How to Tell If Your Low Blood Pressure Is Dangerously Low? All On Living With Hypotension
Low blood pressure, also known as hypotension, is usually considered a sign of good health and low risk for cardiovascular disease. However, there are times when persistently low blood pressure or a sudden drop can be a sign of an underlying health issue that needs medical attention. Knowing when low blood pressure becomes a problem can help ensure timely intervention and proper care.
Systolic pressure (the top number) indicates the pressure in your arteries when your heart pumps blood. Diastolic pressure (the bottom number) reflects the pressure in your arteries while your heart is resting between beats.
The normal reading is usually 120/80 mmHg or less. Hypotension is clinically defined as having blood pressure readings less than 90/60 mmHg. In some patients, low blood pressure will have no adverse health consequences and therefore does not need to be treated. In extreme cases, however, it can limit the flow of oxygen and nutrients to vital organs, resulting in potentially life-threatening complications, such as shock.
Hypotension can result from many factors. Some of the factors that cause hypotension are as follows:
While low blood pressure may not always cause symptoms, it can sometimes be associated with:
- Dizziness or fainting
- Fatigue and weakness
- Blurred vision
- Nausea
- Confusion or difficulty concentrating
- Shallow breathing
- Palpitations
If the person experiences these symptoms, with the recorded blood pressure reading, the medical services have to be consulted.
1. Orthostatic Hypotension: This is a kind of hypotension that appears as a result of decreased blood pressure when a person is standing up from lying down or sitting position and primarily affects elderly people.
2. Postprandial Hypotension: This is a drop in blood pressure after eating, more common in older people.
3. Neurally Mediated Hypotension: It is triggered by standing for long periods. This type can affect younger people and is associated with miscommunication between the brain and heart.
There is no such thing as a universal threshold for very low blood pressure, but a blood pressure reading below 90/60 mmHg can be dangerous and require prompt medical assessment if accompanied by symptoms of fainting, confusion, or shortness of breath. Sudden falls in blood pressure may point to potentially serious underlying causes, which can include:
Treatment of hypotension depends on its cause:
For more severe cases, physicians might also administer fludrocortisone or midodrine to increase blood pressure. Shock from hypotension should be treated promptly to ensure proper function of organs.
Chronic fatigue syndrome has also been associated with low blood pressure. Prolonged tiredness, despite adequate rest, may require reassessment of blood pressure levels. Fatigue secondary to hypotension will impact functionality and thus requires assessment and treatment of the cause.
If your blood pressure readings are low consistently and without symptoms, you probably have nothing to worry about. If you do have symptoms like dizziness, fainting, or confusion, you need to go to the doctor. Blood pressure checks are usually conducted regularly. Once you are aware of your own normal baseline, you will know right away when there is something wrong.
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From Polycystic Ovarian Disease (PCOD) to Polycystic Ovary Syndrome (PCOS) and now Polyendocrine Metabolic Ovarian Syndrome (PMOS) — confused about what the changing terminology means for women’s health and treatment?
What was once seen mainly as a reproductive or ovarian disorder is now being recognized as a complex hormonal and metabolic condition that can affect everything from periods and fertility to weight, insulin resistance, heart health, skin, and mental well-being.
To better understand the distinction between the three, let’s look at how the condition has evolved.
The condition, involving irregular periods, infertility, excess facial hair, and enlarged ovaries containing multiple cysts, was first identified as an ovarian or reproductive disorder in the 1930s by American gynecologists Dr. Irving Stein and Dr. Michael Leventhal. It became known as Stein-Leventhal Syndrome.
Over the years, the term PCOD became widely used, especially in countries like India. The name focused mainly on the presence of multiple ovarian cysts seen on ultrasound scans. It was considered a “disease” affecting ovulation and fertility.
Further, in the 1980s and 1990s, experts discovered that the condition involved hormonal imbalances, insulin resistance, weight gain, diabetes risk, and heart health concerns, among others.
Because it affected multiple body systems, PCOS became the medically preferred global term. The word “syndrome” was used to describe a group of related symptoms rather than a single disease.
However, many experts argued that the name still overemphasized ovarian cysts and fertility, and in 2012, the US National Institutes of Health (NIH) officially recommended changing the name, saying it was misleading because:
In 2026, global experts publishing in The Lancet proposed the new name -- PMOS – for the condition affecting more than 170 million women worldwide.
The new term PMOS acknowledges that the condition involves:
Also read: PCOS Is Now PMOS: What The Name Change Means For Millions Of Women
The new name aims to explain the condition more accurately and comprehensively.
Polyendocrine means it affects multiple hormones in the body.
