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Dysautonomia (autonomic dysregulation) - POTS, syncope, etc.


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On 4/5/2011 at 9:29 PM, stan said:

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Normally there is a stabilite in these two systems example :

heartbeat not too accelerate and not too slow ; as antidepressants fire receptors of nerves, it is going too slow or too fast heartbeat

i have as all people dysautonomia : many systems, organs do not function correctly

@intothewoods

1999:  Paroxetine (20mg). Age 16. 2007-2008: Fluoxetine (Prozac) for 1.5 years (age 25) Citalopram 20mg 2002-2005, 2009: Escitalopram (20mg), 2 weeks, (age 26) (adverse manic reaction)/*Valium 5mg/Temazepam 10mg 2010: Mirtazipine (Remeron)( do not remember dosage) 2010, 5 months.                     

2010-2017: Citalopram (20mg) (age 27 to 34) 2016: i.1st Sept- 31st Oct Citalopram 10mg , ii.1st November 2017-30th November 2017, Citalopram 5mg iii.1st December 2017- 4th February 2018, Citalopram 0mg, iv.5th February 2018- March 2018 Citalopram 5mg (10mg every other day) 28th February- tried titration of 5mg ( some adverse effects)

2018: 1st March 2018- 1st June Citalopram 10 mg (tablet form) /started titration 8mg , then 7 mg.2018: June 15th- 10th July Citalopram 10 mg pill every other day 2018: 10th July - 13th Sept Citalopram- 0mg  (CBD oil first month of 0mg, passiflora on and off) 2018 13th Sept Citalopram  2mg ,  approx 16th Sept 4mg , approx 25th Sept 6mg held.  2019: 11 Feb 19: 7mg (instant bad rxn) 12 Feb 19 6mg held 1 May 19 5.4mg held 5 Oct 19 5.36mg 22 Oct 19 5.29mg 30 Oct 19 5.23mg 4/NOV/19 5.18mg 12 Nov 19 5.08mg 20 Nov 19 4.77mg

(Herbal/Supplements since 1st September: Omega Fish Oil 1200mg, 663mg of EPA- 2 tablets a day, magnesium and magnesium bath salts)

I did not die, and yet I lost life’s breath
- Dante
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Can anyone give any info on dysautonomia?   Seems my symptoms are bad enough to warrant this, and I'm into 32 months now   Denstar51

Hey, Denstar. I moved your topic to the Symptoms - this way you will get more traffic. I'm sure people will soon chime in with the info.

Selections from an article on about.com (emphasis mine). This doctor gives a good overview of symptoms but does not mention insomnia and hypersensitivity to sympathomimetic and parasympathomimetic dru

On 6/19/2014 at 8:06 AM, NoMeaning25 said:

Anyone know if this will work? http://blog.synergyhealthconcepts.com/new-treatment-for-dysautonomia/

 

Alto, is this actually what we are dealing with?? 

 

http://www.dinet.org/index.php/information-resources/pots-place/pots-symptoms Is withdrawal just dysautonomia or is it a combination of things?

 

Im just trying to figure out whats wrong with me so that i can at least show my mom what im dealing with and find a doctor willing to work with me. 

 

When I read dysautonomia I felt this sense of:

thsts it, that’s exactly it. That’s what this withdrawal is. 

I’m sorry you are still suffering. I hope some healing is going on underneath all of this. 

May I ask your age?

 

1999:  Paroxetine (20mg). Age 16. 2007-2008: Fluoxetine (Prozac) for 1.5 years (age 25) Citalopram 20mg 2002-2005, 2009: Escitalopram (20mg), 2 weeks, (age 26) (adverse manic reaction)/*Valium 5mg/Temazepam 10mg 2010: Mirtazipine (Remeron)( do not remember dosage) 2010, 5 months.                     

