Chapter 6. Hearing, Balance, Taste, and Smell
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By Chris Cesare For bats, too many echoes can be like blurry vision. That’s because the nocturnal creatures navigate by bouncing ultrasonic sound off of their surroundings, a technique known as echolocation. In cramped spots, these sounds can reverberate, creating a noisy background that clouds the mammals’ sonic sight. Now, new research published online before print in the Proceedings of the National Academy of Sciences has discovered one way that bats might overcome this auditory ambush. Scientists found that the animals modify the width of their navigation pulses on the fly by adjusting the size of their mouth gape. The researchers used an array of cameras, flashes, and ultrasonic recorders to take snapshots of bats while they swooped down to take a sip at a desert pond in Israel. As the bats descended toward the confined banks of the pond, they opened their mouths wider to more tightly focus their sound pulses. As the bats left, they narrowed their mouths, projecting an ultrasonic beam up to four times wider than on the descending leg. These counterintuitive effects were due to diffraction, which causes sound waves traveling through a smaller hole to spread out more. The researchers repeated the experiment with captive bats and found the same effect, controlling for the possibility that they had observed a behavior tied to drinking. The team writes that these changes in gape allow the animals to “zoom in” on their view of an area, potentially reducing the amount of distracting echoes in a tight space. © 2015 American Association for the Advancement of Science
Link ID: 20901 - Posted: 05.09.2015
by Clare Wilson WHAT is it like to be a bat? It's a question philosophers interested in consciousness like to ponder. Yet a few people already have something of a bat's world view. Brian Borowski, a 59-year-old Canadian who was born blind, began teaching himself to echolocate aged 3. He clicks with his tongue or snaps his fingers as he moves about, unconsciously decoding the echoes. Although many blind people get information from sounds around them, few turn this into a supersense by making sounds to help themselves get around. "When I'm walking down a sidewalk and I pass trees, I can hear the tree: the vertical trunk of the tree and maybe the branches above me," says Borowski. "I can hear a person in front of me and go around them." Borowski, who works as a programmer at Western University in London, Ontario, suspects he experiences "images" in a similar way to people who can see, just with less detail. "I store maps of information in my head and I compare what I have in my memory with what I'm hearing around me," he says. "I am matching images of some sort." This probably isn't too far from the truth – we know from brain scans of Borowski and another echolocator that the strategy co-opts the same parts of the brain that usually deal with visual information. For his latest scientific collaboration, he helped a team of researchers to explore how well echolocators can determine the relative sizes and distances of objects. © Copyright Reed Business Information Ltd
Link ID: 20898 - Posted: 05.08.2015
By Paca Thomas Wasabi and Sriracha each activate different receptors on the tongue, both of which warn your brain of the atomic reaction to come. These key flavor receptors, TRPA1 and TRPV1, have been the subject of recent research—but why all the scientific study of hot and spicy condiments? One word: pain. The video above explains how our tongues react to heat in our food, and how that often triggers the body’s own bespoke painkiller.
Keyword: Chemical Senses (Smell & Taste)
Link ID: 20879 - Posted: 05.04.2015
Nala Rogers People who are ill often complain of changes in their sense of taste. Now, researchers report that this sensory shift may be caused by a protein that triggers inflammation. Mice that cannot produce the protein, called tumour necrosis factor-α (TNF-α), are less sensitive to bitter flavours than normal mice, according to a study published on 21 April in Brain, Behavior, and Immunity1. People with infections, autoimmune disease or other inflammatory conditions have higher levels of TNF-α than healthy people, and the protein has been shown to reduce food intake2. To investigate the influence of TNF-α on taste, researchers at the Monell Chemical Senses Center in Philadelphia, Pennsylvania, used engineered mice that could not produce the protein. The researchers offered the engineered mice and normal mice water that contained different types and concentrations of flavours. The mice that could not produce TNF-α had normal reactions to sweet, sour, salty and umami flavours, but were less sensitive to bitter ones. “Normal mice will pick up [that taste] at a much lower concentration. They will know this is bitter; they will not like it,” says Hong Wang, a molecular biologist at Monell and an author of the study. “But if the TNF-α gene is not there, then the mice will only start to avoid the bitter solution at higher concentrations.” © 2015 Nature Publishing Group
