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

Four years after suffering from a rare neurological condition known as Stiff-Person Syndrome, Céline Dion, known for power ballads like My Heart Will Go On and Because You Loved Me, has announced her return to the stage.

The incurable condition had affected her singing voice and even her ability to walk.

In a message on her Instagram page, the singer announced plans to play a 10-night residency at the 40,000-capacity Paris La Défense Arena in September and October.

Calling her comeback "the best gift of my life", 58-year-old Dion said: "I'm doing great, managing my health, feeling good. I'm singing again, even doing a little bit of dancing.

"I'm so ready to do this. I'm feeling good, I'm strong, I'm feeling excited, obviously, [and] of course, a little nervous," she said, while thanking her fans for the “prayers and support, kindness and love”.

What Is Stiff Person Syndrome

Stiff-Person Syndrome is a neurological disease caused by the signals from the nerves to the muscles not working properly. It affects an estimated 8,000 people worldwide.

It is also an autoimmune is a neurological disease caused by the signals from the nerves to the muscles not working properly. It affects an estimated 8,000 people worldwide.

It is also an autoimmune condition, that is linked to diseases such as type 1 diabetes, thyroiditis, vitiligo, and pernicious anemia.

For some, it can be debilitating. SPS is progressive, meaning it gets worse over time. There is no known cure.

Common symptoms may include:

• Stiff muscles in the torso, arms, and legs
• Greater sensitivity to noise, touch, and emotional distress, which can set off muscle spasms

The condition is also more common among women than men, and affects people between the ages of 20 and 60.

While there is no known cure for SPS, current treatments such as intravenous immunoglobulin (IVIg) can help manage the symptoms.

Stiff-Person Syndrome: Celine Dion’s Diagnosis

Dion announced her diagnosed with Stiff Person Syndrome (SPS) in December 2022 in an emotional Instagram video. The condition had affected "every aspect of my daily life", she told her fans.

The best-selling artists of all time began noticing her symptoms, such as feeling "a little spasm" while performing on stage. She found her “voice was struggling", BBC reported.

Even though she experimented with her singing to ease the stress on her vocal cords, her condition worsened. She also began facing difficulties while walking.

"It's like somebody is strangling you. It's like somebody is pushing your larynx [or] pharynx," she told NBC News.

Determined to get back on her feet and sing, worked "all my body and soul, from head to toe, with a medical team", French Vogue magazine reported.

"Five days a week, I undergo athletic, physical, and vocal therapy. I work on my toes, my knees, my calves, my fingers, my singing, my voice."

The intense workouts enabled her to make a comeback at the 2024 Paris Olympics, singing Edith Piaf's classic Hymne à l'Amour from the Eiffel Tower.

While a hickey is generally harmless, in several shocking incidents, it has led to strokes and even death.

A hickey is typically a dark red or dark purple mark on your skin caused by intense suction.

According to health experts, the strong suction from the passionate love bite leads to blood clots that travel to the brain. It then blocks a vital artery and causes a embolic stroke.

Embolic stroke is a type of ischemic stroke caused by a blood clot or debris (embolus) that forms elsewhere in the body—often the heart—and travels through the bloodstream to block a blood vessel in the brain.

The Independent reported the case of 17-year-old Julio Macias Gonzalez, who suffered convulsions while eating dinner with his family after hanging out with his 24-year-old girlfriend and later died.

In a similar case reported from New Zealand, a 44-year-old woman suffered a stroke following a hickey.

While non-fatal, the 2010 study published in the New Zealand Medical Journal reported the medical condition “a rare phenomenon.”

In yet another case, the Danish Medical Journal reported the incident of a 35-year-old woman who experienced a sudden onset of right-sided weakness due to a left middle cerebral artery stroke 12 hours after she had obtained a love bite on the left side of her neck.

“Generally speaking, hickeys are simply superficial bruising, and there’s no scientific evidence available that could inform our thinking about this situation as it relates to stroke,” Teresa Roncon, spokeswoman for the Heart and Stroke Foundation of Canada, was quoted as saying Global News.

Is It Lethal?

While it's generally harmless, in some extreme cases, it can raise the risk of damaging the carotid or vertebral artery due to extreme pressure.

The carotid arteries, one on each side of the neck, are responsible for supplying blood to the head, including the brain. Vigorous manipulation of the neck, including the action of a hickey, can cause the inner wall of the carotid artery to rupture. (This process is medically termed as carotid artery dissection).

