Hemorrhage, not from a wound, is generally caused by a diseased condition or morbid state of the blood vessels. Spitting of blood may indicate hemorrhage from the stomach, or lungs, or simply from the nose or mouth. Nose-bleed is most often indicative of congestion of the head. It is a bad symptom when occurring in a person who is very feeble from a wasting disease. Hemorrhage from the bowels is a very grave indication when it occurs in connection with dysentery or typhoid fever; but it is generally indicative of nothing more than the rupture of a dilated vein in the rectum, due to piles or hemorrhoids. Bleeding from the bladder may indicate disease of either the bladder or the kidneys. Hemorrhages into the skin occur in scurvy and purpura.