2010-2017: Citalopram (20mg) (age 27 to 34) 2016: i.1st Sept- 31st Oct Citalopram 10mg , ii.1st November 2017-30th November 2017, Citalopram 5mg iii.1st December 2017- 4th February 2018, Citalopram 0mg, iv.5th February 2018- March 2018 Citalopram 5mg (10mg every other day) 28th February- tried titration of 5mg ( some adverse effects)

2018: 1st March 2018- 1st June Citalopram 10 mg (tablet form) /started titration 8mg , then 7 mg.2018: June 15th- 10th July Citalopram 10 mg pill every other day 2018: 10th July - 13th Sept Citalopram- 0mg  (CBD oil first month of 0mg, passiflora on and off) 2018 13th Sept Citalopram  2mg ,  approx 16th Sept 4mg , approx 25th Sept 6mg held.  2019: 11 Feb 19: 7mg (instant bad rxn) 12 Feb 19 6mg held 1 May 19 5.4mg held 5 Oct 19 5.36mg 22 Oct 19 5.29mg 30 Oct 19 5.23mg 4/NOV/19 5.18mg 12 Nov 19 5.08mg 20 Nov 19 4.77mg

(Herbal/Supplements since 1st September: Omega Fish Oil 1200mg, 663mg of EPA- 2 tablets a day, magnesium and magnesium bath salts)

I did not die, and yet I lost life’s breath
- Dante
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  • 1 month later...

"Acquired dysautonomia: As the article describes, people may develop autonomic symptoms after infections or exposure to toxins, and these are diagnosed as chronic fatigue syndrome, fibromyalgia, etc. Recovery is slow and can take years."

 

I've often wondered if my "fibromyalgia" is the result of exposure to toxins.  It could very well be given my long exposure to toxic prescription drugs.  

 

1994  Venlafaxine XR 300mg, 2003 tapered, 2004 off briefly back to 37.5 then 75mg, held, June 2019 up to  150mg, Aug.12 tapered down to 112.5mgs, Oct. 21, 2019 96mg;  Dec. 8, 2019  90mg, Jan. 8 2020 81mg, Feb. 4, 75mg;

2003/2004? Diazepam 10mg/bedtime

2013 Lyrica 300mg to 25mg; April 6, 2020 17mg; April 28, <5mg; May 7, 2020 Lyrica 0 mg!

2013 Tramadol 50mg tablets, 200mg/day divided

2005? Trazodone 50mg bedtime, Feb. 12, 2020 40mg, March 7, 25mg; Oct 1 20mg

2009? Zolpidem 5mg at bedtime. Nov. 9, 2019 Zolpidem 0 mg! 

1990? Omeprazole 20mg in morning.

2010? Levothyroxine 75mcg morning

2011? Liothyronine 5mcg morning

1999? Buspirone 30mg twice a day  August 2019 15mg once a day,  Oct.21, 2019 2.5mg evening  Oct. 25, 2019 Buspirone 0 mg!

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On 7/17/2019 at 12:49 AM, India said:

When I read dysautonomia I felt this sense of:

thsts it, that’s exactly it. That’s what this withdrawal is. 

I’m sorry you are still suffering. I hope some healing is going on underneath all of this. 

May I ask your age?

 

 

I am now 30 years old. Sadly, im much worse now than I was in 2014. But yeah. Thats why i dont even bother posting. There a lots of us actually. We keep in touch. 

Was on Citalopram 20mg since Feb 2008 - switched to Paxil 20mg in August 2010

Tapered way too fast in April 2012 by skipping days. Taper completed in 6 weeks

Tried prozac 20mg for 3 days - felt spaced out, not better.

Tried 30mg Cymbalta for 2 days. SEVERE ADVERSE REACTION

Antidepressant free since 14 August 2012

Birth control on and off during this time - Last taken 18 June 2017 - Morning after pill 

Started mainly using 0.5mg Xanax beginning 2016 for severe panic attacks and anxiety due to trauma

Xanax on and off never more than 0.5mg at a time, never taking it 3 days in a row - used sparingly 

 

6 Years antidepressant free - Still in severe withdrawal with over 60 symptoms

Severe setback started May 2018 with no let up to date. Developed many new symptoms like tremors, inner vibrations, insomnia, visual distortions and dr/dp are 100x worse, i have severe sensitivity to movement, My dizziness and vertigo got worse and it now feels like im constantly rocking on a boat, my anxiety is sky high, suicidal idiation is back, i feel extremely brain damaged 

 

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  • 8 months later...

