It was a typical morning. My mother was getting ready; this was her usual routine: bustling around the house. When she suddenly stopped and shouted, blood was oozing from her nose. As kids, my siblings and I were terrified. We scrambled to help, but it wasn't until later that we learned the cause of that alarming moment: high blood pressure. That day was our first lesson in the silent yet powerful effects of hypertension. Nosebleeds, or epistaxis, are common, and nearly everyone experiences at least one in their lifetime.

While most are minor and often caused by dry air or irritation, some can signal underlying health concerns. One recurring question is whether high blood pressure causes nosebleeds or is merely coincidental.

Where Exactly Does a Nosebleed Occur?

The nose is covered by a rich plexus of small blood vessels, making it prone to bleeding. Most nosebleeds are anterior in origin, occurring at the front of the nose, and are relatively benign. They often occur because of irritants such as dry air, frequent nose-blowing, or trauma.

On the other hand, posterior nosebleeds are caused by a source that is located deeper within the nasal cavity. They are less common but more severe, as the blood tends to flow backward into the throat, making them more difficult to control. Common causes of posterior nosebleeds include trauma, medical conditions, or high blood pressure.

Connection Between Nosebleeds and High Blood Pressure

Hypertension is the condition whereby the pressure of blood against the arterial walls is consistently too high. Over time, this may damage the fine blood vessels in the nose, causing them to rupture more easily.

Significant studies have shown a strong relationship between hypertension and severe cases of nosebleeds necessitating urgent care. A certain study showed that patients diagnosed with high blood pressure had 2.7-fold increased chances of having nosebleeds that were not slight.

However, it should be noted that mild hypertension by itself does not cause nosebleeds. Nosebleeds are more likely to happen during a hypertensive crisis when the blood pressure suddenly rises to above 180/120. A hypertensive crisis can also have other symptoms such as a severe headache, shortness of breath, and anxiety. Therefore, it is considered a medical emergency.

Why Does Hypertension Increase the Risk?

Chronic hypertension makes the walls of blood vessels weaker and less elastic, which easily causes them to tear. In the nose, this is especially vulnerable because the blood vessels are close to the surface. Sudden surges in blood pressure, such as in a hypertensive crisis, can cause tears in these weakened vessels, resulting in nosebleeds.

While hypertension is a contributing cause, nosebleeds occur infrequently as the only manifestation of high blood pressure. This makes regular monitoring for blood pressure all the more crucial, as hypertension has the reputation of being the "silent killer" since people often do not present symptoms until the disease has run its course.

Other Causes of Nosebleeds

• Dry Air: Cold weather or house heating dries out membranes that line the nose, hence susceptible to cracking.
• Trauma: Blows in the nose, nose picking or excessive nose blowing can traumatize blood vessels.
• Intrinsic Disease: Liver disease and kidney disease and drug therapy that affect clotting such as blood thinners enhance the risk of nose bleeding.
• Foreign Bodies: Children especially tend to insert objects up their noses, which can be irritating and bleed.
• Allergies or Infections: Chronic nasal inflammation resulting from allergies or colds causes irritation to the nasal mucosa.

Managing Nosebleeds at Home

For most nosebleeds, you can manage them yourself at home:

1. Sit up and lean slightly forward to prevent swallowing blood.

2. Press your nostrils together for at least 10 minutes.

3. Use a cold compress on the bridge of your nose to constrict blood vessels.

4. If the bleeding continues, use a nasal decongestant spray.

Consult a doctor if the bleeding persists beyond 20 minutes, is heavy, or follows a head injury.

Preventing Nosebleeds

Preventive measures can decrease the incidence of nosebleeds:

• Use a humidifier to maintain moisture in the air.
• Apply saline sprays or gels to keep nasal passages hydrated.
• Avoid nasal trauma by being gentle when blowing your nose.

For patients with hypertension, managing blood pressure is the best way to minimize the risk of complications. A combination of lifestyle changes, such as maintaining a healthy diet, regular exercise, and prescribed medications, can help keep blood pressure in check.

When to Worry About Nosebleeds

Most nosebleeds are harmless, but they can sometimes be signs of an underlying health condition. In adults with high blood pressure, frequent or severe nosebleeds should never be ignored. A health provider should be consulted in order to rule out any serious conditions and ensure appropriate treatment.

