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My friend was found dead in a pool of blood kneeling face down. Was on heavy pain and HTN medication. No head or lung injury. What could be the most likely cause of bleeding?

My friend was found dead. We were told he was found kneeling face down into his sofa and that the cushions were saturated with blood and there was a "pool of blood" either under the sofa or under him (not sure). At any rate, he was 50 years old, on heavy pain medications, HTN meds and he regularly drank alcohol. I am unsure about any other medications or recreational drug use. I was told that he was not hit in the head, but I have no idea about llung injuries, etc. Is there any reason that a person would bleed that heavily upon or after death? Or is there something that would have caused that much bleeding (if the stories are accurate?). There is an autopsy being done but of course we are not immidiate family so I have no idea when we will actually hear. As of right now, there is no expected foul play. Any advise or thoughts would be appreciated.
Asked On : Wed, 1 May 2013
Answers:  2 Views:  81
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Internal Medicine Specialist 's  Response
Dear friend, welcome to Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

It is quite possible to have a massive hematemesis (vomiting of blood) and die of massive haemorrhagic shock or asphyxiation from blood flooding the throat.

Alcoholism and pain medications make it very likely to have stomach ulcers/ gastritis or varices from alcoholic liver diseases.

There are many other possibilities of course, which can not be evaluated from here. Please await autopsy reports.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at
Good Luck!

As it helps us to improve continuously, may I request you to write a rating review before you ‘accept’ and ‘close’ the query.
Thank you!!
Answered: Sat, 4 May 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Only an autopsy can clarify. Everything else is guess work...
There are several possibilities - Dissection or thoracic aneurysm rupturing - from high BP / Oesophageal Varices from alcohol - rupturing / Bleeding from stomach - ulcer from alcohol or pain medications / undiagnosed lung infection or tumour eroding...

May his soul rest in peace.
Answered: Sat, 4 May 2013
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