Navigating airports and airplanes with Dysautonomia or POTS can feel overwhelming, but with the right preparation and strategies, you can make the journey manageable—and even empowering. Whether it’s keeping your blood pressure stable, staying comfortable during the flight, or managing symptoms in a pinch, this guide covers everything you need to know for a successful travel experience.
I’ve had so many awful experiences mid-flight, on landing, and during takeoff that I don’t even know where to start. But let me tell you, learning how to manage my symptoms during the actual flight changed everything. Before that, I truly thought I was dying during every episode. And I don’t mean that figuratively—I mean my body felt like it was shutting down completely, and I was powerless to stop it.
If you’ve ever experienced a syncope episode, you know what I mean. It feels like the end. There’s panic, but also this surreal stillness, as if your body is giving up. For me, the only thing that ever broke that cycle was laughter. My sister, bless her heart, would always crack some ridiculous joke mid-episode, and somehow that would either make the fainting less intense or stop it altogether.
But I couldn’t take my sister everywhere, could I?
I’ll never forget one of the worst episodes—it was on a flight to Madrid. I was stuck in this awful limbo between awake and fainting for two straight hours. Yes, two hours. My body wasn’t fully out, but I was drooling (yes, drooling) all over myself, and unfortunately, onto the shoulder of a very large man sitting next to me. Thank God he was asleep because I was mortified. My husband? Oh, he was two rows back, deeply asleep after four glasses of wine. And to be fair, he went out like a light in about three minutes. Meanwhile, I was on my way “under,” but it took me a full hour to get through it.
That flight was my breaking point. I realized I needed to figure out how to manage my symptoms on my own because relying on someone else—whether it was my sister or my (albeit well-meaning but snoring) husband—just wasn’t sustainable. If you’re here reading this, I want you to know that there are ways to make flying more bearable. It’s not perfect, but it’s possible. And trust me, if I can figure it out, so can you.
Standing in long lines can quickly trigger symptoms. Save your energy and reduce stress by:
If you’re waiting in line or sitting at the gate, avoid staying still. Blood pooling in your legs can worsen symptoms, so:
These small movements improve circulation and reduce dizziness or fainting risks.
Start hydrating as soon as you arrive at the airport, but pace yourself to avoid bloating or needing the restroom every few minutes.
Airport food isn’t always reliable for those with dietary needs, so keep salty, portable snacks on hand.
A quick conversation with airline staff can go a long way. Let them know about your condition and that you may require assistance or accommodations during boarding or the flight.
Pro Tip: This is especially helpful if traveling alone. Having staff aware ensures someone is looking out for you.
Put on hip-high compression stockings before boarding. These are essential for maintaining proper circulation, reducing swelling, and preventing blood pooling in your legs. Regular ankle socks won’t cut it—invest in full-length, medical-grade options.
Dehydration worsens Dysautonomia symptoms, and airplane cabins are notoriously dry. Combat this by:
Here’s a confession: during my toughest moments, I used Coca-Cola paired with electrolytes to stabilize my blood pressure. The Coke’s sugar, salt, and caffeine gave me just enough of a boost when nothing else worked.
It’s unconventional and not for regular use, but in emergencies, this hack can be a lifesaver.
Once the plane reaches cruising altitude, use your lightweight carry-on as a footrest. Elevating your legs:
Sitting for hours can wreak havoc on your circulation. Plan to get up and walk every hour. If that’s not possible:
A small pack of essentials can make all the difference. Mine includes
Cabin temperatures fluctuate, so layer up. Bring a light sweater or wrap to keep your body comfortable and prevent chills, which can worsen symptoms.
Use entertainment to keep your mind engaged:
Pro Tip: I loved listening to educational books on Audible—they distracted me from my symptoms and kept me sharp.
A quick explanation can create a supportive environment:
“Hi, I have a condition called Dysautonomia, which sometimes causes dizziness or fainting. I’m okay if it happens and know what to do, but I might need a moment to rest or elevate my legs. Please don’t worry—it’s under control.”
This simple heads-up ensures understanding and reduces unnecessary panic.
Even with preparation, flares can happen. Here’s how to handle them calmly:
Let them know immediately if you feel unwell. They can assist with water, seating adjustments, or other support.
If you feel faint, recline in your seat or, if necessary, sit on the floor and elevate your legs. Blood flow is key to recovery.
Play calming music or an audiobook to ease anxiety and take your mind off symptoms.
Flying with Dysautonomia can be challenging, but with thoughtful preparation, strategic hydration, movement, and open communication, it’s manageable. Remember, every successful trip is a step toward reclaiming your independence and strength.
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👉 Try the 7-Day Dysautonomia & POTS Detox Diet
I’ve learned that preparing for travel isn’t just about packing essentials—it’s also about equipping yourself with tools for internal balance. That’s why I rely on CALM and BOOST.
When stress creeps in, CALM helps me reset, easing tension and keeping me steady. For those long, energy-draining days, BOOST provides the extra endurance I need. The best part? They’re even better together—supporting both immediate stress relief and sustained resilience throughout the journey.
👉 Try CALM & BOOST: The Ultimate Duo for Travel and Everyday Support
Stay tuned for Part 3, where I’ll cover tips for arriving at your destination and settling in comfortably!
Warmest regards,
to your INVISIBLE BATTLES & UNSEEN STRENGTH,
Carola Le-Wriedt
Founder, Wellhistic & The Holistic Detox