By Rachel E. Gross “By being a guy’s best first move … Axe is designed to keep guys a step ahead in the dating game,” boasts Unilever, the company that sells Axe products. Of course, if you don’t happen to be a gullible 13-year-old boy, you probably don’t believe that body spray or deodorant is a magic elixir with the power to turn nice girls naughty. But what if it were possible to change a person’s mood with just a scent? The idea may not be that far-fetched, according to a new study in the journal Psychological Science—reporting work that was funded by Unilever. The study found that it might be possible to subconsciously trigger a state of happiness using the scent of—deep breath now—human sweat. People send all kinds of secret messages through their secretions. When smelling chemicals in male sweat, women become more alert, and they can even tell whether that sweat was made by a guy who was particularly turned on. (Cautions the New York Times: “No man should imagine that based on these conclusions he can improve his sex life by refraining from bathing.”) But until now, most sweat studies have focused on sexual arousal or negative emotions like fear. For obvious reasons, these emotions are crucial to survival and evolutionary success. If your friend spots a puma, it may be helpful for you to be able to sniff out instant cues to be on the alert or flee for cover. Being able to transmit positive emotions may also have a profound social impact, says Gün Semin, a psychologist at Utrecht University in the Netherlands and lead researcher on the study. After all, “the pursuit of happiness is not an individual enterprise,” as he and his fellow researchers write rather eloquently in the new study. So Semin’s team decided to test whether people could communicate happiness via sweat.
By Emily DeMarco Mice and rats communicate in the ultrasonic frequency range, and it’s thought that cats evolved the ability to hear those high-pitched squeaks to better hunt their prey. Now, a new study suggests that sensitivity to higher pitched sounds may cause seizures in some older cats. After receiving reports of the problem, nicknamed the “Tom and Jerry syndrome” because of how the cartoon cat is often startled by sounds, researchers surveyed cat owners and examined their pets’ medical records, looking for insight into the types and durations of seizures and the sounds that provoked them. In 96 cats, they found evidence of the syndrome they call feline audiogenic reflex seizures. The most common types of seizure-eliciting sounds included crinkling tinfoil, clanking a metal spoon on a ceramic feeding bowl, and clinking glass. The severity of the seizure ranged from brief muscle jerks to more serious episodes where the cat lost consciousness and stiffened and jerked for several minutes, the researchers report online today in the Journal of Feline Medicine and Surgery. Both pedigree and nonpedigree cats were susceptible, although one breed was common: Thirty of the 96 cats were Birmans (pictured). Because the seizures coincided with old age—the average age of onset was 15 years—veterinarians could miss the disorder while dealing with the felines’ other health issues, the researchers say. Minimizing exposure to the problematic sounds and preliminary, therapeutic trials with levetiracetam—an anticonvulsant medication used to control epilepsy—among a small sample of the cats seemed to help limit the occurrence of seizures. © 2015 American Association for the Advancement of Science.
by Helen Thomson Tinnitus is the debilitating sensation of a high-pitched noise without any apparent source. It can be permanent or fleeting, and affects at least 25 million people in the US alone. To understand more about the condition, William Sedley at the University of Newcastle, UK, and his colleagues took advantage of a rare opportunity to study brain activity in a man with tinnitus who was undergoing surgery for epilepsy. Surgeons placed recording electrodes in several areas of his brain to identify the source of his seizures. The man – who they knew as Bob (not his real name) – was awake during the procedure, which allowed Sedley's team to manipulate his tinnitus while recording from his brain. First they played him 30 seconds of white noise, which suppressed his tinnitus for about 10 seconds before it gradually returned. Bob was asked to rate the loudness of his tinnitus before the experiment started, as well as immediately after the white noise finished and 10 seconds later. This protocol was then repeated many times over two days. "Normally, studies compare brain activity of people with and without tinnitus using non-invasive techniques," says Sedley. "Not only are these measurements less precise, but the people with tinnitus might be concentrating on the sound, while the ones without tinnitus might be thinking about their lunch." This, he says, can make the results hard to interpret. © Copyright Reed Business Information Ltd
Link ID: 20847 - Posted: 04.25.2015
