Falling Into Flare Season: Managing EDS, POTS & MCAS as Temperatures Drop

As the leaves turn and the air grows crisp, fall brings its own beauty , but for many living with Ehlers-Danlos Syndrome (EDS), Postural Orthostatic Tachycardia Syndrome (POTS), or Mast Cell Activation Syndrome (MCAS), it can also bring new challenges. Seasonal changes, shifts in barometric pressure, and colder days can all trigger flares. The good news? With the right strategies, you can still savor the season while supporting your body.

Why Fall Can Be Tough on the Body

Temperature swings
Going from warm indoors to chilly outdoors can intensify dysautonomia symptoms, making dizziness or fainting more common.

Barometric pressure drops
These shifts may worsen joint pain, headaches, or fatigue for those with connective tissue disorders.

Seasonal allergies & triggers
Fall pollen, mold from wet leaves, and changes in air quality can increase histamine load for those with MCAS.

Practical Tips for Fall Flares

Layer for Warmth and Function

Choose cozy compression leggings, warm socks, and scarves that support circulation while keeping you comfortable. Compression gear can double as a seasonal staple under sweaters and fall outfits.

Stay Hydrated, Even in Cooler Weather

It’s easy to forget water when you’re not overheated, but hydration is critical for managing POTS and MCAS. Keep electrolyte packets in your bag when you’re out at fall events.

Pace Your Activities

Autumn is full of fun , apple picking, pumpkin patches, leaf peeping , but remember that overexertion can backfire. Schedule rest before and after big activities, and allow yourself to say “no” without guilt.

Allergy & Histamine Management

Be mindful of seasonal MCAS triggers: damp leaves, scented candles, and fall foods with spices or preservatives. Keep antihistamines or mast cell stabilizers on hand and consider allergen-free alternatives for comfort.

Embracing the Season Gently

Fall is the season of change , shorter days, slowing rhythms, and a natural invitation to rest. Living with chronic illness means honoring your own pace. It’s okay to let go of the pressure to do everything and instead choose the few things that bring you the most joy.

🍎 A quiet apple orchard stroll, 🎃 a cozy movie night, or simply sipping warm tea while watching the leaves drift can be just as meaningful as the busiest seasonal traditions.

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