Metabolic refers to issues linked to weight, insulin, blood sugar, and heart health.
Ovarian highlights its impact on ovulation and reproductive health.
Syndrome refers to a group of symptoms occurring together.
In simple terms, PMOS is a hormonal and metabolic condition that can affect periods, fertility, skin, mood, weight, and long-term health.
Speaking to HealthandMe, Dr Monika Bhatia Director — Obstetrics & Gynaecology Robotic and Laparoscopic Surgeon Cloudnine Group of Hospitals, said that the earlier name was misleading because the "cysts" in PCOS are not real cysts — they are simply small, arrested follicles.
While the name has changed, the message remains the same.
“Behind every diagnosis is a woman trying to understand her body, hormones, emotions, and health. While this condition may affect periods, fertility, metabolism, skin, weight, or mental well-being differently, one thing remains common — it is manageable with the right guidance,” she said.
The core treatment stays the same as the guidelines for treatment have not changed, but the approach becomes wider.
“So instead of just treating the periods, PMOS is now managed as a whole-body condition involving a multidisciplinary team”.
Will there be any change to evaluation?
Dr Muskaan Chhabra, Fertility Specialist, Birla Fertility & IVF, Lajpat Nagar, told HealthandMe that the new name –PMOS- correctly acknowledges that this is a multisystem condition involving complex interactions between insulin, androgens, and neuroendocrine hormones.
In PMOS, the ovaries are one of several systems involved rather than the primary site of the problem.
This “opens the door to more comprehensive clinical evaluation, earlier and more accurate diagnosis, and treatment approaches that address the full hormonal and metabolic picture rather than a narrow reproductive one,” Dr Muskaan said. It will also “drive more integrated and personalized care”.
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Hantavirus has the potential to linger indoors and spread through contaminated dust, especially in rodent-infested, poorly ventilated spaces, according to infectious disease expert Dr. Vasant C. Nagvekar.
So far, 11 people linked to the MV Hondius cruise ship have been affected. While all passengers have been repatriated and quarantined, the World Health Organization (WHO) anticipates that additional cases may emerge based on observed symptoms.
Also Read: Hantavirus Cases Climb To 11; WHO Warns Countries Of Further Spread
In an exclusive interview with HealthandMe, Dr. Vasant, a Consultant in Infectious Diseases and Internal Medicine at Lilavati Hospital and Research Center, Mumbai, explained how the virus can spread even within indoor environments. He noted that contaminated dust and surfaces are potential sources of transmission, making proper hygiene and preventive measures crucial.
The expert also stated that the Andes strain rarely transmits person-to-person and emphasized the need for global prevention through enhanced surveillance, early detection, vector control, environmental sanitation, and public awareness, particularly amid urbanization, climate change, and ecosystem disruption.
Here are the excerpts from the interview
Q. How Long Does Hantavirus Survive?
Dr. Vasant: Hantavirus does not survive for long outside a host body and is rapidly inactivated by exposure to sunlight, detergents, and drying.
However, in enclosed indoor environments that are cool with temperatures at 4 degrees Celsius or less, poorly ventilated, and contaminated with rodent urine or feces, the virus may remain infectious for several hours or even longer.
Dr. Vasant: Yes, the virus can be transmitted indirectly through the air. However, hantavirus does not circulate freely in the air in the same way as influenza or coronavirus during normal social interactions.
It becomes airborne when contaminated rodent urine, droppings, or nesting materials are disturbed during activities such as sweeping or cleaning. At that point, the virus can be aerosolized and inhaled by people.
Q. How Can Hantavirus Spread Indoors?
Dr. Vasant: Indoor exposure usually takes place in environments where the presence of goes unnoticed – for example, in cabins, storage rooms, warehouses, inside false ceilings, or vacant rooms.
One could be exposed to hantavirus through inhalation of contaminated dust when a room that has not been used for a while is opened or is cleaned without any protective measures.
Also read: Fact Check: Can Ivermectin Help Treat Hantavirus?
The reason why hantavirus exposure is alarming is that it usually takes place during normal activities, which we do without even suspecting anything dangerous.
Q. How Does the Andes Strain of Hantavirus Spread?
Dr. Vasant: The Andes hantavirus stands out because, unlike most other hantaviruses, it exhibits evidence of rare person-to-person transmission, mostly through direct and extended contact between people. As a result, this particular strain is highly interesting for scientists studying infectious diseases around the world and is extensively researched as such. It should be noted, however, that person-to-person transmission is very rare in comparison to respiratory pathogens, such as the influenza virus or SARS-CoV-2.
