POTS and Dysautonomia: Could Nervous System Dysregulation Be Why You’re Still Sick? | E185

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In this Made for Health minisode, Dr. Aaron Hartman continues exploring an important question: Why are you still sick? Why does your body seem unable to get back into a healing state?

This time, he focuses on dysautonomia and POTS—Postural Orthostatic Tachycardia Syndrome—conditions involving dysfunction in the autonomic nervous system, which helps regulate processes such as heart rate, blood pressure, temperature, digestion, sleep, and the body's response to stress. Pasted text

For some people, the signs are dramatic. For others, they can be subtle: feeling lightheaded when standing, experiencing a racing or pounding heart seemingly out of nowhere, waking suddenly at night, struggling with brain fog, cold hands and feet, unusual skin color changes, temperature intolerance, or simply feeling significantly better after fluids, electrolytes, compression, or time spent calming the nervous system. Pasted text

Dr. Hartman explains why dysautonomia can easily become one more overlooked layer in complex chronic illness—and why identifying what originally disrupted the nervous system may be just as important as identifying POTS itself.

Key Topics Covered

What dysautonomia meansWhat POTS is and how it relates to dysautonomiaThe sympathetic and parasympathetic nervous systemsLightheadedness and dizziness after standingHeart racing and unexplained palpitationsBrain fog and difficulty thinkingWaking at night with a racing heartCold hands and feetChanges in skin color and circulationProblems regulating body temperatureSleep, mood, hormonal, and gastrointestinal symptomsWhy mild dysautonomia may be overlookedFluids and electrolytesCompression garmentsNervous-system regulationDysautonomia after concussion or head injuryLong COVID and post-infectious dysautonomiaLyme disease and nervous-system dysfunctionHypermobility and POTSMast Cell Activation SyndromeAutoimmune and gastrointestinal overlapWhy the patient's history can guide treatmentThe NASA Lean TestPhysical examination findings Dr. Hartman considersWhy treating the underlying trigger matters

In This Episode, You Will Learn

✅ Why POTS is only one form within the broader category of dysautonomia

✅ How autonomic n