Symptom checker

Could it be PoTS?

Answer these questions about your symptoms to help you understand whether PoTS might be worth exploring — and what to do next. This takes around 2–3 minutes.

Important: This tool does not diagnose PoTS. It provides guidance on whether your symptoms warrant further evaluation by a GP. If you are unwell or experiencing chest pain, call 999 or NHS 24 (111).
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Question 1

Do you feel dizzy, lightheaded, or like you might faint when you stand up?

This might happen when getting up from bed, rising from a chair, or after standing for a while. It is different from brief "head rush" that resolves in a few seconds.

Question 2

Does your heart race or pound when you stand up or shortly after?

Not just after exercise — but when simply standing from lying or sitting. You might feel your heart beating fast, hard, or irregularly.

Question 3

Which of the following do you experience? Select all that apply.

These may happen particularly when standing, after meals, or during warm weather.

Question 4

How long have you been experiencing these symptoms?

PoTS is typically a persistent condition. Transient symptoms may have different causes.

Question 5

Do your symptoms improve significantly when you lie down?

A key feature of PoTS is that symptoms are worse upright and improve with lying flat — often within a few minutes.

Question 6

Did your symptoms begin after any of the following?

PoTS can be triggered by certain events — particularly viral illness. This information helps understand the likely subtype.

Question 7

Has a doctor investigated these symptoms before?

This helps us suggest the most relevant next steps for you.

Your symptoms — worth investigating

Your answers suggest PoTS may be worth exploring with your GP

The pattern of symptoms you have described — particularly dizziness, fast heart rate, and fatigue on standing — is consistent with what is seen in PoTS. This does not mean you definitely have it, but a GP assessment and simple testing would be a sensible next step.

1

Make a GP appointment

Ask specifically for an appointment to discuss possible PoTS or postural tachycardia. Mention that your symptoms worsen on standing and improve lying down.

2

Record your symptoms beforehand

Keep a brief diary for 1–2 weeks noting when symptoms occur, how long they last, and what makes them better or worse. If you have a smartwatch or fitness tracker, HR data can be useful.

3

Ask for an active stand test

This is a simple test your GP can do in clinic — lying and standing heart rate and blood pressure recordings. You can print our GP information sheet to take with you.

4

In the meantime — stay well hydrated

Drink 2–3 litres of fluid per day and ensure adequate salt intake. These simple measures can reduce symptoms while you await assessment.

Some features to discuss with your GP

Some of your symptoms could be consistent with PoTS — but it's not clear-cut

You have described some symptoms that can occur in PoTS, but the pattern is not strongly suggestive based on your answers alone. There are many conditions that can cause dizziness or fatigue, and a GP assessment is the right way to explore this further.

1

Discuss with your GP at your next appointment

Mention the symptoms that concern you. Ask whether a simple standing heart rate test might be appropriate. There is no need for urgent referral.

2

Rule out other common causes first

Blood tests (including full blood count, thyroid function, and iron levels) are a reasonable starting point as anaemia, hypothyroidism, and deficiencies can all cause fatigue and dizziness.

3

Keep a symptom diary

Note when symptoms occur and whether they relate to standing, eating, heat, or activity. This will help your GP understand the pattern.

Lower likelihood based on your answers

Based on your answers, PoTS seems less likely — but only a clinician can say for certain

The symptoms you have described do not strongly suggest PoTS based on your answers. However, if you have ongoing symptoms that affect your quality of life, they are still worth discussing with your GP. Many conditions overlap with PoTS and your symptoms may have another explanation.

1

See a GP if symptoms are affecting you

Any persistent symptoms that affect daily life are worth discussing with a doctor — even if PoTS is not the likely cause.

2

You may still find this site useful

PoTS is frequently underdiagnosed. If you feel your symptoms were not well captured by this checker, read the full PoTS information pages and consider speaking to your GP about it.