Hannah Devlin, science correspondent They may stop short of singing The Bells of Saint Mary’s, as demonstrated by the mouse organ in Monty Python, but scientists have discovered that male mice woo females with ultrasonic songs. The study shows for the first time that mouse song varies depending on the context and that male mice have a specific style of vocalisation reserved for when they smell a female in the vicinity. In turn, females appear to be more interested in this specific style of serenade than other types of squeak that male mice produce. “It was surprising to me how much change occurs to these songs in different social contexts, when the songs are thought to be innate,” said Erich Jarvis, who led the work at Duke University in North Carolina. “It is clear that the mouse’s ability to vocalise is a lot more limited than a songbird’s or human’s, and yet it’s remarkable that we can find these differences in song complexity.” The findings place mice in an elite group of animal vocalisers, that was once thought to be limited to birds, whales, and some primates. Mouse song is too high-pitched for the human ear to detect, but when listened to at a lower frequency, it sounds somewhere between birdsong and the noise of clean glass being scrubbed. The Duke University team recorded the male mice when they were roaming around their cages, when they were exposed to the smell of female urine and when they were placed in the presence of a female mouse. They found that males sing louder and more complex songs when they smell a female but don’t see her. By comparison, the songs were longer and simpler when they were directly addressing their potential mate, according to the findings published in Frontiers of Behavioural Neuroscience. © 2015 Guardian News and Media Limited
by Bethany Brookshire Music displays all the harmony and discord the auditory world has to offer. The perfect pair of notes at the end of the Kyrie in Mozart’s Requiem fills churches and concert halls with a single chord of ringing, echoing consonance. Composers such as Arnold Schönberg explored the depths of dissonance — groups of notes that, played together, exist in unstable antagonism, their frequencies crashing and banging against each other. Dissonant chords are difficult to sing and often painful to hear. But they may get less painful with age. As we age, our brains may lose the clear-cut representations of these consonant and dissonant chords, a new study shows. The loss may affect how older people engage with music and shows that age-related hearing loss is more complex than just having to reach for the volume controls. The main mechanism behind age-related hearing loss is the deterioration of the outer hair cells in the cochlea, a coiled structure within our inner ear. When sound waves enter the ear, a membrane vibrates, pulling the hair cells to and fro and kicking off a series of events that produce electrical signals that will be sent onward to the brain. As we age, we lose some of these outer hair cells, and with them goes our ability to hear extremely high frequencies. In a new study, researchers tested how people perceive consonant pairs of musical notes, which are harmonious and generally pleasing, or dissonant ones, which can be harsh and tense. © Society for Science & the Public 2000 - 2015
By Victoria Gill Science reporter, BBC News Researchers in Denmark have revealed how porpoises finely adjust the beams of sound they use to hunt. The animals hunt with clicks and buzzes - detecting the echoes from their prey. This study showed them switching from a narrow to a wide beam of sound - "like adjusting a flashlight" - as they homed in on a fish. Researchers think that other whales and dolphins may use the same technique to trap a fish in their beam of sound in the final phase of an attack. This could help prevent porpoises, whales and dolphins' prey from evading their capture. By revealing these acoustic secrets in detail, researchers are hoping to develop ways to prevent porpoises, and other toothed whales, from becoming trapped in fishing nets. The study, published in the journal eLife, was led by Danuta Wisniewska of Aarhus University. She and her colleagues worked with harbour porpoises in a semi-natural enclosure on the coast of Denmark. "The facility is quite exceptional, " explained Dr Wisniewska. "The animals still have access to the seafloor and are only separated from the harbour by a net. Fish are able to come in, so they're still hunting." In this unique environment, the researchers were able to fit the porpoises with sound-detecting tags, and to place an array of microphones to pick up sound around their enclosure. The team carried out a series of these experiments to work out where the sound energy the porpoises produced was being directed In one experiment, researchers dropped fish into the water to tempt the porpoises to hunt. As echolocating porpoises, whales and dolphins hunt, they switch from an exploratory clicking to a more intense, high frequency buzz - to elicit a continuous echo from the fish they are pursuing. Their beam can be envisaged a cone of sound, said Dr Wisniewska, comparing it to the cone-shaped beam of light from a torch. © 2015 BBC.
