Managing POTS and Dysautonomia with EDS: Practical Strategies for Stabilizing Your Autonomic System
- Emma

- May 8
- 4 min read
Updated: May 11
Living with Ehlers-Danlos Syndrome (EDS) can present a unique set of challenges, especially when complicated by Postural Orthostatic Tachycardia Syndrome (POTS) or other forms of dysautonomia. Many individuals experience a sudden racing heartbeat upon standing or an overwhelming sense of dizziness. These symptoms can be debilitating, impacting daily life and activities.
In this article, we will explore the relationship between EDS and dysautonomia, share effective daily management strategies, and provide practical tips to stabilize your autonomic system.
The EDS-Dysautonomia Connection
Collagen Effects
Ehlers-Danlos Syndrome primarily affects connective tissues, which are vital for maintaining blood vessel elasticity and optimal nerve function. This collagen dysfunction can lead to a variety of symptoms or worsen existing conditions like dysautonomia.
For instance, research shows that over 50% of EDS patients experience some level of dysautonomia. The faulty collagen fails to maintain proper structure, resulting in miscommunication within the autonomic nervous system. This miscommunication affects essential bodily functions, including blood pressure and heart rate.
Circulatory Challenges
When individuals with EDS stand, blood often pools in the lower extremities due to poor vessel tone and decreased return to the heart. This pooling can lead to decreased blood flow to the brain and heart, causing dizziness and fatigue. According to studies, around 70% of POTS patients report significant fatigue and discomfort upon standing.
This understanding of circulatory issues helps explain why many experience classic symptoms, like an elevated heartbeat when changing positions. Without effective circulation, our bodies struggle to maintain balance during everyday movements.
Nervous System Dysregulation
In addition to circulatory issues, the autonomic nervous system may become unregulated. This imbalance can affect crucial functions, such as heart rate and digestion, leading to overwhelming symptoms. Many individuals describe the feeling as chaotic, making simple tasks feel challenging.
Recognizing how these systems intertwine can provide insight into personal symptoms and guide effective management strategies.
Daily Management Strategies
Hydration & Salt
Fluid Goals
One of the simplest yet most effective ways to manage POTS is through proper hydration. Health professionals often recommend aiming for 2-3 liters of fluid daily. Staying hydrated helps maintain blood volume and circulation, which is essential for alleviating symptoms.
Electrolyte Balance
An adequate intake of electrolytes is also crucial. Incorporating salt and other electrolyte-rich foods or supplements can enhance blood volume and reduce symptoms associated with low blood pressure. For example, consider consuming electrolyte drinks designed specifically for POTS, which can be conveniently taken throughout the day.

Physical Support
Compression Garments
Compression garments play an essential role in managing dysautonomia symptoms. These specialized clothes help reduce blood pooling in the lower extremities, thereby improving circulation and stabilizing blood pressure. Many individuals find that wearing compression socks or garments throughout the day can significantly ease their symptoms.
Counter-Maneuvers
Physical techniques known as counter-maneuvers can provide immediate relief from symptoms. By practicing simple actions that elevate blood flow—like crossing and tensing your legs or performing squats—many individuals can experience a quicker return to normalcy and a reduction in dizziness.
Resources like POTS exercise guides can help you learn how to incorporate these techniques regularly into your routine.
Symptom Management
Temperature Regulation
Regulating body temperature is particularly important for individuals dealing with dysautonomia and EDS. It is advisable to create a comfortable environment, using tools like portable fans or cooling towels to combat heat intolerance. These items can greatly enhance comfort levels and symptom management.
Position Adjustment
Finding the right positions can help alleviate symptoms. For example, opting for a reclining position when dizziness occurs can aid blood flow return to the heart and brain. Ergonomic supports are available to promote proper posture and enhance blood circulation.
Quick Relief Tip
In moments of acute dizziness, try the squat position or the technique of crossing and tensing your legs while seated. These movements can help redirect blood flow back to your heart and brain, providing quick relief.
When to Seek Medical Support
While many individuals manage symptoms independently, POTS and dysautonomia often benefit from medical intervention. Consulting with a dysautonomia specialist can offer essential guidance and treatment plans tailored to your specific needs.
Working with a healthcare provider knowledgeable about the interactions between EDS and dysautonomia can significantly improve your quality of life and help you manage symptoms more effectively.
Final Thoughts
Living with POTS and dysautonomia alongside Ehlers-Danlos Syndrome involves navigating unique challenges that require strategic management. Understanding the connection between these conditions and applying daily management strategies—like proper hydration and the use of compression garments—can empower you to take actionable steps toward stabilizing your autonomic system.
By recognizing the role of collagen and employing effective symptom management techniques, you can improve your daily life. For many people, seeking support from a specialist can provide clarity and lead to effective symptom management.
Stay informed and proactive in your journey. You are not alone—community and support can make a substantial difference as you work to stabilize your autonomic system.




