope as the nervous system can rewire with training. Sounds like you've witnessed the strong connection between the gut and the brain - many with POTS have gut symptoms that are seemingly connected to flares. I've not done a specific video on it yet however my most recent video 5 things I wish I'd known about POTS mentions it. Reach out if you ever want to chat! calendly.com/meghan_varner_guide2resilience/discovery-call
My daughter had that, and was prescribed Guanfacine to treat insomnia and adrenaline surges. Being on it for a year or two broke the wild adrenaline swings and essentially retrained her body's sympathetic nervous system, and now she doesn't need the medication anymore. The Guanfacine helped get her healthy, when nothing else would help.
I have been implementing these techniques (learnt fro many years of suffering with chronic pain, fatigue, dysautonomia and various autoimmune diseases). It’s lovely to see you sharing these techniques as adrenaline surges can be extremely overwhelming especially when you are dealing with them constantly and alone.
So glad you've found them helpful. Reach out anytime: Meghan.varner@guide2resilience.com
This is great thanks for this , going to watch it all in the morning , eBay checklist did you use ?
@@saren6538 to what list are you referring?
Thanks. I shared it with a friend who gets stuck in adrenaline a lot. I like the idea of pairing somatic techniques with the breathing.
Glad you found the pairing helpful. I've found a mix of techniques is often helpful to shift the nervous with clients I work with. That's great you shared it ❤️
How to get out of chronic fight flight ? It is killing me for 9 months
I am so pleased to have found this new and what seems to be very new helpful information. I had another episode tonight standing up a few steps blacked out started to fall, caught myself at 165. I have low blood pressure high heart rate when standing hypoalgeric P.O.T.S. low blood volume.
Good to hear these techniques are helpful for you. Shifting the body & mind can be powerful.
@@thrivingwithpots well i am constantly getting my hands on or researching anything i can find to make my life easier, because I live with other chronic illnesses, some very painful and debilitating and want to get back to my normal self hopefully. That is my dream. I will not stop trying.
@@Sogonrei that is a great mindset!
Hyperadrenergic POTS is more common. You have hypoadrenergic POTS, the kind which doesn't have the adrenaline surge, but rather a lack of response of the adrenal system when standing up? That's somewhat common in diabetics.
Wow, I absolutely love that you show all these techniques in one video. I have ME/CFS and developed Orthostatic Hypotension after Covid. When I was finally sent for an Active Stand Test I had a huge adrenaline rush so my BP was high despite me informing what was happening and this wasn't normal I was dismissed. I'm now off for a 24hr ECG & BP cuff and I could feel it happening again (I've waited almost 3.5 years) and although I meditate daily sometimes you just need extra help and seriously - you've helped so much❤. Huge thank you.
You're welcome!
I can totally relate.
I have Orthostatic Hypotension. Usually I deal with low BPs, raised HR, and fatigue. But sometimes, especially if sitting upright, and w a mild fear trigger, I’ve had adrenaline rushes, blanched hands and face, numbness and tingling, eyes feel dilated, and then typically, my bowels evacuate. If I’m lucky I can get to a bathroom. I’m still trying to understand if this is a panic attack vs an adrenergic issue, ie physiological origin.
@@Trenchant468 it sounds like you have a few things going on related to autonomic nervous system (ANS) dysregulation that is influences by hormones like adrenaline. The ANS governs heart rate, BP, vasoconstriction/dilation, pupil dilation and gut functions. When the ANS becomes dysregulated the symptoms you mention can appear, some related to a higher sympathetic dominance followed by the parasympathetic side of the ANS rebounding to compensate (bowels move quickly). Finding ways to bring the ANS back into a regulated state can be helpful based on my experience personally and working with clients. If you'd like to chat more please reach out: calendly.com/meghan_varner_guide2resilience/discovery-call
Thank you
How's your sleep quality?
Personally my sleep quality has greatly improved implementing the techniques I mentioned in video. Here's another video I shared specifically on sleep you're welcome to check out: ruclips.net/video/M5uFBxvOOKo/видео.htmlsi=v81aWyN7OZk_4aRL
I don’t have the heart elevate but I get surges or “chills” down my legs when I react to an excitement or higher emotional response. What the heck is this?
Sounds like you know your body well. Elevated heart rate is common with POTS in my understanding; however we're all unique! Chills or goosebumps can be an autonomic response, so is sweating as the autonomic nervous system is involved in temperature regulation. Worth asking your care team too!
@@thrivingwithpots Actually POTS was a diagnosis “she thinks” from my thyroid functional medicine doctor. So I’m trying to get more on this syndrome to pinpoint it.
That's great you're being so proactive! Reach out if you'd like to chat sometime. calendly.com/meghan_varner_guide2resilience/discovery-call
@@thrivingwithpots I recently started taking methycobalamin because my COMT was low when doing a methylation lab. I have found not only did it help these “chills” go away or diminish in intensity but I’m also sleeping better!
I just found your channel this week and I really like it. Keep it up girlie.
thanks for your comments
@@thrivingwithpots have you read about the new study that shows improvement by stimulating the vagus nerve 2x/day with a TENS unit connected? It’s promising research.
@@jennifermcmillan9518 yes I think I know the study you're referring to. It points out the connection between the vagus nerve stimulation and regulation of heart rate and other symptoms associated with POTS. I've had some clients try stimulators and like them.
