Guide to POTS

Hoping this makes a confusing chronic illness diagnosis easier

Extended Periods of Standing

With POTS, standing for a long time can cause blood to pool in your legs, leading to a drop in blood pressure, increased heart rate, and more symptoms. There are situations where you may have to stand for extended periods, such as theme parks, RMV lines, funerals, wakes, and even those long COVID swab lines we all remember. Unfortunately, it’s not always avoidable. Here are some tips if you find yourself needing to stand for extended periods.

Compression Stockings

If you know you’ll be standing for a long time, consider wearing compression stockings. You can easily conceal them under pants, tights, maxi dresses, or skirts. While they can be uncomfortable in the summer due to the heat, they are highly beneficial if you can tolerate them. They provide significant relief.


Carrying water with you everywhere is essential. In most cases, people don’t mind if you bring your own water, except for certain venues like concerts. Bring a water bottle to the RMV or wherever you need to go and sip on it slowly while you stand.

Good Shoes

This advice applies to everyone, but it’s especially important for individuals with POTS. The last thing you need is foot pain adding to the struggle of standing. Invest in comfortable shoes that provide proper support, which will also complement the use of compression stockings.

Liquid IV

Sometimes water alone is not enough to stay hydrated. Consider adding Liquid IV or LMNT to your water. These electrolyte supplements can help replenish electrolytes, provide added salt, and keep you hydrated throughout the day. Drink plenty of fluids while you’re waiting.


Regulating body temperature can be challenging with POTS. Wearing multiple layers can be helpful. You can remove or add layers based on the temperature, whether it’s too hot or cold. Observing what others are wearing in terms of clothing can give you cues on how to dress appropriately for your own comfort.

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