Thanks, the reason I say this isnt a self dx, is cause of the positive tilt test results. And I think the cardio doc seen there really wasnt he could do for me (Ie heart surgery ) or he just didnt know what pots was , granted its not a common thing , esp in males. My bp didnt really drop but at one point it was 135/40 which is on the odd side . During the tilt test , my hands started going blue from the blood in them,my head was throbbing, I had chest pain, shoulder pain, and I started to have an aura to my vision.