Recently, a Bengaluru CEO had a life-altering health scare after he noticed the sudden start of incessant nosebleeds. He rushed to the ICU with dangerously high BP (230) despite no symptoms or history. Multiple tests revealed nothing conclusive. The episode was a wake-up call—health is non-negotiable. He now urges everyone to prioritize well-being and not ignore silent signs.
Taking note of the case, Hyderabad-based neurologist Dr Sudhir Kumar shed light on how such incidents can be linked to severe hypertension. According to him, hypertension is often called a “silent killer” because it rarely shows symptoms until a crisis occurs. However, in some instances, it may present through severe complications, one of which is massive nosebleeds or epistaxis. The Bengaluru CEO’s episode, where he experienced uncontrollable bleeding with no warning signs, is a classic example of how essential hypertension can first present.
In the doctor’s case, the 40-year-old man had no previous medical conditions. His sudden and spontaneous nosebleed was controlled by the ENT team using nasal packing and cautery, and his initial blood pressure was found to be critically high at 210/110 mmHg. Despite extensive diagnostic work—ranging from renal function and endocrine tests to echocardiography and renal artery imaging—no secondary cause of hypertension was found. This pointed toward a diagnosis of essential hypertension, a condition that affects nearly 90–95% of hypertensive individuals and is primarily influenced by genetics and lifestyle factors.
Though nosebleeds aren’t a classic symptom of high blood pressure, research indicates that hypertensive individuals may experience spontaneous bleeding due to increased fragility in nasal blood vessels. While uncommon, epistaxis occurs in roughly 10% to 25% of people with hypertension, making it a symptom that should not be dismissed if it occurs repeatedly or severely.
Health tips for young working professionals
To help young working professionals prevent such crises, Dr Kumar emphasized six essential health strategies.
- Manage stress through activities like yoga, meditation, or deep breathing.
- Ensure 7–9 hours of quality sleep to maintain cardiovascular health.
- Aim for at least 150 minutes of moderate-intensity exercise each week.
- Follow a nutritious diet rich in fruits, vegetables, and lean proteins while minimizing sodium and processed foods.
- Maintain a healthy work-life balance to reduce chronic stress levels.
- Get regular health check-ups and monitor blood pressure periodically—even if no symptoms are present.
What did the internet have to say??
One user shared that their mother went through similar episodes between 2013 and 2017, later being diagnosed with hypertension and now taking Metosartan. Another thanked the doctor for the valuable information. Several users also opened up about their own sudden nosebleed experiences, with one simply expressing appreciation, saying, "Thanks for the post, doc."
( Originally published on Apr 04, 2025 )
Taking note of the case, Hyderabad-based neurologist Dr Sudhir Kumar shed light on how such incidents can be linked to severe hypertension. According to him, hypertension is often called a “silent killer” because it rarely shows symptoms until a crisis occurs. However, in some instances, it may present through severe complications, one of which is massive nosebleeds or epistaxis. The Bengaluru CEO’s episode, where he experienced uncontrollable bleeding with no warning signs, is a classic example of how essential hypertension can first present.
In the doctor’s case, the 40-year-old man had no previous medical conditions. His sudden and spontaneous nosebleed was controlled by the ENT team using nasal packing and cautery, and his initial blood pressure was found to be critically high at 210/110 mmHg. Despite extensive diagnostic work—ranging from renal function and endocrine tests to echocardiography and renal artery imaging—no secondary cause of hypertension was found. This pointed toward a diagnosis of essential hypertension, a condition that affects nearly 90–95% of hypertensive individuals and is primarily influenced by genetics and lifestyle factors.
Nose bleed (epistaxis) as the presenting symptom of severe hypertension
— Dr Sudhir Kumar MD DM (@hyderabaddoctor) April 3, 2025
➡️Hypertension is often asymptomatic, but in some cases, it can present with severe complications such as massive epistaxis.
➡️40-year-old man with no prior medical history presented with a life-threatening…
Though nosebleeds aren’t a classic symptom of high blood pressure, research indicates that hypertensive individuals may experience spontaneous bleeding due to increased fragility in nasal blood vessels. While uncommon, epistaxis occurs in roughly 10% to 25% of people with hypertension, making it a symptom that should not be dismissed if it occurs repeatedly or severely.
Health tips for young working professionals
To help young working professionals prevent such crises, Dr Kumar emphasized six essential health strategies.
- Manage stress through activities like yoga, meditation, or deep breathing.
- Ensure 7–9 hours of quality sleep to maintain cardiovascular health.
- Aim for at least 150 minutes of moderate-intensity exercise each week.
- Follow a nutritious diet rich in fruits, vegetables, and lean proteins while minimizing sodium and processed foods.
- Maintain a healthy work-life balance to reduce chronic stress levels.
- Get regular health check-ups and monitor blood pressure periodically—even if no symptoms are present.
What did the internet have to say??
One user shared that their mother went through similar episodes between 2013 and 2017, later being diagnosed with hypertension and now taking Metosartan. Another thanked the doctor for the valuable information. Several users also opened up about their own sudden nosebleed experiences, with one simply expressing appreciation, saying, "Thanks for the post, doc."
( Originally published on Apr 04, 2025 )
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