Hi. My i came off effexor pretty quickly in 2017. I must say i.m doing a LOT better than then. Alto even decided i.m in recovery mode now, i sure think i am. Might anyone know if after coming off far too quickly it may.ve caused my n.s to not be able to properly control my blood pressure? I notice it when i get up from sitting or from bending over at times. You know, the dizziness? Sometimes it.s strong, others not so strong and sometimes not at all. This only started after I came off Effexor. Another thing, i did have those awful muscle feelings that i imagine almost everyone has. I really think i still have them to less a degree in my right butt muscle and hamstrings. Does this sound possible? Any wisdom would be greatly appreciated and please don.t be in a super rush to reply as i know there will be many here in more need of help than me. Gus.

Gussy

On effexor for at least 11 years. Last few years going through ivf treatment dose has ranged from 150-200mg. Mainly 150 though. Tapered from about 175mg mid jan 2017 to zero mid april 2017. 2&1/2 months of straight hell. Getting there now though.

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  • ChessieCat changed the title to Blood pressure "regulation" after Effexor WD
  • Moderator Emeritus

When my Pristiq dose was increased from 50mg to 100mg my diastolic blood pressure increased.  I wore a halti monitor for 24 hours.  The doctor did not make the connection between the increase in my AD dose.  He just increased my BP medication.

 

Desvenlafaxine (Pristiq) is a synthetic form of the isolated major active metabolite of venlafaxine (Effexor).

 

It may be that your BP reduced after you stopped the Effexor and it may be the lower BP causing the dizziness.

 

I had tight legs muscles when taking Pristiq.  When walking I had difficulty lifting my foot high enough to step from the road up the kerb, which is only about 5 or 6 inches high.  As my dose got lower the tightness lessened and now I only get it occasionally.

 

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

Current from 9 Jan 2021:  Pristiq 0.405 mg

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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Merged similar topics.

 

That sounds like Postural orthostatic tachycardia syndrome (POTS):

 

Quote

Postural orthostatic tachycardia syndrome (POTS) is a condition that affects circulation (blood flow). POTS is a form of orthostatic intolerance, the development of symptoms that come on when standing up from a reclining position, and that may be relieved by sitting or lying back down. The primary symptom of an orthostatic intolerance is lightheadedness, fainting and an uncomfortable, rapid increase in heartbeat.

 

Or orthostatic intolerance:
 

Quote

 

Orthostatic intolerance (OI) is the development of symptoms when standing upright which are relieved when reclining.[1] There are many types of orthostatic intolerance. OI can be a subcategory of dysautonomia, a disorder of the autonomic nervous system[2] occurring when an individual stands up.[3]

There is a substantial overlap between syndromes of orthostatic intolerance on the one hand, and either chronic fatigue syndrome (CFS) or fibromyalgia (FM) on the other.[4] It affects more women than men (female-to-male ratio is at least 4:1), usually under the age of 35.[5]

Orthostatic intolerance occurs in humans because standing upright is a fundamental stressor and requires rapid and effective circulatory and neurologic compensations to maintain blood pressure, cerebral blood flow, and consciousness. When a human stands, approximately 750 mL of thoracic blood is abruptly translocated downward. People who suffer from OI lack the basic mechanisms to compensate for this deficit.[1] Changes in heart rate, blood pressure, and cerebral blood flow that produce OI may be caused by abnormalities in the interactions between blood volume control, the cardiovascular system, the nervous system and circulation control system.[6]

 

 

 

Many people get this as a symptom of psychiatric drug withdrawal. It tends to go away with time.

 

Regular gentle exercise, such as at least 30 minutes of walking each day, can help.

 

If you do a lot of sitting, you might also need to do leg stretching exercises each day to relieve muscle tension.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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  • ChessieCat changed the title to Dysautonomia (autonomic dysregulation) - POTS, syncope, etc.
NoMoreLexapro

I had elevated thyroid antibody levels (very high) 8-10 yrs  ago. I took some medications and they went down, at times to normal levels.  I haven't taken any thyroid medication for at least 2-3 yrs. 

 

In the fall I had two vertigo attacks out of the blue.  Was dizzy in the morning for a few days and then I was fine.  The 2nd week, however, I had an out of the blue panic attack (first one ever).  I was diagnosed w/GAD, even though I never had had anxiety before, and 3 days later I was put on lexapro. 

