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Common POTS Symptoms Rapid heart rate (tachycardia) upon standing Dizziness, lightheadedness, and presyncope (feeling like youre about to faint) Actual fainting (syncope) in some patients Severe fatigue that doesnt improve with rest Brain fog difficulty concentrating, word-finding problems, feeling spacy Exercise intolerance Nausea, bloating, and gastroparesis (delayed stomach emptying) Temperature dysregulation overheating easily, cold extremities Blood pooling in the legs (visible mottling or purplish discoloration) Headaches, often daily Sleep disturbances despite exhaustion Chest pain and palpitations What Causes POTS