When we hear about blood pressure, it's often in the context of hypertension — the "silent killer" that increases long-term risk for heart attacks and strokes. But there’s another side to the story that can be just as dangerous, if not more immediately deadly. Blood pressure is more than just a pair of numbers on your doctor’s chart—it’s a vital sign of how well your heart and blood vessels are delivering life-sustaining oxygen and nutrients to every organ in your body.

While most people are familiar with the risks of high blood pressure, the dangers of a sudden drop in blood pressure, or acute hypotension, are often underestimated and sometimes misunderstood but can such a drop be fatal? A sudden drop in blood pressure, known as acute hypotension. While occasional dizziness or lightheadedness may seem harmless, in some cases, a rapid decline in blood pressure can trigger a chain reaction that may ultimately result in organ failure or even death.

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What Happens When Blood Pressure Plummets?

Blood pressure is measured as two numbers: systolic (the pressure as your heart beats) and diastolic (the pressure as your heart rests between beats). According to the National Heart, Lung and Blood Institute, a normal reading for healthy adults is under 120/80 mmHg. When blood pressure falls below 90/60 mmHg, it’s considered low, or hypotension.

A sudden decrease—even a drop of just 20 mmHg in systolic pressure—can cause symptoms like dizziness, confusion, and fainting. More severe drops can be catastrophic, as Dr. S.S. Sibia, Cardiologist & Director at Sibia Medical Center Ludhiana, explains, "A sudden loss of blood pressure, or acute hypotension, can actually lead to death. Blood pressure helps deliver oxygen and nutrients to vital organs like the brain, heart, and kidneys. If BP suddenly falls, the body may not be in a state to maintain regular blood flow, leading to severe complications."

What Causes The Blood Pressure To Drop Suddenly?

There are several causes of acute hypotension, and they often intersect. Here are the most common physiological triggers:

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Hypovolemia

A drop in blood volume due to bleeding, vomiting, or dehydration

Decreased cardiac output

When the heart fails to pump enough blood, often due to a massive heart attack

Vasodilation

Widening of blood vessels in conditions like sepsis or a severe allergic reaction (anaphylaxis)

Hypotensive syndrome

A term used when multiple factors contribute to a sudden drop in blood pressure

Dr. Yogendra Singh Rajput, Associate Director of Cardiology at Marengo Asia Hospitals, Gurugram, notes, "The most common cause of sudden drop in blood pressure is massive heart attack. Any massive heart attack of right side or a right coronary artery can lead to a sudden drop... ultimately the patient can die." He adds that internal bleeding — such as from a ruptured gastric ulcer — or extreme dehydration from vomiting or loose motions, are other serious culprits.

Symptoms of Sudden Low Blood Pressure

When blood pressure drops quickly, the body doesn't get enough oxygen, especially the brain. That’s why many of the early symptoms are neurologic in nature:

• Dizziness or fainting
• Confusion or disorientation
• Blurred vision
• Lightheadedness
• Heart palpitations
• Cold, clammy skin
• Headache
• Rapid breathing

These signs may appear suddenly, sometimes with no warning. In severe cases, the person may lose consciousness or go into shock, a life-threatening condition. "Warning symptoms include dizziness, confusion, blurred vision, fainting, and cold or sweaty skin," says Dr. Sibia. "Some may ignore these symptoms, assuming they are insignificant, but ignoring them can delay treatment and worsen outcomes."

"Acute hypotension is a sudden and severe drop in blood pressure that can be deadly if not treated right away," says Dr. Rahul Mehrotra, Chief - NIC & Clinical Cardiology, Artemis Hospitals. "When BP gets too low, these organs don't get enough blood, which can lead to organ failure and even death." Dr. Mehrotra highlights the top medical emergencies that often result in sudden hypotension:

• Major bleeding (from trauma or internal injuries)
• Heart attack
• Sepsis, a life-threatening infection
• Anaphylaxis, a severe allergic reaction
• Severe dehydration

He further emphasizes that not all cases of low BP are dangerous. "When blood pressure is low but not too low, it usually isn't a big deal for healthy people. But a sudden and severe drop in blood pressure should never be ignored."

How Fast Can A Drop In Blood Pressure Turn Fatal?

The progression from a sudden drop in blood pressure to life-threatening complications can be rapid. When blood flow to vital organs is interrupted, shock can develop within minutes, leading to organ failure and, if untreated, death.