 

I was dizzy every day I was on lexapro.  I've been off for 17 wks.  I still am dizzy, but within the last 4 wks the disorientation/dizziness/DR has gotten worse and my PCP and I noticed that my pulse goes way up when I am standing compared to lying down (or sitting).  We are working on trying to get tests for POTS.  I talked to a chiropractic neurologist (didn't know they exist) and he said that, for $7000 he could treat me, that he doesn't think this is WD, and that there is a strong correlation between thyroid issues and POTS. 

 

There's no question lexapro greatly exacerbated my dizziness, but has anyone ever thought they were in WD but they actually had POTS/thyroid issues and were brought back to normal with some kind of treatment for those conditions? 

Was on Lexapro for 66 days starting in early January.  5mg for a week, 10mg for 3, 7.5 for 3 days, then 5mg and 2.5mg for approx two weeks after.  

Was on Lithium for 60 days starting in late January. 1 300mg ER pill a day.  Stopped CT

Was given a .5 ativan script in early Jan.  Took it maybe 20x total from early Jan to beg of June, 2020.

 

-Fall of 2019:  had two vertigo attacks for the first time with no warning, each followed by 4-5 days of morning dizziness.

-Last Friday of 2019:  had first ever, out of the blue, panic attack.  Went to ER- didn't know what was happening.  Was diagnosed w/GAD, even though had never had anxiety or depression problems before.  Basically no health problems at all prior to this, and in very good shape emotionally, physically, and mentally.

-4 days after panic attack given lexapro.  That's when the hell began.  Was on it 66 days.  Reacted badly to it.  Gave me suicidal ideation 4 wks after starting it, plus exhaustion, off the charts anxiety, dizziness, and fatigue.  Did a fast taper over 5 wks.  Was on it 66 days total.

-been off lexapro completely since mid-March, 2020.  First 3 weeks I got better and better.  Then, week 4 into WD got slammed.  Since then, over 64 side effects/symptoms.  Can't drive.  At times, barely surviving.

-since Jan., have been to the e r 16x.

-was given lithium after experienced SI from lexapro to as a "mood stabilizer".  Never really noticed anything from it, nor anything after stopping it, except for a few days of heightened depression about a week after.

-was given low dosage ativan script 2nd week into lexapro to deal with the anxiety/panic spike caused by the lexapro.  Took it perhaps 20x between Jan and June, 2020.  Always made me feel better, but last time it was taken (early June) experienced intrusive thoughts after so stopped it.  Didn't feel any negative reaction from stopping it, perhaps b/c it was taken so infrequently and the dosage was so low. 

 

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Anyone on this thread or otherwise have a recurrence of POTS like symptoms in withdrawal and when did it finally resolve?

 

I had this dizziness when standing up and fluctuating heart rate (30 bps from 60 to 90 and back) early in withdrawal, which resolved with electrolytes and salt augmentation last year.  It has reappeared this summer, 15 months since C/T of mirtazapine.  I am now 19 months off.

 

Just a couple of other data points -  I had vasovagal syncope in adolescence,  but have never fainted since then except once 15 years ago when due to severe dehydration. I also developed IBS  & reflux oesophagitis about 30+ years ago when I also started smoking. My IBS  flared-up after I quit smoking in 2017, for which I was prescribed mirtazapine. I have been off mirtazaline since 2019. 

 

Is it possible that my underlying symptoms are primarily due to iatrogenic withdrawal & should eventually resolve? Or could this be a progressive deterioration in my autonomic dysfunction that nicotine (which mimics acetylcholine) kept in abeyance? 

 

Overall, I am probably at 60-70% of my pre-mirtazapine function. My mental health is definitely better and the gut is also stabilizing thanks to a very restrictive low-FODMAP, low-fibre diet.   So food intolerance disrupting the gut and sleep at night, and POTS symptoms during the day are the two main symptoms that remain.  I have also not been able to gain any weight ( I am about 20-25lbs off my normal weight). I was better in winter on both counts, which is why I am perplexed at the recurrence in summer.  

Chronic IBS since 1990

Former smoker (1992- Jun 2017)

Prescribed mirtazapine for sleep in Aug 2017 after IBS flare-up following Nicotine cessation.