Such a dissection is a nidus, a place where bacteria can multiply, for the formation of a blood clot. The blood clot can then get dislodged and enter the brain circulation, eventually causing a stroke.

How Can A Hickey Go Wrong?

While there is nothing wrong with giving or receiving love bites, it is imperative to note that one should not dig their teeth too deeply into the other person's neck to avoid injury and damage to sensitive structures like the carotid artery or the jugular vein (a vein that carries deoxygenated blood from the skull to the body).

While there are practically no ways to cure a hickey, you can speed up the healing process. These processes can help you expedite the process:

• Alternate Cold and Warm Compresses
• Avoid Worsening The Hickey
• Massage The Area
• Use Topical Creams.

Ten-year-old Myla from the UK's North Yorkshire, with severe eye strain, was diagnosed with a severe brain tumor that led to her death.

The young girl had been suffering from headaches and dizziness, which were dismissed as mere eye strain due to playing on her iPad too much.

Thinking that she needed eyeglasses, her parents took her for an eye appointment, where she was diagnosed with an aggressive diffuse midline glioma — a type of brain tumor.

Myla was diagnosed with a 7-10cm tumor and was rushed to Sheffield Children's Hospital for an operation to remove 60 per cent of the mass. The youngster underwent a grueling 30 rounds of radiotherapy but tragically passed away on January 15, The Mirror.co.uk reported.

Can Eye Strains Lead To Brain Tumors?

Healthandme spoke to health experts to understand the role of eye strain and brain tumors.

The health experts noted that although prolonged exposure to digital screens can raise the risk of vision problems, they cannot cause brain tumors.

"Eye strain is most commonly linked to prolonged screen use, poor ergonomics, or uncorrected vision, and in the vast majority of cases, it is not a sign of brain cancer," Dr. Parul Maheshwari Sharma, Ophthalmologist and Principal Director & HOD - at Fortis Gurugram, told HealthandMe.

"The likelihood of experiencing eye strain being an indication of brain cancer is minimal," added Dr. Mahipal Singh Sachdev, Chairman & Medical Director, Centre For Sight Group of Eye Hospitals.

The doctors explained that brain tumors are rarely present as simple eye strain; they are usually associated with additional symptoms such as:

• persistent headaches,
• double vision,
• vision loss,
• vomiting,
• neurological deficits.
• convulsions,
• vision changes.

What Is Eye Strain?

Eye strain, also referred to as digital eye strain or computer vision syndrome, is caused by staring at screens for extended periods of time and decreased blinking.

It generally occurs due to benign factors such as excessive screen time, dry eye, or uncorrected vision.

While prolonged screen use can cause discomfort, dry eyes, and temporary blurred vision, it does not lead to the development of cancer.

"There is no evidence to suggest that screen-induced eye strain can cause brain tumors," Dr Sharma said.

"Although there may be visual changes due to a tumor that involves the optic nerve or hypothalamus, simple eye strain is not indicative of brain tumors and would not be considered an early warning of a brain tumor. There is an extremely low probability that eye strain will be due to a brain tumor," Dr. Sachdev told HealthandMe.

However, the experts agreed that long screen time can lead to severe eye strain.

Red Flags One Should Not Ignore For Brain Tumors

Brain tumors are generally attributed to genetics, exposure to radiation, or other unknown factors.

Numerous types of red flags could indicate the presence of a serious neurological disorder. Some examples include

• chronic or worsening headaches, especially if severe in the morning,
• recurrent unexplained vomiting,
• seizure activity,
• sudden changes in vision, such as double vision or complete loss of vision,
• trouble speaking clearly,
• weakness in the arms or legs,
• drastic personality changes.

Higher-risk patients include:

• those with a history of radiation exposure to the brain,
• specific genetic conditions,
• those with a family history of brain cancer.

Also read: 12-Year-Old Teen Dies From Rare Brain Tumor After Unusual Early Signs, Grieving Mother Urges Parents To Watch For Subtle Symptoms

Steps to Reduce Eye Strain

To help combat eye fatigue, individuals can adopt some simple habits, such as

• Following the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds.
• Place your computer monitor at or below eye level and keep a comfortable distance from the computer.
• Adjust your screen brightness and contrast to comfortable levels and use adequate room lighting.
• Remember to blink often or use artificial tears to keep your eyes moist.
• Take screen breaks, limit the duration of time you are using your computer, or limit the continuous use of your computer.
• Make sure you are using the correct prescription glasses and consider using an anti-glare screen, which can also help relieve discomfort and protect your eyes from long-term effects.