Regular check-ups, a healthy lifestyle, and awareness about the relationship between nosebleeds and high blood pressure would go a long way to protect your health. Indeed, prevention is always better than cure.

Epistaxis and hypertension. Post Graduate Medical Journal. 1977

Vaccination has been the most powerful and effective tool in modern medicine that improves the body's immune system and fights off diseases, saving millions of lives annually.

Vaccines reduce the risk of getting a disease by working with your body’s natural defenses to build protection. Vaccines are available to prevent more than 30 life-threatening diseases and infections, helping people of all ages live longer, healthier lives.

According to the World Health Organization (WHO), immunization currently prevents 3.5 million to 5 million deaths every year from diseases like diphtheria, tetanus, pertussis (whooping cough), influenza, and measles.

Also Read: Cancer-Hit US Couple Opens Up On ‘Nightmare’ Experience

While vaccines are available for both young and old, former director of AIIMS New Delhi, Dr Randeep Guleria, in a post on social media platform Instagram, urged doctors to recommend these based on people's age and the presence of comorbidities.

“Two very important factors one has to consider when recommending a vaccine for the adult population. One is the age, and if you have a patient over the age of 60 years, vaccination is definitely something you should recommend, or if a patient has associated comorbidities which increase the chance of vaccine-preventable diseases,” said the noted pulmonologist from Medanta Hospitals, Gurugram, in a Doctor's Special Series.

He recommended doctors to prescribe six types of vaccines for adults, namely:

• Influenza Vaccine

“It can be given as a pre-winter vaccine, which is a northern hemisphere vaccine, or it can be given in May or June when it is a southern hemisphere vaccine,” he added.

A flu vaccine typically reduces the risk of influenza infection, prevents severe illness, and complications.

Also read: This Common Vaccine At Higher Dose Can More Than Halve Alzheimer’s Risk In Older Adults

• Pneumococcal Vaccine

“For the pneumococcal vaccine, we now have a conjugate vaccine, which is available as PCV20, which is once in a lifetime, and that has made things much more easier,” Dr. Guleria said.

The PCV20 vaccine guards against 20 strains of pneumococcal bacteria. It also prevents serious pneumonia, invasive infections, and related complications. It is recommended for adults aged over 65 and those with weakened immune systems.

• Shingles Vaccine

The vaccine against shingles prevents the risk of viral infection that causes a painful rash and nerve damage. It also helps prevent long-term nerve pain and prevents serious complications from shingles. The vaccine is safe for adults 50 and older.

• Tdap vaccine

The Tdap vaccine protects against pertussis infection, also known as whooping cough. It guards against tetanus infections and reduces the risk of diphtheria and related complications.

• HPV vaccine

Beyond cervical cancer, the HPV vaccine also protects against anal and throat cancer. It prevents 90 percent of HPV-related cancers, is safe, and effective. It also prevents genital warts.

Also read: Health Tests Every Woman Should Do Once A Year

• Region-specific vaccination

Also read: How Vaccinations Help Build Immunity? List Of Vaccines You Should Get

For most parents, even a slight rise in temperature can feel alarming. The instinct is to act quickly: cooling up the body, layering up, or trying every home remedy possible. But not everything we’ve grown up hearing about fever may actually be correct.

In a post on social media platform Instagram Dr. Ravi Malik, a New Delhi-based Pediatrician shared few simple, and scientific facts that can make managing fever far less stressful and far more effective.

Cold Water Isn’t The Answer

The use of cold water sponging is one of the most frequently used methods against fever. However, it can turn out to be counterproductive. Very cold water may cause discomfort and might even induce shivering, which results in increased body temperature instead of reduced one. Therefore, the safest and most efficient way of cooling the body down gently is by using the water from a normal tap.

Light Clothing Helps The Body Regulate

It may appear to be a good idea to cover a child with fever, but overdressing inhibits the heat from escaping. In fact, the body must be given a chance to release heat, and clothes that are too heavy prevent that. Clothes that are loose and made of fabrics that allow better air circulation facilitate the body's natural temperature regulation.

Don’t Rush To Sponge At 100°F

There are times when a temperature increase should not be considered a problem. Sponging a fever of about 100°F is not necessary and could be painful. Fever is the body's way of fighting infection, and mild fever does not always need the application of strong cooling measures.