Mirtazapine 7.5mg 8/17 to 5/18

Mirtazapine 3.75mg 5/18 to 1/19

Off Mirtazapine since 2/19.

Vit B, Vit D+K2 and Magnesium Glycinate as needed.

On Ayurvedic herbs for GI issues - Guduchi since Jul 2020, Indukantham since Oct 2020

On Ashwagandha 1g since Nov 2020

 

 

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Hi, I just have a quick question if that's ok. I've been sweating a reasonable amount a few nights from my lower legs and sometimes from my groin down to my feet lately and wonder if this could be caused by dysautonomia? I.d sweat like crazy at night time in the worst of it .  Or could it due to some other lingering post taper craziness? Also, i couldn.t find a topic to post my next question in so sorry if this is the wrong place. My lower leg bones felt like they were twisting in the worst of it, does anyone know what causes that? There aren.t many posts here about twisting bones, maybe it's uncommon? Any ideas?

Gussy

On effexor for at least 11 years. Last few years going through ivf treatment dose has ranged from 150-200mg. Mainly 150 though. Tapered from about 175mg mid jan 2017 to zero mid april 2017. 2&1/2 months of straight hell. Getting there now though.

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  • 2 months later...

Has anyone developed pots after stopping an SSRI and healed?  If so, how long did it take you?  No horror stories please...

Paxil 2001- 2016.  Came off of it on a slow taper.  After 9-12 months, I was put back on Paxil because I was unable to function. Paxil reinstatement triggered a rash.  I was then placed on 20 mg of Cymbalta on 2018.  I chose to take 10 mg.  I then had to be taken off of Cymbalta due to it causing cardiac issues in 2019.  I was placed on Seroquel and it caused a rash.  I was then moved to 12.5 mg of sertraline  where I did a fast taper which ended April/May of 2020.  I had to fast taper because of joint pain and joint redness.  August 2020, my husband and son was diagnosed with Covid-19.  I was considered presumptive positive.  Since then, I’ve been prescribed Atenolol and Diazepam for withdrawal symptoms of tachycardia and massive anxiety.  I take these very sporadically and less than 1/4 of a tablet at a time.  I was given metformin in September 2020 for diabetes and it triggered massive anxiety after 1/4 of a pill.  I attempted to reinstate 1 mg of sertraline on 9/20/20.  I am supposed to be taking B12 injections and prescribed vitamin D.  I will stop these for now.  On 9/29/20 I was moved from 75 mcg generic levothyroxine to 88 mcg Synthroid.  This triggered anxiety approximately 2.5 hours later.

10/5/20 less than 1/8 teaspoon of Benadryl 

10/7/20 & 10/8/20 .10ml Benadryl (stopped 10/2020)

10/9/20 3mg Atenolol  (stopped 11/2020)

10/16/20 started taking magnesium citrate during the day (stopped 10/2020 due to it triggering more anxiety)

11/9/20 grain of diazepam @ 2:30 am for muscle spasm pain (stopped 11/2020)

11/10/20 .50mg of metoprolol tartrate (stopped 11/10/20 due to nausea, weakness in arms & legs, anxiety)

11/11/20 using lidocaine patch on neck and chest for pain due to muscle spasms

1/1/21       1 drop of liquid b12 (stopped 1/4/21)

 

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  • Moderator
manymoretodays

Hi Sleepless,

I think that many have recovered from POTS here, including our fearless founder, Altostrata.

One way to see, might be to put some of the post-er's here in the searchbox feature at the top right of the screen.

Just put in their used name, and when a list comes up of posts, look for their Introduction topics.

Then you could even ask, if they have not posted for awhile, or you might see some resolution mentioned.

 

I'm seeing a lot of posts, on this topic, at least on this page, without any response, or further discussion.

 

Are you familiar with the Success Stories forum?  That might be another place to look, and read members accounts of their healing.

 

I notice that you have had a lot of medication changes and then some brief trials of things too, since last August.

Your nervous system might be craving some stability a lot, right now.......and consistency.  Maybe that will help, more than anything else.  Oh, I hope so.

 

Best, L, P, H, and G,

mmt

Started with psycho meds/psychiatric care circa 1988.  In retrospect, and on contemplation, situational overwhelm.

Rounding up to 30 years of medications(30 medication trials, poly-pharmacy maximum was 3 at one time).

