thank you honey, can you tell me how did you fly back to USA when you were so sick.I have on top of dizziness, acute attack of frightening severe dizziness as if the world tilts sideways , blurring of vision,dry throat and horrific feeling of doom and tachycardia. nobody had a clue for the past 8 months, on monday i saw a neurologist (finally after 8 months of asking for it, i live in Canada....0 I am extremely anxious but I am afraid to take anything for the anxiety just herbs and relaxation meditation....quote name='Dizzy Dame' date='Jul 26 2006, 11:19 AM' post='60035'] Heya, *deep breath* it's a long story. I first started showing POTS symptoms last summer when I was living in Hawaii. They mainfested as dizziness, fatigue, and chest pain, and palpitations but the dizziness was by far the worst symptom. I went to several doctors, but they couldn't find anything wrong with me other than in increased heart-beat on standing, so they told me I had an anxiety disorder and prescribed xanax. Well, the xanax made things much worse, and I ended up fainting as a result of it. I ended up in the hospital on the cardiac ward because after fainting an ambulance was called and the EMT's saw my blood-pressure was 60/40 and I couldn't speak or hear. After getting IV fluids and spending several days in the hospital, my BP normalized a bit when I was laying down, but as soon as I stood up, it would go back to the 80's/50's and my heart rate would go from the low 60's to the 140's-170's. My doctors knew something was horribly wrong, but had no idea how to help me, so I was sent home and told to stay in bed. I was bedridden for about 6 months, and eventually had to move back to the east coast beacuse the doctors in Hawaii had given up on me. In January I went to Vanderbilt and was admitted for a 2-week medication trial by Dr. Biaggioni. While I was there I was officially diagnosed with POTS and Neurally Mediated Hypotension, and was put on Midodrine. Since then, the midodrine really helped some of my symptoms and I was able to get out of bed, and even go to school part-time last semester. However, my symptoms have worsened over this past summer, and now we're suspecting that I have Lyme disease as a cause of my POTS and other neurological symptoms. My POTS/NMH symptoms are listed below: 1. Severe increase in heart-rate when I stand >40 bpm 2. Chest pain, dizziness and nausea upon standing 3. Decrease in systolic and diastolic BP when standing (unmedicated) 4. Heat intolerance 5. Intolerance to caffiene and alchohol 6. Exercise intolerance I have other symptoms that some POTS patients have that may also be attributed to Lyme: 1. Sensitivity to sound, light, and vibration 2. Joint pain 3. Numbness/burning/tingling in hands and feet 4. Sleep disturbances (I wake up in the night with what feels like adrenaline surges that cause my heart to race and my blood-pressure to spike) 5. Visual distrubances ranging from flashing lights, to "floaters" My treatments are as follows, some are doctor-prescribed/suggested, others are things I've learned from trial-and-error: 1. Not to stand for more than a few mintues: this means I use a wheelchair if I have to walk long distances, I use a stool in the kitchen for when I cook or do dishes, and a stool in the shower. 2. Gatorade 3-4 liters a day. 3. Tons of salt on all my food. 4. Waist-high compression hose in the spring, winter and fall, knee-high in the summer (beacuse they're so hot) 5. Eating 4-6 small meals a day, not too much fatty food or sugar 6. B-6, B-12 and folic acid seem to help me That's about it. I really hope you find a doctor that can give you some answers! That will be crucial to your recover.