PoTS & Long COVID

Dizziness, palpitations, fatigue and brain fog that worsen when upright. Real, measurable and treatable.

Many people arrive after months of tests that came back normal. That does not mean nothing is wrong. It usually means the right question has not been asked yet.

What you might be noticing

Light-headedness or near-fainting when you stand
A racing or pounding heartbeat
Fatigue and brain fog that follow you through the day
Breathlessness, chest discomfort or tremor
Symptoms that worsen with heat, after meals or after illness

How the assessment works

A first consultation of up to 30 minutes, a symptom score, and lying and standing measurements. Where it helps, a tilt-table test, ambulatory ECG and echocardiogram follow to rule other causes in or out.

What we look for alongside it

PoTS rarely travels alone. Your assessment also considers mast cell activation, hypermobility and Ehlers-Danlos syndrome, coeliac disease, thyroid disease and the effects of medication.

Treatment

Treatment combines practical, non-drug strategies with medication where it is needed, and it is adjusted to your life. No treatment suits everyone and responses vary, so your plan is reviewed at follow-up.

Start a conversation

Tell me what has been happening. Most new patients are seen within the week.

At a glance

Seen by

Dr Ayyaz Sultan

First visit

Up to 30 minutes

Key test

Tilt-table test

Referral

Not needed for self-pay

Format

Clinic or video

Questions patients ask

Frequently asked questions

If your question is not here, send a message and the practice will reply within one working day.

Is PoTS a heart condition?

PoTS affects the way the heart and circulation respond to standing. The heart itself is usually structurally normal, which is why tests at rest can look entirely normal.

How long before I see a difference?

It varies from person to person. Practical measures are started first and any medication is adjusted gradually, so your plan is reviewed at follow-up to see what is helping.

Can I be seen by video?

Yes. A first consultation can take place by video. If tests such as a tilt-table test are needed, they are arranged at one of the clinics.

Do you work with my GP?

Yes. With your permission, a summary of your assessment and plan is sent to your GP so your care stays joined up.

Not sure where to begin?

Start with a conversation.

Tell me what is worrying you, and I will help you find the most appropriate next step.