The vagus nerve can be stimulated and trained to engage with resonance frequency breathing as well - no stimulator used - which is helpful as once learned you can call on it whenever and wherever you need it including post exertion. At first you're training the baroreflex (BP control that influences heartrate) and releasing acetylcholine with exhale; with time vagal tone control of heart rate and BP improves. I'm a fan of the breathing approach more so as training the vagal brake to engage and let go which is how it physiologically functions vs stimulating it to engage and engage. I talk about it more in this video: ruclips.net/video/bVQhS7u-o8Q/видео.htmlsi=KLQky1800hp5wMzY
The in other ways too - some somatic work targeting it can help some individuals as well - some I mention in this video and others.
It's finding the combination of things that work for you!
All this from taking the shots
sorry to hear that. I have had a few clients with similar challenges. The body can rewire with time. Reach out if you'd ever like to chat calendly.com/meghan_varner_guide2resilience/discovery-call
Long Covid or the shot aren’t the only reason people develop POTS or Dysautonomia. I’ve never had Covid or the vaccine. I developed POTS after wisdom teeth removal.
@@SinCityBluffrat yes, POTS has multiple different causes from physical trauma, viral, to some genetic component - the common piece is dysfunction of the autonomic nervous system
Myself and my daughter both got this from civid vaccines
Sorry to hear that. I've had a few clients with similar experiences. It's interesting how the nervous system responds
Thank you for this information. I have POTS and I wonder if there is something I should be doing before or after I take the stairs to possibly reset my system? Does " walking it off" help stop blood from pooling? Or should I immediately sit and put my feet up? If so, how long? Trying to figure this all out. Gardening gives me shortness of breath, chest pain and dizziness. Are there any tricks I can do to bend over and not have a crash?
Doing a round of resonant breathing like I refer to in the video can be very helpful before and after exertional activity like stairs. Can help with positional changes like bending over too - developing self awareness of triggers & how to modify an activity to not trigger symptoms is key. There are definitely methods to prevent blood pooling - static standing or sitting tends to trigger it even sleeping overnight if blood volume is low. For many, doing isometrics in the legs helps. It depends on how much your body is affected as to next steps to help. I plan to do a video on that topic soon - subscribe to stay tuned! You're welcome to schedule a free 30-minute session with me sometime. Here's my booking link
calendly.com/meghan_varner_guide2resilience/discovery-call
@@thrivingwithpots thank you so much I will be implementing these immediately.
Elevated legs can help. Walking is great, since it helps pump the blood back up so it doesn't pool.
Compression calf sleeves can work wonders! Get the kind marathon runners wear to prevent shin splints.
I often have repetitive surges when I’m falling asleep or waking up. They often happen five or six minutes apart, for some reason. When they are waking me up, I often partially wake vocalizing, almost like a medium volume roar, which lets the energy out without me moving much. After cycling through five to six times, I’m fully awake and if I lie there, the surges continue, unless I get up. 🤷🏼♀️ I sleep only three to four hours per 24 but don’t feel tired unless I sleep more than that, which I do less than a week.
That's sounds rough. I've found working on regulating the nervous during the day and right before going to bed helpful to reduce waking up frequently. Some other things I mention in the video help too😊
You could ask your doctor about Guanfacine. It's the most popular medication to treat insomnia in pediatric patients, due to its low risk, and it also works for adults. Guanfacine's direct effect is to signal the body to not dump so much adrenaline and norepinephrine into circulation.
@dulcimerist thanks for your comment. As we're all on different journeys it's helpful to be mindful medications affect us all differently - and our nervous system and cardiovascular system response to them varies quite a bit. Some can drop blood pressure as that one so very important to work with a medical team who has assessed one thoroughly.
@@thrivingwithpots I look into some of the things people talk about in groups I’m in, but don’t take generally take medical advice from people online. I have been pointed in the right direction a few times, though!
I have NOT been assessed properly as I have to fight care “providers” for every step of progress. I’m going onto the best Medicare plan possible in a few months and hope that will open up a lot more possibilities medically. I also have medical PTSD, starting thirty years ago when I was left with an incomplete spinal cord injury after back surgery, so I often take months long pauses between attempts to get help. I also have hyper mobility, Non Length Dependent Small Fiber Neuropathy, Dysautonomia, and POTS, though casually “diagnosed” on the last two, and not helped, though doctors know I’m home bound because if it. The only good for me is that I black out slowly enough that I can plan my placement on the floor when necessary.
I had a point, and half made it, but do these posts as exercise to try to keep my brain working. Today, I’m half blacked out just sitting, and am fighting hard to make sense. My brain is getting really bad these days and it scares me.
Eight years ago, I had rapid onset of full body burning, tinnitus, vision impairment, brain fog, weakness, rapid heart rate, dizziness- many symptoms of dysautonomia- something I’ve only just realized, on my own, over the past several years. I was checked out in the hospital and released, with them telling me I was perfectly fine but needed a Psychiatrist, then telling the Department of Motor Vehicles to rescind my Drivers License because I was too unwell to safely drive. Only much later- years later- have I realized that during that hospital stay, I was never examined besides while lying in bed, so most of my symptoms, besides the burning, weren’t caught.
What’s the charge for the coaching session?
Please check out my website here under my offerings: www.guide2resilience.com/program
Im suffering from this and chiari. Its ruined my life.
I'm sorry to hear you are struggling. Addressing nervous system regulation has been helpful for myself and clients with the adrenaline surges
Great 😊 information
Thank you 😊
My surges of cortisol or and adrenaline seem to be going night and day would love more information
You're welcome to reach out to chat sometime: calendly.com/meghan_varner_guide2resilience/discovery-call