Can you fly with POTS Syndrome​

‍Flying with POTS :

Traveling can be both exciting and daunting, especially when managing a chronic condition like Postural Orthostatic Tachycardia Syndrome (POTS). For individuals with POTS, the unique challenges of flying, from altitude changes to long periods of immobility, can exacerbate symptoms. But with proper planning and awareness, flying doesn’t have to be a stressful experience. This article offers practical tips and explores the science behind flying with POTS to help you travel comfortably.

The Science of Flying with POTS

Flying presents several physiological challenges that can significantly impact individuals with POTS. The cabin pressure on commercial flights is adjusted to simulate an altitude of 1500–2500 meters above sea level. This change affects the body in several ways:

• Reduced Oxygen Levels: In healthy individuals, oxygen saturation drops slightly during flights, typically from 98% to 92%. For those with conditions like POTS or long-COVID, this mild hypobaric hypoxemia can aggravate symptoms due to chronic cellular hypoxia.
• Lower Humidity Levels: Cabin air is dry, which can make it harder to maintain hydration and blood pressure—two critical factors for managing POTS.
• Impact on the Autonomic Nervous System: Changes in atmospheric pressure and oxygen levels can stress the autonomic nervous system, increasing the likelihood of symptom flares.

Understanding these scientific factors underscores the importance of preparation and self-care when flying with POTS.

Preparing for Your Flight

Plan Ahead

• Mobility Assistance: When booking your flight, request wheelchair assistance or other mobility aids to conserve energy navigating large airports. Airlines are required to provide these accommodations.
• Seat Selection: Choose an aisle or bulkhead seat to allow more room for stretching and elevating your legs.
• Pack Strategically: Your carry-on should include:
  • All medications in their original containers.
  • Medical ID bracelets or cards explaining your condition.
  • Electrolyte powders like NormaLyte or Liquid IV.
  • Salty snacks such as pretzels or nuts.
  • Compression socks or leggings.

Stay Hydrated

Dehydration is a common trigger for POTS symptoms, and it’s easy to become dehydrated during a flight due to low humidity. Drink water consistently and mix in medical-grade electrolytes to maintain hydration. Pack an empty water bottle to fill after passing security.

Wear Compression Garments

Compression socks or leggings improve circulation and help manage blood pooling during prolonged sitting. Look for products with moderate to high levels of compression for maximum benefit.

Managing Symptoms During the Flight

Avoid Symptom Triggers

Stress and anxiety can exacerbate POTS symptoms. Prepare strategies to stay calm, such as:

• Listening to a favorite podcast or music.
• Practicing deep breathing or mindfulness exercises.

Move and Stretch Regularly

Sitting for long periods can worsen blood pooling. If possible, get up and walk around the cabin periodically. In your seat, perform simple leg exercises like ankle circles or calf raises to promote circulation.

Combat Nausea

Motion sickness and nausea are common for people with POTS. Consider packing:

• Ginger chews or lozenges.
• Sea-Band wristbands for acupressure relief.
• Peppermint gum or lifesavers to soothe the stomach and help ears adjust to altitude changes.

Regulate Temperature

Cabins can be chilly, which might exacerbate POTS symptoms for those sensitive to temperature changes. Pack a shawl, blanket scarf, or hoodie to stay warm.

Navigating the Airport

Airports can be overwhelming, but with a few strategies, you can minimize stress and conserve energy:

• Arrive Early: Give yourself plenty of time to navigate security and your gate without rushing.
• Use Assistance: Request a wheelchair or electric cart to avoid long walks.
• Prop Your Feet: While waiting, elevate your feet on your carry-on luggage to reduce blood pooling.

Legal Rights and Resources

Under the Air Carrier Access Act (ACAA), airlines must accommodate passengers with disabilities. If you encounter issues, you can file a complaint with the Department of Transportation. Additionally, consider travel insurance options, including trip cancellation and medical evacuation coverage, to ensure peace of mind.

Tips from Fellow POTS Travelers

Learning from others who have flown with POTS can provide valuable insights. Here are some tried-and-true tips:

• Set alarms for medication reminders to stay on schedule.
• Bring noise-canceling headphones or earplugs to reduce sensory overload.
• Pack extra doses of medication in case of delays.
• Communicate with the flight crew about your condition to ensure they’re prepared to assist if needed.

Conclusion

Flying with POTS doesn’t have to be overwhelming. By understanding the science behind your symptoms and implementing practical strategies, you can make your journey more comfortable and enjoyable. Remember to plan ahead, stay hydrated, and advocate for your needs. With the right preparation, you can embrace travel opportunities while managing POTS effectively.

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Frequently Asked Questions

Does flying affect people with POTS?

Yes, flying can exacerbate symptoms in people with POTS due to changes in cabin pressure, low humidity, and reduced oxygen levels. These factors can strain the autonomic nervous system, making it difficult to maintain blood pressure and hydration.

Can altitude affect POTS syndrome?

Altitude can significantly impact POTS symptoms. The reduced oxygen levels and lower air pressure at higher altitudes may worsen issues like lightheadedness, fatigue, and fainting, especially in a pressurized cabin mimicking 1500–2500m above sea level.

What should you not do with POTS syndrome?

Avoid prolonged standing, dehydration, and skipping meals or medications, as these can trigger symptoms. When flying, it's essential to stay hydrated, avoid alcohol, and move regularly to promote circulation.

Can people with POTS go on a cruise?

Yes, many people with POTS can go on cruises with proper preparation. Motion sickness, however, can be a concern. Wearing Sea-Bands, packing medications for nausea, and staying hydrated can help manage symptoms. Planning ahead for accessible accommodations and rest breaks is also beneficial.

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References

• Muhm, J. M., Rock, P. B., McMullin, D. L., Jones, S. P., Lu, I. L., Eilers, K. D., Space, D. R., & McMullen, A. (2007). Effect of aircraft-cabin altitude on passenger discomfort. The New England Journal of Medicine, 357(1), 18–27. https://doi.org/10.1056/NEJMoa062770
• Silverman, D., & Gendreau, M. (2009). Medical issues associated with commercial flights. The Lancet (London, England), 373(9680), 2067–2077. https://doi.org/10.1016/S0140-6736(09)60209-9
• Gendreau, M. A., & DeJohn, C. (2002). Responding to medical events during commercial airline flights. The New England Journal of Medicine, 346(14), 1067–1073. https://doi.org/10.1056/NEJMra012774

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