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Ask a doc: ‘Why are my eyes often bloodshot?’

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Ask a doc: ‘Why are my eyes often bloodshot?’

Bloodshot eyes are often associated with late nights followed by early morning obligations. 

While this is indeed one cause of irritated eyes, other factors can contribute to the condition.

To get a clear understanding of the triggers and treatments for bloodshot eyes, Fox News Digital consulted with two ophthalmologists, who provided eye-opening insights.

What causes bloodshot eyes?

When the eyes get irritated, the tiny blood vessels on the white surface of the eye (the sclera) swell, said Usiwoma Abugo, M.D., an ophthalmologist at Katzen Eye Group in Lutherville, Maryland. 

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When this happens, the white of the eye appears pink or red, she noted.

There are many potential causes of red or bloodshot eyes. 

When the eyes get irritated, the tiny blood vessels on the white surface of the eye swell, which makes it appear pink or red. (iStock)

“They can be a response to an irritant such as pollen, pets, dust or smoke, or a symptom of a medical condition, such as a bacterial infection, virus or injury to the cornea,” Abugo told Fox News Digital. 

Here’s some more information on some of the primary culprits.

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Allergies

When an allergen gets into the eye, the eye responds by producing a substance called histamine, Abugo said.

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This causes the blood vessels on the surface of the eye to get leaky and swollen, which creates redness and swollen, itchy tissues.  

Dry eyes

“Dry eye is an incredibly common eye condition,” Abugo told Fox News Digital. 

“When the eye doesn’t have enough tears to stay lubricated, the eye becomes red, and the horizontal blood vessels on the surface of the eye become more prominent, swollen and irritated.”

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Tiredness

There’s a reason an overnight flight is called the “red-eye” — bloodshot eyes are often caused by being tired, which is usually related to dry eye, the doctor said.

Allergies are a common cause of bloodshot eyes, according to experts. (iStock)

“When you are tired, your body’s natural tearing or lubrication system becomes abnormal, leading to dry eye,” she noted.

Contact lenses

Poor contact lens hygiene or poorly fitted lenses can irritate the eye and lead to redness.

Not cleaning or caring for your lenses correctly could even lead to a serious eye infection, Abugo warned.

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“Make sure to care for your lenses as recommended by your eye care team, remove them as prescribed, and only wear lenses prescribed for you by a professional,” she advised. 

Eye infections

Conjunctivitis, commonly known as pink eye, can be caused by bacteria or a virus

The condition causes the surface of the eye to swell, which gives the eye a pink or red color, said Abugo.

Relieving and preventing bloodshot eyes

Michelle Andreoli, M.D., an ophthalmologist at Northwestern Medicine in Naperville, Illinois, shared with Fox News Digital some tips for treating red eyes at home.

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Over-the-counter artificial tears can be used to address irritation and wash allergens from the eye. 

An opthamologist said to avoid decongestant (anti-redness) drops, because “they don’t solve the cause of the problem and can sometimes make redness worse in the long run.” (iStock)

Avoid decongestant (anti-redness) drops, Andreoli advised, because “they don’t solve the cause of the problem and can sometimes make redness worse in the long run.”

Instead, she suggested using over-the-counter antihistamine drops to help with itchy eyes caused by seasonal allergies. (Always check with a doctor first.) 

A cool compress can also provide some relief.

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To prevent redness, Anderoli said to avoid smoke, fumes, pollen, dust, chlorine or pet dander if those are known irritants.

Wash your hands often, avoid touching your eyes and wash eyelids daily with a mild cleanser, she recommended.

“If you do have an eye infection, your doctor will prescribe antibiotic eye drops or other medication as deemed appropriate,” the doctor said.

When to see a doctor

Bloodshot eyes are very common and rarely indicate something serious, according to Andreoli.

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If symptoms aren’t improving after one week of home remedies, however, she recommends seeing an ophthalmologist for diagnosis and treatment.

Contact lenses can cause redness for some people, especially when they are not cleaned or cared for properly.  (iStock)

Some of the more serious conditions associated with bloodshot eyes are ocular inflammation (called uveitis) or an eye infection. 

In that case, there are usually additional symptoms, such as pain, discharge and blurred vision. 

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“If not treated, eye infections can sometimes cause devastating damage, including vision loss,” Anderoli said.

“Luckily, effective treatments are available to avoid this worst-case scenario.”

If eye redness is accompanied by any degree of vision loss, contact your eye care provider immediately, the doctor advised.

The American Academy of Ophthalmology recommends that all healthy adults get an eye exam by the age of 40 to catch any signs of eye disease. 

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Added Anderoli, “Lots of eye conditions and diseases can be treated when caught early enough, but often begin without any noticeable symptoms.”

For more Health articles, visit www.foxnews.com/health.

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Does Metformin Help With Weight Loss? How To Maximize Your Results

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Does Metformin Help With Weight Loss? How To Maximize Your Results


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One common type of fat may increase diabetes risk, while another helps fight it

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One common type of fat may increase diabetes risk, while another helps fight it

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A new review suggests that the type of fat you eat may affect your risk of developing type 2 diabetes.

Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin.

Meanwhile, monounsaturated fats rich in oleic acid — such as those found in olive oil — may help protect against insulin resistance, the review concluded.

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“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, told Fox News Digital. She was not involved in the review. 

“Oleic acid, on the other hand, is in higher concentration in foods like olive oil, canola oil, nuts, sunflower seeds, eggs, olive, avocados and also in meats (beef, chicken, pork), milk, cheese and pasta.”

Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin. (iStock)

The review, which was published in the journal Trends in Endocrinology & Metabolism, was led by researchers from the University of Barcelona and the CIBER Area for Diabetes and Associated Metabolic Diseases (CIBERDEM) in Spain.

The findings suggest that fat quality may be more important than total fat quantity when it comes to metabolic health and diabetes risk.

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This appears to support the idea that diets rich in monounsaturated fats, such as the Mediterranean diet, may contribute to lower rates of type 2 diabetes.

“Palmitic acid promotes several molecular processes that impair insulin action,” study investigator Dr. Manuel Vázquez-Carrera, from the Department of Pharmacology, Toxicology and Therapeutic Chemistry at the University of Barcelona, told Fox News Digital. 

“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” a nutritionist said. (iStock)

Too much palmitic acid can cause harmful fat byproducts to build up in the body, which can impair the body’s ability to respond to insulin, he warned. This makes it harder to control blood sugar and increases the risk of insulin resistance and type 2 diabetes.

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“It also promotes inflammation, oxidative stress, mitochondrial dysfunction and cellular stress responses, which contribute to insulin resistance and β-cell dysfunction,” Vázquez-Carrera added.

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By contrast, oleic acid – a hallmark of the Mediterranean diet – does not have these harmful effects, according to the researcher.

“In fact, oleic acid can counteract many of the detrimental effects triggered by palmitic acid, by promoting the storage of fatty acids in relatively inert triglycerides, preserving mitochondrial function and reducing inflammation,” he said.

“All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”

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Freirich confirmed that the review is consistent with previous research supporting the use of olive oil in the diet for metabolic benefits.

“Also confirming previous research, the consumption of saturated fats is associated with some negative metabolic changes,” she told Fox News Digital.

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Given the complexity of foods and diets, there is an overlap between foods that contain both types of fatty acids, the nutritionist noted. 

“Palmitic acid and oleic acid can both be found in olive oil, baked goods and fast foods, in differing amounts,” she said. “All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”

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Study limitations

Vázquez-Carrera noted that these findings come from a review of numerous experimental, clinical and epidemiological studies rather than a single clinical trial.

“One important limitation is that much of the mechanistic evidence comes from cell culture and animal studies,” he said. 

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“Although these studies provide valuable insights into how specific fatty acids affect insulin signaling, further human intervention studies are needed to confirm the extent to which these mechanisms operate in everyday dietary settings.”

In addition, many of the human studies in the review relied on self-reported dietary intake, which can introduce inaccuracies. 

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Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, the researcher noted. (iStock)

“Another challenge is that people consume foods containing complex mixtures of fatty acids and bioactive compounds rather than isolated fatty acids,” Vázquez-Carrera added. “Therefore, it remains difficult to fully disentangle the specific contribution of individual fatty acids in free-living populations.”

Nutritional recommendations

The review’s findings appear to support current dietary recommendations that emphasize replacing part of the saturated fat intake with unsaturated fats, according to Vázquez-Carrera.

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“This means favoring dietary patterns rich in foods such as extra-virgin olive oil, nuts, seeds, legumes, vegetables, fruits and fish, while limiting excessive consumption of foods rich in saturated fats, especially highly processed foods,” he advised.

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The review does not suggest that a single nutrient alone determines diabetes risk, the researcher pointed out.

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“Rather, maintaining a healthy body weight, engaging in regular physical activity and following an overall healthy dietary pattern, such as the Mediterranean diet, remain fundamental strategies for preventing insulin resistance and type 2 diabetes.”

Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, Vázquez-Carrera noted.

Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, the review suggests. (iStock)

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“Future research should move beyond simply classifying fats as ‘good’ or ‘bad’ and instead focus on understanding how specific fatty acids, their dietary sources and their interactions within whole dietary patterns affect metabolic health,” he said.

Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, according to the researcher.

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“A simple takeaway for consumers is to swap out foods high in saturated fat more often with foods rich in heart-healthy fats, like olive oil, nuts and avocados, to better support blood sugar and metabolic health,” advised New Jersey-based registered dietitian Erin Palinski-Wade, who was also not involved in the review.

Anyone at a higher risk for type 2 diabetes should consult a healthcare provider for personalized guidance on nutrition, exercise and other preventive measures, experts say.

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Video: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

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Video: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

new video loaded: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

Early signs indicate that the species of Ebola behind the current outbreak in the Democratic Republic of Congo may have milder symptoms than past outbreaks. Our global health reporter Apoorva Mandavilli explains why this might actually make it more dangerous.

By Apoorva Mandavilli, Alexandra Ostasiewicz, Nikolay Nikolov, Stephanie Swart, Rafaela Balster and Lauren Pruitt

June 23, 2026

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