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.

Blood pressure readings consist of two numbers:

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.

Causes of Low Blood Pressure

Hypotension can result from many factors. Some of the factors that cause hypotension are as follows:

• Insufficient fluid intake or excessive fluid loss can lead to decreased blood volume and hence hypotension.
• An injury or internal bleeding may result in hypotension. This happens because blood pressure becomes significantly reduced.
• Some hormonal changes along with the increased blood requirement during pregnancy also causes hypotension.
• Issues like heart failure or arrhythmias can impair blood circulation and result in low blood pressure.
• Certain drugs, including diuretics, antidepressants, and blood-pressure-lowering medications, can induce hypotension.

Symptoms of Hypotension

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.

Types of Low Blood Pressure

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.

When Is Low Blood Pressure Dangerous?

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:

• Internal bleeding
• Sepsis (severe infection)
• Allergic reactions

Management and Treatment

Treatment of hypotension depends on its cause:

• Hydration Drinking more water can help against dehydration-related hypotension.
• Compression Stockings: These can improve circulation and reduce blood pooling in the lower limbs.
• Dietary Changes: Increasing salt intake under supervision can help increase blood pressure
• Medication Changes: The physician may need to reduce dosages of some medications or replace prescriptions.

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.

Can Hypotension Cause Fatigue?

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.

When to Seek Medical Care

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.

Lifestyle Tips That Support Normal Blood Pressure

1. Other than directly treating hypotension, a healthy lifestyle overall would promote balanced blood pressure levels.
2. Exercise regularly; it promotes cardiovascular health and can help regulate blood pressure.
3. Focus on nutrient-dense foods rich in iron, B vitamins, and electrolytes to support circulatory health.
4. Excessive alcohol consumption dehydrates the body and lowers blood pressure.
5. Practices like yoga and meditation can help maintain a healthy blood pressure range.

Many couples who consult a fertility specialist are advised to undergo Assisted Reproductive Techniques, such as in vitro fertilisation (IVF). However, there are many myths linked to IVF regarding pain and injections. According to the experts, the procedure is more manageable and less painful than commonly believed. This article helps debunk myths surrounding IVF injections.

Dr. Sneha Sathe, Clinical Director & Fertility Specialist, Nova IVF Fertility, Chembur, Mumbai and Dr. Anuranjita Pallavi, Consultant- Fertility & IVF Specialist, Motherhood Fertility & IVF , Kharghar, Navi Mumbai collectively listed some of the most common myths associated with the stigma surrounding IVF – whether it is painful, complicated, or even worth the financial investment.

Currently, many are opting for IVF, a process where eggs are collected from a woman’s ovaries and fertilised with sperm in a laboratory. The embryo is then transferred into the uterus for conception. Couples may consider IVF for several reasons, such as blocked fallopian tubes, low sperm count, hormonal issues, age-related fertility decline, or unexplained infertility. For many, IVF becomes a go-to option, offering hope and a chance to start a family. However, despite its growing success, IVF is still surrounded by fear, especially when it comes to injections and pain. Social media, hearsay, and lack of awareness often make the process seem more difficult and can prevent couples from exploring it.

The IVF journey is different for each woman. IVF does involve medical procedures, but it is not as painful or overwhelming as people believe. One of the biggest concerns around IVF is the use of injections. These injections are given to stimulate the ovaries to produce multiple eggs. While the idea of daily injections can be intimidating, most are administered using very fine needles and are relatively painless. Patients may feel slight discomfort, similar to a small prick, but it is usually manageable and short-lived.

Common IVF Myths Debunked

1. Myth: IVF injections cause extreme pain—IVF injections cause minimal discomfort, and women should not worry. Most patients experience mild and easy-to-manage pain, especially with guidance from an expert.
2. Myth: IVF is a very complicated and stressful process. While IVF consists of multiple steps, doctors guide patients throughout the journey. With proper counselling and support, the process becomes much smoother and less stressful for women.
3. Myth: IVF guarantees pregnancy in one cycle - IVF increases the chances of pregnancy but may not be successful on the first attempt. Success depends on factors such as age, health, and underlying fertility conditions. So, do not get disheartened if the first cycle fails. The first cycle provides a lot of information, and certain steps can be taken, along with changes made to the next attempt, in order to improve the chances of success.

Understanding the facts and debunking common myths can help reduce anxiety and build confidence in couples.

Couples often hesitate to opt for IVF due to the fear of injections and the assumption that the process will be extremely painful or emotionally exhausting. However, with advancements in fertility care today, IVF has become far more patient-friendly, safe, and comfortable than most people imagine. One of the biggest myths is that IVF injections are administered painfully multiple times throughout the day. In reality, most injections are scheduled and simple to administer, and many couples are even taught how to take them comfortably at home.

Another important aspect people often overlook is that IVF treatment today is highly personalised.

