Abstract: International Journal of Gastroenterology Practice

Abstract:
GI manifestation of dysautonomia is common clinical syndrome which is underestimated by clinicians. Postur al tachycardia syndrome (POTS) is one of the most common causes of orthostatic intolerance and is being in creasingly recognized in clinical practice. Gastrointestinal (GI) symptoms are reported in majority of patients with POTS Because of pathophysiologic heterogeneity, diversity of clinical presentation, and unpredictability of clinical response, POTS patients pose a considerable management challenge and, optimally, require a mul tidisciplinary approach to both evaluation and management. It’s important for practising gastroenterologists to be aware of this complex syndrome and its GI co-morbidities. The available clinical evidence does not prove causal association between GI symptoms and POTS. Currently treatment of GI symptoms in patients with POTS remains largely non pharmacological and mostly symptom oriented. General measures to treat POTS may lead to improvement in both GI and non-GI symptoms in majority of patients. We present a Case series with litera ture review on POTS and its association with GI symptoms, evaluation and management.