Dr. Yogendra explains, "Sometime a sudden drop in the blood pressure may be because of sudden loss of fluid inside the body like severe dehydration due to loose motions, due to excessive vomiting, due to excessive blood loss, due to internal organ injury or due to internal blood loss in the form of rupture of gastric ulcer. So there are many things which can cause drop in the blood pressure and ultimately patient may succumb to death."

When Is a Low Blood Pressure considered an Emergency?

While some people live with chronically low blood pressure without symptoms, a sudden and significant drop—especially with symptoms—should always be treated as a medical emergency. Dr. Mehrotra emphasizes, "You should never ignore a sudden and severe drop in blood pressure. IV fluids, medications, and emergency procedures are all examples of timely medical care that can save lives. In short, a sudden drop in blood pressure can be deadly if you don't get help. Being able to see the warning signs early can make a big difference."

While a slight drop in blood pressure can occur from something as benign as standing up too fast, a sudden and unexplained dip should not be taken lightly. Acute hypotension is not just about numbers on a monitor — it’s about how the body responds when critical systems are deprived of oxygen-rich blood.

As Dr. Rajput puts it bluntly, "Yes, a sudden drop in blood pressure can cause sudden death." While mild, brief episodes may cause only dizziness, a rapid and significant decline can be life-threatening, especially if it signals a heart attack, severe bleeding, sepsis, or anaphylaxis. Recognizing the symptoms and seeking immediate medical help can be the difference between recovery and tragedy.

Disclaimer: If you or someone around you experiences sudden and unexplained symptoms of low blood pressure, treat it as a true emergency. Always consult a qualified healthcare professional for diagnosis, treatment, or concerns about your health.

Behind the Mask: What We Forget About the Doctors in Our Lives

A missed diagnosis. A prescription that showed no improvement. A patient who returns only to say their condition worsened. An important family event missed for a last-minute consultation. These are not just incidents, they are everyday realities for many doctors.

Doctors are trained to heal. To know. To always be in control. But what we forget is that they are human too. They grieve every loss, carry the weight of every failure and constantly walk the tightrope between their duty and personal life.

In a deeply candid conversation, Dr Guru N Reddy, a senior gastroenterologist, shared, “I didn’t spend time with my family when my kids were growing up. My work always came first and then came my family.” That struck a chord. As patients, we expect doctors to answer our calls immediately, respond to texts late at night and be available at all hours. We rarely pause to think who’s waiting for them at home?

And God help you if you have a doctor in the family. Because the rare time they do manage to show up at a gathering, they inevitably turn into the unofficial consultation desk. “Can I quickly show you this report?” “There’s this pain that won’t go, can you suggest something?” Sometimes, it’s not even for them, it’s for a friend, a colleague or someone they barely know.

Most doctors, even the most humble and well-meaning, find it hard to say no. Their instinct is to help. But somewhere in the process, their own boundaries blur. What’s meant to be a relaxing evening becomes a mini OPD. And they smile through it because that’s just who they are. But let’s not pretend that it doesn’t wear them out.

No wonder this year’s Doctors’ Day theme is so fitting - Behind the Mask: Care for the Caregiver. We often forget that doctors, beneath their professional calm are silent sufferers too. They carry the emotional burden of every patient they try to heal. While we blame them for a delayed recovery or a missed diagnosis, we fail to see how much it breaks them from within.

“If doctors could carry a magic wand that ensured perfect diagnoses and flawless treatments every time, they would, without question,” Dr Shuchi Sharma said. But medicine is not magic. It’s a science filled with uncertainties and doctors do their best within those limits.

It takes years to build a reputation as a doctor and just one unexpected outcome to tear it down. That’s what they fear the most, not for their name, but for the trust they lose, for the patients they couldn’t save, shares Dr Reddy.

And for this very reason, we have started Beyond The Stethoscope podcast series where we go past the prescriptions and procedures to bring you inspiring conversations with the minds shaping the future of healthcare.

So today, let’s pause. Let’s honour the ones who put others before themselves every single day. Behind their mask is not just a professional, it’s a person, quietly carrying the weight of hundreds of lives. This Doctor’s Day, let’s offer them what they rarely ask for - understanding, respect and a little care in return.

It’s 2 PM, and despite having slept a full eight hours the night before, you find yourself reaching for that third cup of coffee just to stay awake. The afternoon slump is familiar to many, but what if this persistent tiredness isn’t just a passing phase? What if you feel exhausted all day, no matter how much rest you get? This chronic fatigue can be frustrating and confusing, leaving you wondering why your body won’t recharge even when you’re resting.

