POTS tracker for symptoms, heart rate, fluids and flares

This POTS tracker is for anyone with postural orthostatic tachycardia syndrome who wants symptoms, readings and visit notes together in one calm place. Its 30 undated pages include 7 daily logs, lying and standing heart rate and blood pressure pages, fluid and salt records, compression and activity logs, trigger pages, flare notes, an energy budget, appointment pages and a monthly overview, sized for US Letter and A4. Download the PDF instantly; nothing is shipped.

Patterns that felt invisible start to show up on paper.

How the POTS tracker makes patterns easier to see

Each evening, score 12 common symptoms from 0 to 5, copy your lying and standing heart rate and blood pressure exactly as measured, and note fluids, compression, activity and possible triggers such as heat, long standing or large meals. The weekly summary, trigger pages and flare notes bring patterns to the surface, and the month view shows good and hard days at a glance.

Before a visit, the prep page shapes all of this into clear questions, so a short appointment counts. Every amount and plan field is left empty on purpose, so the tracker always follows your own doctor's advice.

Who this dysautonomia journal is for

• Teens and adults with POTS or another kind of dysautonomia who want symptoms and readings kept together
• Anyone whose doctor has asked for a record of lying and standing heart rate, fluids or symptoms
• People still searching for answers who want clear notes for appointments
• Parents and caregivers keeping records for a family member with POTS
• Spoonies who pace their energy and want to see a month of good and hard days

Design and printing

• Gentle, minimal look: white pages with blush pink details that save ink
• Wide margins, so a home printer will not trim anything
• Portrait, in two sizes: A4 at 210 x 297 mm and US Letter at 8.5 x 11 inches
• Undated, so you can begin any day and print more daily, weekly and log pages whenever you need
• Every amount, target and plan field is empty, to be completed only as your own doctor advised
• Use a binder or a clipboard, or ask a print shop to spiral bind it

Inside the POTS tracker: 30 pages

1. 1Cover and contents
2. 2Getting started in four steps (record, measure, notice, share), what each number on the 0 to 5 scale means, a checklist for appointments and a box of things to keep in mind
3. 3Profile: name and birthday, your diagnosis in your doctor's words with when and who, other conditions and allergies, your typical symptoms to tick with room for more, your usual readings as measured with your doctor, what eases or worsens things, what you want others to understand and an emergency contact
4. 4Care plan written in your doctor's own words, with blank fields for fluids, salt or electrolytes, compression, medicines, activity and exercise, food and meals, when to phone the doctor, when to seek urgent help and dates to review the plan
5. 5Care team and medicines: 8 lines for your team (role, name, phone or portal, notes), a 10 line list of medicines and supplements with the dose as prescribed, timing, prescriber and start date, plus anything stopped or changed and side effects to raise
6. 6 to 12Daily log with sleep length and quality, weather, energy, 12 symptoms scored 0 to 5 (dizziness, lightheadedness on standing, fatigue, brain fog, a racing or pounding heart, headache, nausea, breathlessness, feeling shaky, feeling too hot or cold, blurred or tunnel vision, heavy or tingling legs), a lying and standing table for heart rate and blood pressure, 12 drink circles with total fluids and salt or electrolytes, compression and activity, 12 possible triggers, the day overall, what helped and notes for the doctor
7. 13 to 14Week in review: a Monday to Sunday table for dizziness, fatigue, brain fog, heart, lying and standing heart rate, fluids, energy and notes, a grid of triggers by day, good days, hard days, flares, appointments, patterns and points for the doctor
8. 15 to 16Heart rate record: 20 lines for when, lying heart rate and blood pressure, standing heart rate and blood pressure, minutes on your feet and symptoms while upright, plus your doctor's measuring instructions and questions about the numbers
9. 17 to 18Fluid and salt record: your plan as your doctor advised, a weekly table split into morning, midday, afternoon and evening with total fluids, salt or electrolytes and notes, plus what made it easier, what got in the way, how lower fluid days felt and questions for the doctor
10. 19 to 20Compression and activity record: your plan for both, a weekly table (compression, hours worn, activity, lying, seated or upright, minutes, effort out of 5, how you felt afterward and the next day), weekly totals, what went well, what you would change and recovery notes
11. 21 to 22Trigger record: 12 common triggers to watch, 15 lines for when, the suspected trigger, what you were doing, symptoms, a 0 to 5 score, duration and what helped, plus emerging patterns and questions for your doctor
12. 23Trigger patterns for heat, standing, meals and one more of your choice (what happens, early signs, what helps, your plan), plus early warnings, how a coming flare feels and things that seem fine for you
13. 24 to 25Flare notes, two to a page: when it began and ended, the worst score out of 5, likely triggers, symptoms, what you did, what helped, the care you needed and notes for the doctor
14. 26Energy budget: today's energy out of 10, a 12 line task plan (energy cost, must do, can wait, ask for help, done), rest breaks, ways you save energy, kind ways to say no and how you will pace tomorrow
15. 27Appointment prep: who, when and where, the main reason, what has changed, a list of what to bring, 7 numbered questions, readings to share, medicine questions and the one thing you most want to say
16. 28Appointment notes: what your doctor said, any changes written exactly as advised, tests ordered, referrals, follow-ups, how you feel afterward and questions for next time
17. 29Month at a glance: a 31 day grid to mark the overall day, flares, appointments and hot days, with monthly counts and your most frequent symptoms and triggers
18. 30Monthly review: scores out of 5 for symptoms, energy, sleep and mood, the month in numbers, what helped, what was hard, patterns, points for your next appointment, small goals and a kind note to yourself

What you will download

• POTS Symptom Tracker in US Letter, PDF, 30 pages
• POTS Symptom Tracker in A4, PDF, 30 pages
• Read Me First, a short PDF printing guide

How to download and print

• Check out with PayPal, a debit or credit card, Apple Pay or Google Pay. Your download page opens as soon as the payment goes through.
• We email the same private download links to you, so you can download your files again later.
• Open the PDF in a free reader such as Adobe Acrobat Reader and print at 100% or Actual size.
• Print only the pages you need, as often as you like, for your own personal use.

Good to know

• This PDF is designed to be printed and has no hyperlinks, but you can open it in a note taking app and write on it there.
• It is a digital download, so nothing physical is shipped.
• Colors may look slightly different on paper than on screen.
• The files are meant for your own use, so please keep them to yourself rather than sharing, reselling or redistributing them.
• Digital files can't be sent back, but if one won't open or prints wrongly, email us and we will help right away.
• The tracker is for keeping records only. It cannot diagnose or treat POTS or any other condition, and it is not medical advice.
• It contains no suggested doses, fluid or salt amounts, targets or treatments. Follow your own doctor's advice and speak to your care team before changing anything.
• If you feel very unwell, faint, are injured or have chest pain, please contact your doctor or emergency services.

How this was made

Designed and written by PetiteDiary. AI tools helped draft parts of the text, and some background scenes in the preview images were created with AI. Every page was designed, reviewed and checked before release.

Questions about the pots tracker

Related searches