Brain Fog - Power Over POTS

The upright posture presents the circulatory system with physiological challenges, figuring out how to move blood from the legs against gravity all the way up to the all-important brain. How can the body move blood up the legs against gravity when standing and walking? Returning blood from the legs back to the heart and brain is an even greater challenge, especially among those with POTS.

When upright, POTS patients experience reduced oxygenation of the brain. This brain anoxia (reduced oxygenation) can be associated with an assortment of clinical symptoms including headaches, visual disturbances, confusion, dizziness, weakness and fatigue. Those with more severe brain anoxia when upright experience difficulty concentrating or “brain fog” and even short-term memory loss. “Brain fog” consists of difficulty thinking, focusing, communicating, confusion and being forgetful.

As a result of the cognitive impairment or brain fog, POTS patients experience significant functional limitations. Activities associated with daily living may become severely limited. Thus, schoolwork, productivity, shopping and quality of life deteriorate. Academic, vocational and economic advancements suffer. Social activities like dating, attending theater, concerts and sporting events become unworkable.

Normal complex biologic processes (automatic bodily functions) have the responsibility to return blood from the lower body to critical organs like the heart and brain. When not functioning properly, as occurs in POTS patients, excessive blood accumulates in the lower abdomen and lower limbs rather than immediately returning to the heart to recirculate.

For most POTS patients, treatment consists of behavioral changes: increasing salt, fluids, muscular strength and exercise. POWER over POTS provides guidance for designing a personalized program to “Take Back Your Life.”

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Dr. Scheldon Kress is a specialist in Internal Medicine with over 30 years of clinical experience caring for patients and pioneering behavioral management strategies to help patients make healthy lifestyle changes with respect to weight loss, stress management, diabetes management and smoking cessation. Passionate about helping patients manage difficult to diagnose medical conditions, he became interested in POTS when several family members and friends struggled with the symptoms, proper diagnosis and effective management of POTS.

Observing the challenges of POTS first-hand, he began to provide POTS patients and their families with a better understanding of causes and potential treatments, while at the same time teaching them how to utilize an effective behavioral change program to manage their POTS symptoms. This self-directed program is a must-read for patients and families dealing with POTS to empower them to take back their lives and achieve POWER over POTS.

Five Star Reviews

Extremely helpful and informative

My daughter has been suffering these symptoms for months. She, like many others, has been misdiagnosed with neurological diseases and mental illness. Even with her heart rate being 30 beats different and multitude of symptoms, doctor was still skeptical because of her blood pressure not changing. Doctors are not educated on this syndrome and it’s extremely hard to find one that is. This has brought a lot of stress to our family, however, as her mom, I persevered, held my own and kept on researching. I came across POTS, educated myself and now we know what’s wrong and how to fix it. This book was one of the books to help us get there. Thank you for publishing this extremely helpful information!

- Praha2014, Amazon

I would like to thank Dr. Kress for writing this book and bringing much needed attention to this illness. POTS is something I have struggled with for many years and I appreciate how thorough and descriptive the book is. The first part of the book expertly describes the ins and outs of finding a diagnosis and how to recognize POTS in a patient. The second section of the book is perfect for families trying to navigate the lifestyle changes that a patient and the rest of the family go through in order to make recovery easier. The book covers all the bases for someone who is looking for more information about POTS. I will most definitely be sharing this book with friends and family and continue spreading the word of this most amazing book.

- Mary Beth, Amazon

The Best POTS Book Available!

This book was extremely helpful in helping my family understand and navigate POTS. The medical information is outstanding and the explanations for the behavioral changes necessary to improve POTS symptoms are easy to understand. I would recommend this book to anyone who is interested in learning more about POTS or wants to lessen their POTS symptoms to feel better. It really is a fantastic book and I like that it is written by a medical doctor who really understands how POTS affects every aspect of a patient's life.

- Angelina, Amazon

This book was incredibly helpful in educating me and helping me manage my child's difficult medical condition.

- Karen, Goodreads

Additional Information

I hope you find my book to provide helpful information on the subjects discussed. The book is not meant to be used, nor should it be used, to diagnose or treat any medical condition. For diagnosis or treatment of any medical problem, consult your own physician. The publisher and author are not responsible for any specific health needs that may require medical supervision and are not liable for any damages or negative consequences from any treatment, action, application or preparation, to any person reading or following the information in this book. References are provided for informational purposes only and do not constitute endorsement of any websites or other sources. Readers should be aware that the websites listed in this book may change. The author is no longer in private practice and not in a position to respond to any medical inquiries.