Skip to main content

Table 3 Treatment and response

From: Orthostatic intolerance as a potential contributor to prolonged fatigue and inconsistent performance in elite swimmers

Patient

Type of treatment

Response to treatment

↑ salt intake

Oral rehydration supplements

Compression garments

SSRIs

Other

diet

tablets

1

X

 

X

X

X

Cow’s milk protein restricted diet

Reduction in frequency of sinus infections

Improved consistency with training

Swim times returned to her expected competitive level

Qualified for the Olympic trials before choosing to retire

2

X

X

   

Increased fluid intake

Loratadine 10 mg daily

Periodic IV normal saline

Resumed his usual pre-illness training volume

No major training interruptions for the next 10 years

3

X

X

 

X

 

Increased fluid intake

Periodic IV normal saline at times of exacerbation in symptoms

Improved consistency with training and competition performance for the next 6 years

4

X

X

X

 

X

 

Resolution of underperformance in practice and competitions

Times returned to the expected level

Consistent practice and performance at national and Olympic competitions

5

X

X

X

 

X

Hormonal intrauterine device

Methylphenidate extended release 20 mg daily

Substantial improvement in mood, lightheadedness, energy, attention, and concentration

Increased ability to train

Elected to prepare for medical school rather than continue training