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

Alzheimer’s disease and other types of dementia affect memory, thinking ability, and day-to-day functioning. While certain risk factors such as age and genetics cannot be altered, others are within our control. One such factor is obstructive sleep apnea, a condition that is both common and treatable.

Obstructive sleep apnea, or OSA, occurs when breathing repeatedly stops and restarts during sleep. Growing evidence suggests that untreated sleep apnea may raise the risk of memory loss, cognitive decline, and dementia, including Alzheimer’s disease. The encouraging part is that timely treatment may help safeguard brain health.

What Is Obstructive Sleep Apnea?

During sleep, the muscles at the back of the throat naturally relax. In people with obstructive sleep apnea, these muscles relax excessively and block the airway. As a result, breathing pauses briefly until the brain signals the body to wake up just enough to resume breathing. Nebraska Medicine neurologist Dr Daniel Murman explains that this cycle can occur dozens or even hundreds of times each night. Although a person may spend six to eight hours in bed, the repeated interruptions mean the sleep remains shallow and unrefreshing.

Symptoms Of Sleep Apnea

Many people live with sleep apnea without realising it. According to the Cleveland Clinic, some common signs to watch for include:

• Loud and persistent snoring
• Pauses in breathing during sleep, often noticed by a partner
• Gasping or snorting sounds at night
• Excessive sleepiness during the day
• Difficulty concentrating or staying alert
• Morning headaches or waking up feeling unrested

In more serious cases, repeated breathing pauses can lower oxygen levels during sleep. Over time, this oxygen deprivation can damage several organs, including the brain.

How Sleep Apnea Affects The Brain

Untreated sleep apnea can impact the brain in both immediate and long-term ways. “In the short term, disrupted sleep makes clear thinking more difficult,” says Dr Murman. “People may notice problems with attention, reaction time, multitasking, and memory. These issues can resemble early signs of dementia but may improve once sleep apnea is treated.”

Over longer periods, frequent drops in oxygen levels combined with poor sleep quality may lead to lasting brain changes. Research has consistently shown a strong association between untreated sleep apnea and an increased risk of:

• All forms of dementia
• Alzheimer’s disease
• Vascular cognitive decline linked to blood vessel damage

Although studies are ongoing, scientists believe sleep apnea may harm the brain through multiple biological pathways.

Having Sleep Apnoea Increases Risk Of Anxiety And Dementia: Study

A long-term ageing study published in JAMA Network Open also found that sleep apnoea is linked to a higher risk of mental health conditions over time. Researchers from the Ottawa Hospital Research Institute analysed data from more than 30,000 adults aged 45 to 85, who were followed for an average of three years. Around 7,500 participants had sleep apnoea.

“In this national Canadian cohort study of 30,097 individuals, those at high risk of obstructive sleep apnoea had about 40 per cent higher odds of mental health conditions at both the start of the study and follow-up,” the authors wrote. “Over time, a high risk of OSA remained linked to a 44 per cent increase in the likelihood of developing new mental health conditions.”

The researchers also noted that middle-aged and older adults at high risk of sleep apnoea consistently reported poorer mental health outcomes. Women, people with lower incomes, and those with poorer overall health and life satisfaction were more likely to develop new mental health concerns. The findings underline the need for routine mental health screening among older adults at risk of sleep apnoea.

Previous research has already connected sleep apnoea with a higher risk of cognitive impairment and dementia. The study’s authors emphasised that future research should explore whether combining screening and prevention strategies could improve both mental wellbeing and long-term brain health.

Winters can be especially demanding for many women going through menopause or perimenopause. As the colder months arrive, concerns like dry, irritated skin, unexpected hair fall, and increased joint pain become more common. This rise in symptoms is not caused by cold weather alone. It is largely driven by the way seasonal changes interact with the hormonal transitions of menopause. To understand this better, we spoke to Tamanna Singh, Co-founder of Menoveda and a Certified Menopause Coach, who explained why these changes happen.

What Is Menopause?

Menopause is a natural biological phase when a woman’s menstrual cycles stop permanently, signalling the end of her reproductive years. It is officially diagnosed after 12 consecutive months without a period and usually occurs between the ages of 45 and 55, as the ovaries gradually reduce estrogen production.

The phase leading up to this, called perimenopause, involves fluctuating hormones that can trigger symptoms such as hot flashes, mood changes, and sleep disturbances. Postmenopause refers to the stage after menopause, according to the Mayo Clinic.

How Long Does Menopause Last?

Menopause itself is a single milestone rather than a prolonged phase. Once a woman has gone a full year without a menstrual period, she is considered menopausal. After this point, she enters postmenopause, which continues for the rest of her life.

Menopausal Symptoms Worsening During Winters

One of the key changes during menopause is the steady decline in estrogen levels. Estrogen supports skin moisture, collagen formation, healthy hair growth cycles, and joint lubrication. As this hormone decreases, the body becomes more reactive to environmental factors, with winter dryness having a stronger impact.

