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Blood found in nose, when son passed away. Reason for unusual bleed from the nose?

My very health 24 year old son recently passed away in his bed. The detective said there were no signs of foul play, pills or used needles found. We are still waiting on the results of the M.E. s toxicology report. We know there was some fresh blood found which originated from either his nose or mouth. Our son was susceptible to nose bleeds . Is it unusual to bleed from the nose or mouth at the time you pass away?
Asked On : Sun, 13 Jan 2013
Answers:  1 Views:  55
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Bleeding takes place from any body site ante-mortem only (before death).
However, after death pressure in blood vessels especially in veins can cause rupture of these vessels.
Vasculotoxic substances (substances or poisons causing damage to the vessel wall) can also cause bleeding before death.
Trauma to head or face can also cause bleeding and accumulation of blood in the nostrila and mouth. A history of trauma needs to be illicited.
Toxicological reports will identify the poison if present in the blood.
The examination of the clot (if possible) can also differentiate between ante-mortem and post-mortem clots.
A forensic examination will help to differentiate between the two.

Thanks and take care
Dr Shailja P Wahal

Answered: Tue, 23 Jul 2013
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