Showering with POTS Syndrome: Tips to Protect Your Skin & Stay Safe

For those living with POTS syndrome, everyday tasks like showering can feel overwhelming. The combination of hot water, standing for extended periods, and steam can cause symptoms such as dizziness, fatigue, rapid heart rate, or even fainting. On top of that, sensitive skin issues—often worsened by heat or harsh products—can add another layer of discomfort.

In this blog, we’ll explore how to shower safely with POTS and how to protect your skin along the way. Whether you’ve just been diagnosed or you’ve been managing symptoms for a while, these tips can help make your daily routine more manageable.

Why Showering Can Be Challenging with POTS

Postural Orthostatic Tachycardia Syndrome (POTS) is a form of dysautonomia that affects how blood circulates in the body, especially when changing positions like standing up. A warm or hot shower can worsen symptoms because:

• Heat causes blood vessels to dilate, reducing blood pressure.
• Steam and humidity can contribute to dehydration.
• Standing in place can lead to blood pooling in the legs, making it harder for the heart to pump effectively.

These factors can trigger lightheadedness, racing heart rate, nausea, and even fainting. Add in skin sensitivities, and showering becomes a task that requires planning and care.

Helpful Tips for Showering with POTS

1. Lower the Water Temperature
Keep showers lukewarm or cool. Hot water dilates blood vessels, which can worsen orthostatic intolerance. Cooler showers help your body regulate blood flow more effectively.

2. Use a Shower Chair
Sitting while showering reduces the strain on your cardiovascular system. It prevents blood from pooling in your legs and minimizes the risk of falling or fainting.

3. Shorten Shower Time
Try to keep your showers under 10 minutes to reduce heat exposure. Set a timer or use a waterproof speaker to keep track without stress.

4. Stay Hydrated
Drink a glass of water or an electrolyte-rich drink 15–30 minutes before you shower to help maintain your blood volume.

5. Keep the Bathroom Ventilated
Steam builds up quickly in small spaces, making the environment feel hotter. Use an exhaust fan or open a window to keep airflow steady.

6. Switch to Gentle, Hydrating Skin Products
Many POTS patients report having sensitive or dry skin. Opt for fragrance-free, moisturizing body washes and avoid hot water that can strip the skin’s natural oils.

7. Moisturize Immediately After
Pat your skin dry (don’t rub) and apply a gentle, fragrance-free moisturizer within 3 minutes of finishing your shower to lock in hydration.

What About Skin Issues in POTS?

Many people with POTS also experience skin changes such as dryness, rashes, or mottling (red/purple discoloration). These issues may be linked to poor blood circulation or histamine intolerance, which is common in the POTS community.

To support your skin:

• Choose hypoallergenic, non-comedogenic skincare products
• Avoid harsh scrubs or exfoliants
• Use products with ceramides, hyaluronic acid, or colloidal oatmeal for added barrier protection
• Consider seeing a dermatologist familiar with dysautonomia-related skin symptoms

Showering with POTS Syndrome: What to Keep in Mind

Though it may seem like a simple part of your day, showering with POTS requires planning and intention. By cooling the water, sitting down, using the right products, and staying hydrated, you can turn a risky task into a safer, more comfortable routine.

Take Back Your Routine with Confidence

At Bloomfield Vein & Vascular, PLLC, we understand that POTS affects more than just your heart rate—it impacts your daily life, your confidence, and your comfort. Whether you’re newly diagnosed or still searching for answers, we’re here to help you manage the condition with compassion and expertise.Ready to feel more in control of your symptoms?
Call us today or schedule your consultation online and take the first step toward better daily living. We’re here to support you—every heartbeat of the way.