Dana 44 POTS secondary to idiopathic small fiber neuropathy (SFN) POTS-42;SFN-35 Georgia stroke like in appearance- extreme fatigue including in face(feels like it is melting), mental confusion, loss of balance, dizziness, slurred speech; these at worst times almost always triggered by being in a loud, busy enviroment neuropathic pain all over stongest in abdominal and back areas, dizziness, patchy loss of sensation areas all over body, random sudden intense areas burning and itching, trembling, fatigue, random periodic twitches, constant ringing in ears, heat intolerance, extreme noise sensitivity, nausea, sometimes constipated, need to strain to completely empty bladder, random tingling sensations (like something crawling on me) recently started feeling this on both sides of middle back, recently joint pain, sometimes feel as though running low grade temperature dilantin, no longer take amitriptylene and depakote neurontin, florinef, wellbutrin, vitamin D, fish oil, benefiber, evening primrose oil (supplement), as much as possible avoiding loud and busy enviroments (instead of attending local church watch live streaming services of a like-minded church where my oldest son currently attends), recumbent bike, drink G-2