Link ID: 20731 - Posted: 03.30.2015
By Virginia Morell Children and parrot and songbird chicks share a rare talent: They can mimic the sounds that adults of their species make. Now, researchers have discovered this vocal learning skill in baby Egyptian fruit bats (Rousettus aegyptiacus, pictured), a highly social species found from Africa to Pakistan. Only a handful of other mammals, including cetaceans and certain insectivorous bats, are vocal learners. The adult fruit bats have a rich vocal repertoire of mouselike squeaks and chatter (listen to a recording here), and the scientists suspected the bat pups had to learn these sounds. To find out, they placed baby bats with their mothers in isolation chambers for 5 months and made video and audio recordings of each pair. Lacking any other adults to vocalize to, the mothers were silent, and their babies made only isolation calls and babbling sounds, the researchers report today in Science Advances. As a control, the team raised another group of bat pups with their mothers and fathers, who chattered to each other. Soon, the control pups’ babbling gave way to specific sounds that matched those of their mothers. But the isolated pups quickly overcame the vocal gap after the scientists united both sets of bats—suggesting that unlike many songbird species (and more like humans), the fruit bats don’t have a limited period for vocal learning. Although the bats’ vocal learning is simple compared with that of humans, it could provide a useful model for understanding the evolution of language, the scientists say. © 2015 American Association for the Advancement of Science
By James Gallagher Health editor, BBC News website, San Diego A dog has been used to sniff out thyroid cancer in people who had not yet been diagnosed, US researchers say. Tests on 34 patients showed an 88% success rate in finding tumours. The team, presenting their findings at the annual meeting of the Endocrine Society, said the animal had an "unbelievable" sense of smell. Cancer Research UK said using dogs would be impractical, but discovering the chemicals the dogs can smell could lead to new tests. The thyroid is a gland in the neck that produces hormones to regulate metabolism. Thyroid tumours are relatively rare and are normally diagnosed by testing hormone levels in the blood and by using a needle to extract cells for testing. Cancers are defective, out-of-control cells. They have their own unique chemistry and release "volatile organic compounds" into the body. The canine approach relies on dogs having 10 times the number of smell receptors as people and being able to pick out the unique smells being released by cancers. The man's best friend approach has already produced promising results in patients with bowel and lung cancers. A team at the University of Arkansas for Medical Sciences (UAMS) had previously showed that a dog could be trained to smell the difference between urine samples of patients with and without thyroid cancer. Frankie the dog Frankie gave the correct diagnosis in 30 out of 34 cases The next step was to see if it could be used as a diagnostic test. Frankie the German Shepherd was trained to lie down when he could smell thyroid cancer in a sample and turn away if the urine was clean.
Keyword: Chemical Senses (Smell & Taste)
Link ID: 20668 - Posted: 03.09.2015
Lights, sound, action: we are constantly learning how to incorporate outside sensations into our reactions in specific situations. In a new study, brain scientists have mapped changes in communication between nerve cells as rats learned to make specific decisions in response to particular sounds. The team then used this map to accurately predict the rats’ reactions. These results add to our understanding of how the brain processes sensations and forms memories to inform behavior. “We’re reading the memories in the brain,” said Anthony Zador, M.D., Ph.D., professor at Cold Spring Harbor Laboratory, New York, and senior author of the study, published in Nature. The work was funded by the National Institutes of Health and led by Qiaojie Xiong, Ph.D., a former postdoctoral researcher in Dr. Zador’s laboratory. “For decades scientists have been trying to map memories in the brain,” said James Gnadt, Ph.D., a program director at the National Institute of Neurological Disorders and Stroke (NINDS), one of the NIH institutes that funded the study. “This study shows that scientists can begin to pinpoint the precise synapses where certain memories form and learning occurs.” The communication points, or synapses, that Dr. Zador’s lab studied were in the striatum, an integrating center located deep inside the brain that is known to play an important role in coordinating the translation of thoughts and sensations into actions. Problems with striatal function are associated with certain neurological disorders such as Huntington’s disease in which affected individuals have severely impaired skill learning.