Hydration Is Key

Fever makes the body lose fluids at an increased rate which can rapidly lead to dehydration. Therefore, providing fluids is absolutely essential to the care process. It does not matter whether it is water, milk, or any other liquid - giving the child plenty of fluids is the first step towards healing and is also a means of temperature control from the inside.

Sponging Should Be Full-body

When sponging, concentrating only on the forehead is clearly insufficient. Fever is a systemic response, not a localized one. So gentle, full-body sponging especially on areas like arms, legs, and torso will enable more efficient cooling.

Fans And ACs Are Not The Enemy

A player in the span of fever myths is that a fan or air conditioning must be turned off. However, in fact, a well-ventilated, comfortably cool room actually helps the body relax. It is perfectly okay to continue running the fan or AC, as long as the room is not excessively cold.

Not Every Temperature Is A Fever

A temperature of 99°F often causes unnecessary panic, although it is not a real fever. Being aware of this helps prevent overreaction and allows parents to keep their eyes on the actual symptoms rather than just numbers.

The Takeaway

Dr. Ravi Malik, also the Chairman of Radix Healthcare, points out that handling fever isn't about short-term fixes, but rather about understanding and taking care. When the method is correctly followed - mild cooling, enough water intake, and a composed state of mind fever is much less challenging. And quite often, it is as beneficial to know what not to do as knowing what to do.

A Cancer-hit US couple in North Dakota has shared their ‘nightmare’ experience with dual diagnosis of the deadly disease and parenting their three children.

Spencer Eddy, a 39-year-old father of three, suffered from dizzy spells for years. While doctors dismissed the condition as vertigo, it turned out to be a brain tumor, People reported.

MRI scans in April 2024 revealed that he had a tumor the size of a lime in his brain. Further scans and tests at Mayo Clinic in October confirmed medulloblastoma -- a malignant tumor that is located on the part of the brain that controls coordination and movement.

According to the Mayo Clinic, it is most common in children, but can occur in adults.

“When we found out that Spencer had a brain tumor, we were terrified,” said Jolene, his wife. “They said the cancer was blocking the fluid that flows from your vein to your spinal cord. They said they didn't know how he was still walking and talking, and how he hadn't had a stroke."

A week later, Spencer underwent a 10-hour surgery, and doctors were able to remove 85 percent of the tumor. Along with radiation and chemotherapy, he also needed speech and physical therapy to relearn how to walk and talk, People reported.

What came as a double blow to the couple was Jolene’s breast cancer diagnosis in April 2025.

“Whilst we were in the hospital, I noticed a small pea-sized lump under my armpit, but I put it to the back of my mind, because of everything that was going on with Spencer,” she recalled. “Doctors said it was probably just a cyst, but I asked for it to be removed anyway, and when it came back from testing, I found out it was breast cancer. I was absolutely floored.”

The doting parents “were so devastated and scared about what would happen to their kids”, if both of them die.

Following her diagnosis, Jolene was given hormone blockers and underwent a double mastectomy while Spencer was still undergoing chemotherapy.

Jolene struggled after the surgery and was vomiting and passing out frequently. She ultimately needed a blood transfusion and was able to recover.

It was hard for Jolene to take care of the family as Spencer could not walk well or drive.

"We're living most people's nightmare, but we're feeling optimistic about the future,” she said. “We have a long life, and we're going to fight for it; we're not going to give up.”

Spencer completed treatment in April 2025 and now has no evidence of cancer. Jolene also has no evidence of cancer. The couple now goes to appointments with their oncologists together as they hope to ensure their tumors don't grow back, the report said

Can A Brain Tumor Cause Dizziness?

While dizziness by itself is not a common symptom of a brain tumor, some tumors can trigger headaches and bouts of nausea and vomiting that may be associated with a dizzy feeling.

Dizziness, also called vertigo, is however, associated with tumors that develop in the cerebellum—the part of the brain that controls movement.

Medulloblastoma, a type of brain tumor, forms when cells in the cerebellum develop changes in their DNA. These changes cause the cells to grow and multiply quickly, as per the Mayo Clinic.

Common signs and symptoms of medulloblastoma may include:

• Dizziness.
• Double vision or other vision changes.
• Headaches, which are often worse in the morning.
• Nausea or vomiting.
• Poor coordination.
• Tiredness.
• Difficulty with balance or an unsteady walk.