Fatigue is more than just feeling sleepy. It’s a complex state that affects both body and mind, often blurring the lines between physical exhaustion and mental weariness. Many people experience occasional tiredness, but when fatigue becomes a constant companion, it signals that something deeper may be at play. Understanding why you’re tired even when you’re resting—and how to address it naturally—can transform your energy levels and overall well-being.

This kind of persistent fatigue—especially when it lingers even after a full night’s rest—has become increasingly common in today’s fast-paced, always-connected lifestyle. And while an “afternoon slump” is a known phenomenon, more and more people are grappling with all-day exhaustion. The big question: Why are so many of us tired all the time?

Tired vs. Fatigued: What’s the Difference?

It’s important to distinguish between simple tiredness and fatigue. Feeling sleepy after a long day or a restless night is expected. That’s sleepiness—a short-term issue that’s usually remedied with adequate rest.

Fatigue, on the other hand, is deeper and more persistent. According to experts, fatigue is more than just feeling sleepy—it’s a state of constant physical and mental exhaustion that doesn’t resolve with sleep. It can often be a sign of an underlying issue—either lifestyle-related or medical.

“Physical and mental fatigue are different, but they often occur together,” explains Dr. Pooja Singh, Sports & Fitness Specialist. “Chronic tiredness is not something to normalize—it’s your body asking you to pause and reflect.”

Why Are You Always Tired?

A surprisingly large portion of ongoing fatigue can be traced back to everyday habits. According to data, 1 in 3 adults in the U.S. don't get enough sleep, despite the recommended 7–8 hours per night. But even those logging decent sleep hours can feel drained. Sometimes, it’s the well-known “afternoon slump” caused by natural dips in circadian rhythm. Here’s why:

1. Poor Sleep Hygiene

Many people underestimate how profoundly sleep quality affects daily energy. Tossing and turning, late-night screen time, or simply going to bed at inconsistent hours can disrupt sleep cycles.

“Eating real food and supplementing with magnesium and vitamin D—especially through effervescent tablets—can improve sleep quality significantly,” says Dr. Singh. “Small nutritional tweaks go a long way.”

2. Sedentary Lifestyles

We now know that sitting is the new smoking. Modern work and leisure habits often mean we’re sitting for hours without a break, which affects circulation, mental focus, and yes—sleep.

“Start moving in between your day,” Dr. Singh advises. “You don’t need a gym. Basic moves like calf raises, squats, shoulder shrugs every 30–40 minutes can reset your energy levels.”

3. Screen Time Overload

If your bedtime routine includes scrolling social media or watching Netflix in bed, you’re disrupting your circadian rhythm. Screens emit blue light, which tricks the brain into thinking it’s daytime.

“Try meditating or doing deep breathing exercises for 20–30 minutes before bed instead,” Dr. Singh recommends. “This calms your nervous system and improves sleep quality.”

Is There a Medical Reason You’re Always Tired?

Sometimes, the root of constant fatigue runs deeper than lifestyle.

Conditions like anemia, thyroid imbalances, diabetes, chronic fatigue syndrome, and sleep apnea can all manifest as chronic tiredness. Mental health conditions—especially anxiety and depression—are also significant contributors to low energy levels.

“It’s important to note that if basic lifestyle interventions don’t help, consult a doctor,” Dr. Singh emphasizes. “Your fatigue could be a symptom of something more serious.”

Keep a diary of your sleep patterns, energy dips, and emotional states. This can help doctors identify patterns and offer targeted treatments.

Natural Ways To Fix Your Fatigue

Thankfully, there are several science-backed strategies to restore energy—without relying on caffeine or sugar.

Improve Sleep Quality

Good sleep isn’t just about quantity, but consistency. Stick to a sleep schedule, reduce screen time before bed, and create a calming bedtime ritual. Choose natural sleep aids like magnesium and herbal teas if needed.

Move More, Sit Less

Even light movement boosts circulation and releases endorphins. If you can’t squeeze in a gym session, take a brisk walk or stretch for 10 minutes. Exercise increases oxygen flow and mitochondrial efficiency—your cells’ natural energy factories.

Step Into the Sun

Just 10–15 minutes of sun exposure daily can help your body produce vitamin D, a deficiency of which is linked to fatigue. Light exposure also helps reset your circadian rhythm, making you more alert during the day and sleepier at night.

