From the Research
People with Postural Orthostatic Tachycardia Syndrome (POTS) typically take about 2-3 weeks longer than the general population to recover from a common cold, as the condition affects the autonomic nervous system, which regulates immune function and inflammatory responses, leading to exacerbated POTS symptoms and a prolonged recovery period. While most people recover from a cold in 7-10 days, those with POTS may experience symptoms for 3-4 weeks or more 1. This extended recovery time is due to the body's already dysregulated autonomic system becoming further stressed when fighting an infection, leading to increased fatigue, dizziness, and tachycardia alongside the typical cold symptoms. Some key points to consider in managing the recovery period include:
- Maintaining hydration with electrolyte solutions
- Getting extra rest
- Continuing POTS medications as prescribed
- Using over-the-counter cold remedies as needed The immune system in POTS patients may be less efficient at clearing viral infections, and the increased physiological stress from illness can trigger flare-ups of underlying POTS symptoms 2. It is essential to address the underlying pathophysiologic mechanisms of POTS, such as partial autonomic neuropathy, hypovolemia, and hyperadrenergic state, to manage the condition effectively 3. A study published in the Journal of the American Heart Association found that POTS is a chronic disorder leading to significant disability, with a range of multisystem problems, and that symptoms can be modifiable, but rarely spontaneously resolve 1. Another study published in Psychosomatic Medicine found that psychosocial factors, such as distress, cardiac anxiety, and cognitive-behavioral responses to symptoms, play a significant role in symptom severity and should be addressed in the management of POTS 2. Overall, the management of POTS requires a comprehensive approach that addresses the underlying pathophysiologic mechanisms, as well as the psychosocial factors that contribute to symptom severity, to improve outcomes and quality of life for patients with this condition.