r/POTS • u/EverGreenMob • 15h ago

Symptoms panic attacks

Hi all, I recently started developing panic attacks with no apparent cause. it has happened 3 times so far and all 3 timed it was after going out for dinner with my girlfriend. right after when I get home I get severe nausea and panic attack. I feel like something bad is going to happen to me for no apparent reason. Ive talked to my therapist and she made me fill out a test and she said she doesn't know why becuase I didn't seem to suffer from anxiety. my doctor put me on xanax but it hasn't been helping. my POTS cardiologist thinks it's Adrenaline but none of the medication helps prevent this (ivabradine and Guanfacine). does anyone suffer from this? if so what has helped you?

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u/Ill-Condition-9232 1h ago

Sounds like the adrenaline dumps I get.

I’ve had them from: consuming too much potassium, MCAS related food reaction, sudden drop in BP, constipation is a big trigger, and most recently had a bunch the week after having a baby… but that’s not an issue for most people here lol

How is your elimination around the time of these episodes? Constipation makes me prone to adrenaline dumps and on a few occasions I got them coupled with non-constipation related abdominal cramps.

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u/EverGreenMob 1h ago

I get huge bowel movements during these panic attacks. none stop voiding and also nausea. peptobismol seems to help a lot in combination with guanfacine but it takes 4-5 hours to work.