My daughter just turned 13 and has been passing out since June 2010. It wasn’t until this year when her symptoms worsened that we finally were told she had Postural Orthostatic Tachycardia Syndrome (POTS) that physician put her on Atenolol and sent us home saying she will grow out of it. We then purchased a BP machine so we could try to monitor that when she was symtomatic. She was unable to function on the Atenolol, but we noticed that not only was her BP very LOW, at times her BP was VERY HIGH which I found odd, so I manually took her BP and the reading was the same. We researched this and then drove over 4 hours to a doctor that “specializes” in autonomic disorders, which then took her off Atenolol, put her on Florinef, Zoloft & Klonopin. He informed us that, she does have POTS, however her diagnosis is more complex than just POTS. He diagnosed her with Hypervagal and Hyperadrenergic Dysautonomia. They had to decrease the Florinef because her pressure was still too high at times, that didn’t work, he has now added a small dose of Atenolol 12.5mg back to her medication list, to see if it would balance her pressure out some. It has been over a month on this medication regiment and its not working today her pressure was 158/140 then dropped to 90/60. In addition to the constant wide swings in her blood pressure, she has began to have what looks like seizures on occasion when she passes out but the Neurologist has deemed them Convulsive Syncope or some type of non epileptic “Autonomic Seizure” which our “Autonomic Specialist” disagrees and says there is not a AUtonomic Seizure. We have voiced our concerns of the constant strain on her heart/kidneys etc with her blood pressure being SO high then dropping on a regular basis, most of the typr when she is HYPERtensive she is not symptomatic and some of her BP readings have been what is considered stroke level for adults. Their is no one in our area that is familiar with Dysautonomia, most of the time they look at us like we are nuts, and ER doctors, despite Paramedics telling them her BP was 180/120 they are incorrect. My daughter has went from a healthy active child that played fastpitch softball to a child that gets short of breath, dizzy, has BP problems, chest pain, numbness in her legs, headaches, GI problems and either sleeps all the time or can’t sleep at all and has only been able to manage to stay at school the WHOLE week once since school started this year. I truly feel that there is more pieces to her medical puzzle and that something is being missed. We have been told several times when Paramedics were in route that she had to be given mouth to mouth. I do not understand why we can’t find ONE physician that is willing to take the time to look at ALL of her symptoms to know for sure there is not more to her diagnosis. I see patients in their 60’s with known cardiac issues with blood pressure readings like my daughters, but yet we have physicians here telling us not to worry about her blood pressure. But how can you ignore a 13 year old with a BP reading of 158/140, whos syncopal episodes have increased despite medication, she c/o left arm pain, chest pain, fatigue, the list goes on. I worry everyday that the next time she passes out, she may not get back up or that she may have a stroke due to her high BP. If there is any one that may have a suggestion or similiar symptoms I would appreciate any feedback you may have.