5/28/2015-off Adderal salts 2.5mg. (I had been on that since hospital 10/2014)

12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs.  My last psycho med ever!  Tapered @ 10% every 4 weeks, sometimes 2 weeks to

2016 Dec 16 medication free!!

Longer signature post here, with current supplements.

Herb and alcohol free since 5/15/2016. 

None of my posts are intended as medical advice.  Please discuss any decisions about your medical care with a knowledgeable medical provider. manymoretodays

 

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In the instance of possible drug induced dysautonomia (such as increased heart rate and blood pressure, altered sweat response, sleep difficulties, etc), could a programme of moderate exercise help sway the body towards regaining homeostasis? Sort of remind it what it should be doing?

 

It’s just a thought, I wondered what people with a deeper understanding and more experience would think?

25/8/2020 - 15/9/2020 - 15mg mirtazapine

16/9/2020 - 30mg mirtazapine

17/9/2020 - 22/9/2020 - 7.5 mg mirtazapine

23/9/2020 - 6/10/2020 - 3.75mg mirtazapine

7/10/2020 - 15/10/2020 - 7.5 mg mirtazapine

16/10/2020 - 20/10/2020 - 15 mg mirtazapine

21/10/2020 - 22/10/2020 - 7.5 mg mirtazapine

23/10/202 - 26/11/2020 - 15 mg mirtazapine

27/11/2020 - 10/12/2020 -13.5 mg mirtazapine

11/12/2020 - 17/12/2020 - 12 mg mirtazapine

18/12/2020 - 26/12/2020 - 11.75 mg mirtazapine

 

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  • 2 weeks later...
On 11/27/2020 at 2:31 PM, Sleepless said:

Has anyone developed pots after stopping an SSRI and healed?  If so, how long did it take you?  No horror stories please...

I had the same question.. been dealing with many of the symptoms indicative of POTS/dysautonomia and its now close to 2 years..  

 

Chronic IBS since 1990

Former smoker (1992- Jun 2017)

Prescribed mirtazapine for sleep in Aug 2017 after IBS flare-up following Nicotine cessation.

Mirtazapine 7.5mg 8/17 to 5/18

Mirtazapine 3.75mg 5/18 to 1/19

Off Mirtazapine since 2/19.

Vit B, Vit D+K2 and Magnesium Glycinate as needed.

On Ayurvedic herbs for GI issues - Guduchi since Jul 2020, Indukantham since Oct 2020

On Ashwagandha 1g since Nov 2020

 

 

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On 11/30/2020 at 9:19 AM, AdviceNeeded said:

In the instance of possible drug induced dysautonomia (such as increased heart rate and blood pressure, altered sweat response, sleep difficulties, etc), could a programme of moderate exercise help sway the body towards regaining homeostasis? Sort of remind it what it should be doing?

 

It’s just a thought, I wondered what people with a deeper understanding and more experience would think?

 

I am doing exactly that.. I have found that the following regimen helps minimize the symptoms/flare-ups - 

 

1. Start with the lowest intensity exercises.. you can do it lying down (like rowing/swimming, yoga etc). Then slowly build it up. You don't have to do heavy aerobic work,since the heart is already working hard just when standing

2. Hydrate - at least 48oz-64oz. with electrolytes. Make sure you get enough sodium.

3. Take frequent 20-30 min breaks to lie down with feet up and belly breathe. This helps to send blood to the gut and digest food. Also do it after you have stood on your feet or exercises for more than a couple of hours.

4. If you have GI issues, also avoid any high FODMAP foods. Dairy and gluten as well. You maybe able to add it back in small portions one at a time, but try it for at least 8 weeks.

Chronic IBS since 1990

Former smoker (1992- Jun 2017)

Prescribed mirtazapine for sleep in Aug 2017 after IBS flare-up following Nicotine cessation.

Mirtazapine 7.5mg 8/17 to 5/18

Mirtazapine 3.75mg 5/18 to 1/19

Off Mirtazapine since 2/19.

Vit B, Vit D+K2 and Magnesium Glycinate as needed.

On Ayurvedic herbs for GI issues - Guduchi since Jul 2020, Indukantham since Oct 2020

On Ashwagandha 1g since Nov 2020

 

 

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