Tristram Wyatt This Valentine’s Day, like every year, there was a rash of stories in the news about sexy smells and pheromones. You could be forgiven for thinking that human ‘sex pheromones’, in particular the ‘male molecule’ androstadienone, were well established: countless ‘human pheromones’ websites sell it and there are tens of apparently scientific studies on androstadienone published in science journals. These studies are cited hundreds of times and have ended up being treated as fact in books on sexual medicine and even commentary on legislation. The birth place of the pheromone myth was a 1991 conference in Paris sponsored by a US corporation, EROX, which had an interest in patenting androstadienone and another molecule - estratetraenol, from women - as ‘human pheromones’. Unwittingly, leading mammalian olfaction scientists lent the conference credibility. Slotted into the programme and conference proceedings was the short ‘study-zero’ paper on the ‘Effect of putative pheromones on the electrical activity of the human vomeronasal organ and olfactory epithelium’. To my surprise, the authors gave no details at all of how these molecules had been extracted, identified, and tested in bioassays - all routinely required steps in the exhaustive process before any molecule can be shown to be a species-wide chemical signal, a pheromone. Instead there was just a footnote: ‘These putative pheromones were supplied by EROX Corporation’. The missing, essential details were never published. (The claim by EROX-sponsored scientists that adult humans have a functioning vomeronasal organ, against all the evidence, is a story for another day). © 2015 Guardian News and Media Limited
by Catherine de Lange You won't believe you do it, but you do. After shaking hands with someone, you'll lift your hands to your face and take a deep sniff. This newly discovered behaviour – revealed by covert filming – suggests that much like other mammals, humans use bodily smells to convey information. We know that women's tears transmit chemosensory signals - their scent lowers testosterone levels and dampens arousal in men - and that human sweat can transmit fear. But unlike other mammals, humans don't tend to go around sniffing each other. Wondering how these kinds of signals might be exchanged, Noam Sobel and his colleagues at the Weizmann Institute of Science in Rehovot, Israel turned to one of the most common ways in which people touch each other - shaking hands. "We started looking at people and noticed that afterwards, the hand somehow inadvertently reached the face," says Sobel. To find out if people really were smelling their hands, as opposed to scratching their nose, for example, his team surreptitiously filmed 153 volunteers. Some were wired up to a variety of physiological instruments so that airflow to the nose could be measured without them realising this was the intention. The volunteers were filmed as they greeted a member of the team, either with or without a handshake. The researchers recorded how often the volunteers lifted their hands close to their nose, and how long they kept them there, the minute before and after the greeting. © Copyright Reed Business Information Ltd.
Keyword: Chemical Senses (Smell & Taste)
Link ID: 20645 - Posted: 03.04.2015
// by Jennifer Viegas It’s long been suspected that males of many species, including humans, can sniff out whether a female is pregnant, and now new research suggests that some — if not all — female primates release a natural “pregnancy perfume” that males can probably detect. What’s more, such scents appear to broadcast whether the mom-to-be is carrying a boy or a girl. The study, published in the journal Biology Letters, focused on lemurs as a model for primates. It presents the first direct evidence in any animal species that a pregnant mother’s scent differs depending on the sex of her baby. The scent signatures “may help guide social interactions, potentially promoting mother–infant recognition, reducing intragroup conflict” or sort out paternity, wrote authors Jeremy Crawford and Christine Drea. The latter presents a loaded scenario, as it could be that males can sense — even before the birth — whether they fathered the baby. The researchers additionally suspect that odors advertising fetal sex may help dads and moms prepare for what’s to come. Crawford, from the University of California, Berkeley, and Drea, from Duke University, used cotton swabs to collect scent secretions from the genital regions of 12 female ringtailed lemurs at the Duke Lemur Center in Durham, N.C., before and during pregnancy. The scientists next used chemical analysis to identify the hundreds of ingredients that make up each female’s scent change during pregnancy. A surprising finding from this is that expectant lemur moms give off simpler scents that contain fewer odor compounds compared with their pre-pregnancy bouquet. The change is more pronounced when the moms are carrying boys, Drea said. © 2015 Discovery Communications, LLC.