Menopause In Winters: Why Skin Feels Drier in January

Tamanna Singh explains, “Cold air contains less moisture, and indoor heating further removes the skin’s natural oils. Lower estrogen levels weaken the skin’s protective barrier, increasing water loss. This leads to dryness, flaking, itching, and in some cases, eczema-like conditions. The skin also takes longer to repair itself, which makes winter-related irritation more difficult to manage.”

The Hair Fall Connection

Hair follicles respond closely to hormonal changes. Tamanna notes, “During menopause, shifting estrogen levels and increased androgen activity shorten the hair’s growth phase, leading to more shedding. Winter adds further stress through reduced blood flow to the scalp, dietary imbalances after festive eating, and low Vitamin D levels due to limited sunlight. Combined, these factors make January a common time for noticeable hair thinning and hair fall.”

Why Joint Pain Worsens During Menopause?

Estrogen also plays a role in reducing inflammation and keeping joints well-lubricated. As estrogen levels fall, women may experience stiffness, swelling, and discomfort, which tend to worsen in cold weather. Lower temperatures cause muscles and connective tissues to tighten, reducing flexibility. Staying less active during winter months further adds to joint stiffness and pain.

What Can Help?

Managing these concerns calls for a well-rounded approach. Tamanna recommends:

• Skin: Use rich, oil-based moisturisers regularly and maintain good hydration.
• Hair: Ensure sufficient intake of protein, iron, and biotin, and practice gentle scalp massage to improve blood circulation.
• Joints: Engage in light strength training, yoga, and regular movement to support flexibility. Adequate Vitamin D and calcium intake is especially important during winter.

Winter does not create menopausal symptoms. It simply intensifies what the body is already dealing with. With the right awareness, consistent care, and small seasonal adjustments, women can navigate the colder months with more ease and confidence.

Delhi’s air quality remained in ‘very poor’ category and a thick layer of fog also took over the city. As of 6am, the Air Quality Index or AQI stood at 385. On Monday, the AQI of the city stayed under the ‘severe’ category, and the overall 24-hour average was at 401. The India Meteorological Department (IMD) recorded that the general visibility of Delhi at 6.30am was 350 meters. The IMD also issued a fog alert for December 29 and the morning of December 30. Warning is also extended for neighboring states, including Haryana, Uttar Pradesh, Chandigarh, Punjab, and parts of Northeast, East, and North India.

The IMD on X wrote: “Dense to very dense fog is expected tonight and into the morning of 30th December across several regions including Haryana, Chandigarh & Delhi, Punjab, Uttar Pradesh, and parts of the Northeast, East, and North India. Visibility may be severely reduced, making travel risky. Please drive slowly, use fog lights, and avoid unnecessary journeys.”

Also Read: Is Delhi's Toxic Air Making You Sad And Grumpy? Here's What The Study Says

Pollution Could Harm Your Brain

While we all know the harm pollution could do to your lungs, doctors have also highlighted that pollution could also lead to cognitive ailments. Mental health impacts such as risk of depression, anxiety, ADHD, and neurodevelopmental disorders in children could rise.

Dr Deepika Dahima, a psychologist at AIIMS Delhi said that pollution could put mental health at risk. Prolonged exposure to fine particulate matter like PM10 or PM2.5 could lead to a rise in anxiety, depression, cognitive impairment and chronic stress. Children also show disrupted neural development and learning difficulties, while adults experience irritability, emotional fatigue and impaired decision-making.

Another medical practitioner, Dr Jitender Nagpal, deputy medical superintendent and pediatrician at Sitaram Bhartia Institute of Science, speaking to the news agency PTI said, “Increasingly, a wide spectrum of behavioural and learning issues such as attention difficulties, irritability, and poor academic performance are being noticed in many children.”

Studies too have linked the exposure of particulate matter or PM2.5 with increased ADHD risk. There are research that show a 1.51 fold increase per 5 μg/m³ increase in PM2.5 and others indicating elevated risks when exposure exceeds 16 μg/m³.

Another study published in December 18, in the journal Environmental Research by Oregon Health & Science University, found that everyday exposure to urban air pollution gradually alters brain development in children and young adults. The researchers of the Oregon Health & Science University discovered that exposure to air pollutants at ages 9 to 10 was associated with changes in cortical thickness in the frontal and temporal brain regions that are responsible for executive function, language, mood regulation, and socioemotional processing.

Another study published in Nature Communication notes that after four hours of exposure to particulate matter, it was found that people's ability to perform routine tasks and interpret emotions were highly impacted.

Study's co-author, Dr Thomas Faherty said, "Study provides compelling evidence that even short-term exposure to particulate matter can have immediate negative effects on brain functions essential for daily activities.”