Balance Your Meals

High-carb lunches can spike insulin and lead to energy crashes. Opt for protein- and fiber-rich meals to maintain stable blood sugar and mental clarity throughout the day.

“Supplementing with collagen (type 2) is great for joint-muscle health, especially if fatigue stems from physical pain or weakness,” adds Dr. Singh.

Practice Stress Management

Chronic stress leads to cortisol dysregulation, which drains your body over time. Use meditation, yoga, journaling, or nature walks to bring stress hormones back to balance.

Chew Gum (Yes, Really!)

Studies show chewing gum can improve alertness and cognitive performance. It’s a simple, effective brain boost—especially during work or study sessions.

Nap Smartly

A power nap of 15–30 minutes can recharge your brain. Avoid longer naps which may disrupt your night sleep cycle and leave you groggier.

Fatigue isn't always a sign of laziness or poor time management—it’s often a whisper from your body (or sometimes, a scream) that something needs attention. In a world that praises busyness, acknowledging tiredness as a valid and treatable state is a radical act of self-care.

From smart nutrition and movement to emotional well-being and medical check-ins, fighting fatigue naturally is not just possible—it’s essential. And remember: you don’t need to fix everything overnight. Small, consistent changes create long-lasting energy shifts.

As Dr. Singh puts it, “Your body is incredibly intelligent. The more in sync you are with its signals, the more resilient, vibrant, and rested you’ll feel.”

Dr. Pooja Singh is a Sports & Fitness Specialist at Fast&Up in India

Drinking coffee every morning is a sacred ritual for many people. It gives them the energy to start their day as well as the boost they need through midday etc. Coffee often gets credit for waking us up, but it's also been linked to a lower risk of type 2 diabetes, heart disease, and even a longer life. However, new research suggests that how you drink your coffee might determine whether you actually get these health benefits.

While people have their own preferences of how they like their coffee, new research shows that having it a certain way can make it worse for your health, rather than helping you.

Black Coffee for Better Health

A recent study found that people who drank one to two cups of coffee daily had a 14% lower risk of dying compared to those who didn't drink coffee. But there's a catch: this was only true for individuals who drank their coffee black or with just small amounts of cream, milk, or sweeteners. Adding too many extra ingredients seemed to cancel out coffee's positive effects.

Coffee Habits and Life Expectancy

This study, published in The Journal of Nutrition, followed over 46,000 adults in the U.S. for about 10 years. Researchers wanted to see if there was a connection between how people drank coffee and their risk of death.

At the beginning, participants filled out a survey about their diet for over 24 hours. From this, researchers estimated their usual coffee intake and noted if they added sweeteners or high-fat products. After tracking participants' health (including deaths from cancer, heart disease, and all other causes), the team found:

• Drinking one cup of coffee daily was linked to a 16% lower risk of death from any cause.
• Drinking two or three cups daily cuts this risk by 17%.
• Coffee drinkers also had a significantly lower risk (29–33%) of dying from heart disease.

When looking at additives, people who drank black coffee or coffee with low amounts of added sugar and saturated fat had a 14% lower risk of overall mortality compared to non-coffee drinkers. "Low added sugar" meant less than 2.5 grams (about half a teaspoon) of sugar, syrup, or honey per 8 ounces. "Low saturated fat" meant less than 1 gram (about 5 tablespoons of 2% milk or 1 tablespoon of light cream/half-and-half) per 8 ounces.

Why Additives Might Reduce Benefits

Coffee contains over 100 different molecules, including polyphenols, which are likely responsible for many of its health benefits. Polyphenols are antioxidants that help reduce inflammation and protect cells from damage. This makes the link between coffee and lower mortality "biologically plausible," as coffee is a major source of antioxidants for many.

Adding sugar or saturated fats to your coffee doesn't necessarily destroy these polyphenols. Instead, a high intake of sugar and saturated fats in general is simply linked to worse heart health and a higher risk of death.

Making the Most of Your Coffee

Since this is the first study to specifically look at how coffee additives affect mortality risk, the evidence isn't yet strong enough for strict recommendations. However, a good general rule is to reduce your overall consumption of sugar and saturated fat.

If you enjoy a little cream and sweetener in your coffee, don't worry too much. While black might be better, adding small amounts doesn't necessarily put you at increased risk.

Regardless of additives, moderation is key. The health benefits of coffee tend to decrease after about two cups daily, and drinking too much can even be harmful. High doses of caffeine can cause anxiety, irregular heartbeats, and elevated blood pressure.