By Barron H. Lerner, M.D. I can’t stand it when someone behind me at a movie chews popcorn with his or her mouth open. I mean, I really can’t stand it. I have misophonia, a condition with which certain sounds can drive someone into a burst of rage or disgust. Although only identified and named in the last 20 years, misophonia has been enthusiastically embraced, with websites, Facebook pages and conferences drawing small armies of frustrated visitors. As a primary care physician, I find that misophonia can present some special challenges: At times, my patients can be the source of annoying sounds. At other times, the condition can be a source of special bonding if I realize that a patient is a fellow sufferer. But some experts question whether misophonia really exists. By naming it, are we giving too much credence to a series of symptoms that are no big deal? Coined by the married researchers Margaret and Pawel Jastreboff of Emory University in 2002, misophonia (“hatred of sound”) is sometimes referred to as selective sound sensitivity syndrome. Like me, those with the disorder identify a series of specific sounds that bother them. A2013 study by Arjan Schröder and his colleagues at the University of Amsterdam identified the most common irritants as eating sounds, including lip smacking and swallowing; breathing sounds, such as nostril noises and sneezing; and hand sounds, such as typing and pen clicking. The range of responses to these noises is broad, from irritation to disgust to anger. Some sufferers even respond with verbal or physical aggression to those making the noises. One woman reported wanting to strangle her boyfriend in response to his chewing. © 2015 The New York Times Company
Maanvi Singh Your tongue doubtless knows the difference between a high-fat food and the low-fat alternative. Full-fat ice cream and cream cheese feel silkier and more sumptuous. Burgers made with fatty meat are typically juicer than burgers made with lean meat. OK, so, we've long known fat gives food a desirable texture. But some scientists are now making the case that we should also think of fat as the sixth primary taste, along with sweet, salt, sour, bitter and umami. Early in February, researchers from Deakin University in Australia published a paper in the journal Flavour arguing that "the next 5 to 10 years should reveal, conclusively, whether fat can be classified as the sixth taste." So what would it take for fat to become an official taste? "Strictly speaking, taste is a chemical function," Russell Keast, a sensory scientist at Deakin and lead author of the paper, tells The Salt. He says that when a chemical substance – a salt or sugar crystal, for example — comes into contact with sensory cells in our mouths, it triggers a series of reactions. The cells in our mouths tell other nerve cells that they're perceiving something sweet or salty and those nerve cells eventually pass this information on to the brain. According to the paper, there are five criteria that need to be met to call something a primary taste. It starts with a chemical stimuli (like sugar or salt), which then trigger specific receptors on our taste buds. Then, there has to be a viable a pathway between these receptors and our brains, and we've got to be able to perceive and process the taste in the brain. And finally, this whole process has to trigger downstream effects in the body. © 2015 NPR
Keyword: Chemical Senses (Smell & Taste)
Link ID: 20596 - Posted: 02.21.2015
By Warren Cornwall The green wings of the luna moth, with their elegant, long tails, aren’t just about style. New research finds they also help save the insect from becoming a snack for a bat. The fluttering tails appear to create an acoustic signal that is attractive to echolocating bats, causing the predators to zero in on the wings rather than more vital body parts. Scientists pinned down the tails’ lifesaving role by taking 162 moths and plucking the tails off 75 of them. They used fishing line to tether two moths—one with tails, the other without—to the ceiling of a darkened room. Then, they let loose a big brown bat. The bats caught 81% of the tailless moths, but just 35% of those with fully intact wings, they report in a study published online today in the Proceedings of the National Academy of Sciences. High-speed cameras helped show why. In 55% of attacks on moths with tails, the bats went after the tails, often missing the body. It’s the first well-documented example of an organism using body shape to confuse predators that use echolocation, the researchers say—the equivalent of fish and insects that display giant eyespots for visual trickery. © 2015 American Association for the Advancement of Science
Dr. Lisa Sanders. On Wednesday, we challenged Well readers to take on the case of a 21-year-old college student with chronic headaches who suddenly became too dizzy to walk. She had a medical history that was complicated by back surgery and a subsequent infection, and chronic headaches after a car accident. More than 300 of you wrote in with suggested diagnoses, but only a handful of you noticed the clue that led the medical student who saw the patient to the right answer. The cause of the young woman’s dizziness was… Postural tachycardia syndrome, or POTS. The first reader to make this diagnosis was Theresa Baker, a retired bookkeeper and mother from Philomath, Ore. She said she immediately recognized the disorder because her young niece has suffered from it for over a decade. Her episodes of dizziness and fainting had started when she was just 13. Well done, Ms. Baker! The Diagnosis Postural tachycardia syndrome — also called postural orthostatic tachycardia syndrome — is an unusual condition in which simply being upright causes symptoms of lightheadedness, sometimes to the point of fainting, along with an increase in heart rate faster than 130 beats per minute, all of which improves when the patient lies down. These basic symptoms are often accompanied by fatigue, which is often worst after any type of exertion, along with a loss of concentration, blurred or tunnel vision, difficulty sleeping or nausea. POTS is considered a syndrome rather than a disease because it has many possible causes. It can be transient — a side effect of certain medications or a result of loss of conditioning, acute blood loss or dehydration — and in these cases it resolves when the trigger is removed. Other types of POTS are more persistent — which turned out to be the case for this patient — lasting months or years. © 2015 The New York Times Company
Link ID: 20575 - Posted: 02.13.2015