While some women may experience temporary bloating, mild cramps, mood changes, or fatigue due to hormonal medications, these symptoms are usually manageable and closely monitored by the facility team. Most women can continue their daily routine during treatment without any major challenges. Equally important are support, counselling, and clear communication with the fertility team, which help reduce anxiety and build confidence. It is necessary to understand that IVF is a step-by-step guided process designed to give couples hope and a better chance at parenthood. Hence, make sure to consult an expert, clear all doubts, and initiate IVF treatment as soon as possible to achieve the dream of pregnancy.

Everyone knows that when cancer is detected early, cure rates are far superior, side effects are much less, and treatment expenses are also less.

Diagnosis of cancer depends upon carrying out various tests and then their analysis to reach a conclusion.

How AI Supports Cancer Diagnosis

These tests are radiological, like Chest X-ray, CT scans, MRI, Mammography, etc., and in histopathology, analysis of tissue, be it a small biopsy, large specimen handling, or Frozen Section. AI is empowered with large data to suggest and analyze minute patterns that are difficult for a human mind to comprehend, supported by machine learning.

With the use of AI in the analysis of radiological data, it points out suspicious changes (data is fed into its memory), but they are not very clearly visible to the human eye. Hence, it alerts the radiologist to have a close look at that and enhances accuracy and reduces the chances. It is the radiologist who takes the final call because it has to be correlated with the patient’s clinical findings and other information from other investigations of the patient.

Early detection of breast cancer has received a big boost from the integration of AI in the analysis of mammography data. Similar applications are also used by pathologists when they are examining the tissues because the final diagnosis of cancer can be obtained on histopathology only.

Challenges In The Use Of AI

Use of AI is not without challenges: knowledge of proper tools and applications is critical. Results can not be relied upon blindly, and an expert is very critical of their analysis. Sometimes there may be an improper result that needs to be filtered out.

It's time to accept that AI is present and not the future, and we need to learn, adapt, and use it to the benefit of mankind. India is making great strides in AI, and many startups have also come up that are doing a great job.

The real strength of AI in the care of cancer mainly lies in its ability to support the doctors in making faster, sharper, and more well-informed decisions. It can also reduce delay in diagnostics, improve efficiency of screening, and help in detecting cancers at a stage where outcomes of treatment are much better.

Amid rising summer temperatures, along with pollution, eye specialists today warned that the heat and dust can add stress on the eyes, leading to dryness, allergies, infections, and irritation.

Delhi witnessed its first official heatwave day of the month on Tuesday, as scorching sunshine and dry winds pushed temperatures beyond 45°C across several parts of the city.

The India Meteorological Department (IMD) warned that conditions are likely to worsen over the coming days, with temperatures expected to rise to nearly 46°C on May 20.

The weather department has also issued an orange alert for Delhi until May 25, cautioning residents about prolonged heatwaves and excessive heat conditions expected over six consecutive days.

Allergies, Dryness, and Infections Common In Summer

Speaking to HealthandMe, Dr. Bhavatharini M, Senior Consultant Ophthalmologist at Dr. Agarwal's Eye Hospital, said that summer conditions can significantly impact eye health.

“Summer places added stress on the eyes, particularly in cities like New Delhi where heat, dust, and pollution are significant factors,” she said.

Dr. Bhavatharini explained that common concerns during the season include dryness caused by increased tear evaporation while

• watching screens,
• allergies triggered by environmental irritants,
• UV-related damage,
• infections linked to swimming in poorly maintained pools.

Dr. Kalpana R, Senior Consultant, Ophthalmology at SIMS Hospital, also warned of problems that affect the eyes during this season, such as

• allergies,
• dryness,
• seasonal infections,
• viral and bacterial infections,
• swimming pool infections,
• migraine headaches.

She stressed the importance of maintaining proper hydration and following a balanced, nutritious diet to support eye health during the hotter months.

How To Prevent Eye Health In Scorching Summers

Dr. Bhavatharini advised people to take simple preventive measures, such as wearing UV-protective sunglasses, staying well-hydrated, avoiding rubbing their eyes, and using protective goggles while swimming.

“Persistent redness, irritation, or blurred vision should not be ignored and warrants timely evaluation by your eye specialist,” she added.

Dr. Kalpana further recommended wearing protective eyewear outdoors to shield the eyes from harmful UV rays and glare.

People travelling on bikes should wear helmets with visors to reduce exposure to dust and pollution, while swimmers should use swimming goggles to prevent infections and injuries associated with pool water.

For allergies, she advised people not to rub their eyes even if they experience itching.

“Just as a home remedy, you can use an ice pack over the closed eyelids or splash cold water over the closed eyelids to get some immediate relief,” she told HealthandMe.

Avoid Self-Medication

The experts also warned against self-medication in case of eye infections.

“And for viral infections and bacterial infections, if you feel that you get a sticky discharge and redness, you must immediately go to an ophthalmologist and get it treated. Never use over-the-counter medicines for any of your infections,” Dr. Kalpana said.

She added that people with common cold symptoms should wear masks and avoid touching commonly used surfaces if they have signs of an eye infection, as infections can spread through secretions.