Read More: Why The Norovirus Outbreak On A Caribbean Cruise Ship Is Not A Cause for Panic
Dr. Vasant: What is required from our world in terms of the prevention of new viruses is a globally integrated strategy within the public health sector.
Surveillance systems should become more advanced on community levels, especially when there are high risks of increased contact between humans and animals because of urbanization, climate change, and ecosystem destruction.
Early detection, information exchange at the international level, vector control, environmental sanitation, and public awareness are just as significant. New infection strains cannot remain limited to just being a problem of individual countries.
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The National Testing Agency (NTA), which today cancelled the NEET-UG 2026 examination held on May 3 amid allegations of a paper leak, has left thousands of students across the country anxious, frustrated, and emotionally overwhelmed, triggering protests and outrage among students and parents.
According to mental health experts, such uncertainty can deeply affect students who have spent months preparing for the examination, often sacrificing sleep, proper meals, and their social lives. The sudden cancellation of the exam can therefore leave them feeling helpless, uncertain, and emotionally exhausted.
Experts stressed that this setback should not be seen as a personal failure and urged students to remain calm.
Speaking to HealthandMe, Dr. Aarti Anand, Senior Consultant Clinical Psychologist at the Department of Psychiatry, Sir Ganga Ram Hospital, said feelings of anger, helplessness, disappointment, and anxiety are natural during such situations, especially when the future appears uncertain.
“It is very natural to feel anxious and helpless at this point, but remember that you are not alone in this situation. Thousands of students are going to be affected,” she said.
She also emphasized that students should not assume that their hard work has gone to waste.
The National Eligibility cum Entrance Test (NEET-UG) is India’s primary national-level entrance examination conducted by the National Testing Agency (NTA) for admission to undergraduate medical (MBBS), dental (BDS), and AYUSH courses in government and private institutions.
The single, standardized offline test for this year was conducted on May 3 for over 22.79 lakh candidates across India and abroad.
“The examination on 3 May 2026 was conducted as scheduled and under a full security protocol,” the NTA said.
However, according to information shared by Rajasthan Police officials, alleged malpractice came to light after certain question sets circulated before the examination reportedly showed similarities with the actual NEET-UG paper.
Also read: Fact Check: Can Ivermectin Help Treat Hantavirus?
Officials probing the matter stated that they recovered a document containing more than 400 questions that had allegedly been circulated days before the exam. Out of these, more than 100 questions from Biology and Chemistry were said to bear “striking similarities” to those that eventually appeared in the examination.
Authorities have described the material as resembling a “guess paper” or coaching-style test series, though investigators have not ruled out the possibility of a larger organized network.
The government has now ordered a comprehensive Central Bureau of Investigation (CBI) probe into the alleged irregularities surrounding the examination.
The NTA has also announced that the medical entrance test will be conducted again on fresh dates to be notified separately, a development that many students feel undermines the time and effort they invested in preparation.
Dr. Manisha Arora, Director - Internal Medicine at the CK Birla Hospital, Delhi, told HealthandMe that students can experience palpitations, migraines, insomnia, and constant worry about their rank and future.
“Postponement can feel like an identity suspension. Students start thinking, ‘What if I do not get the same marks next time? What if I have forgotten everything? What if the exam is harder? What if questions come from outside the syllabus?”
“These thoughts are very common. Students can also develop headaches, dizziness, stomach pain, nausea, diarrhea, insomnia, racing heartbeat, panic attacks, binge eating, or even loss of appetite,” Dr. Manisha said, warning parents and guardians to pay close attention to students’ mental well-being.
Read More: Why The Norovirus Outbreak On A Caribbean Cruise Ship Is Not A Cause for Panic
“One important thing for students to understand is that the knowledge they have gained will not go to waste. They will be able to appear for the exam on the next date,” Dr. Aarti said.
She added that students must acknowledge their emotions instead of suppressing them.
“Students should acknowledge their feelings instead of suppressing them. They should use this pause as a way of structuring their life and moving ahead. They should focus on self-care, sleep, food, and hygiene instead of watching media discussions,” she said.
Mental health professionals also advised students to avoid excessive speculation and negative thinking about future examinations. Instead, they recommended maintaining routines, staying connected with family and friends, and continuing preparation steadily.
“I urge all students not to think negatively, overthink, or fuss about what will happen in the next exam. It is very important for students to keep calm and continue their preparation,” she said.
Dr. Aarti further noted that such moments can become a test of emotional strength and resilience for students navigating academic pressure.
“Students should not feel that the cancellation is a failure. It is not a failure,” she added.
Dr. Manisha urged students to build on the preparation they have already done, gradually remove exam fear from their minds, restart calmly, and prepare themselves to appear for the exam again.
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