in my small village more than 30 years ago, my friends told me that our neighbour was healthy and strong, but he was in love with a women and he did not need to marry her, so she put to him in the tea blood from her menstrual cycle and he drunk this tea multiple times and it was the cause of his death while he was still young...... now and after all that time and  as an internist and gastroenterologist and hepatologist my explanation is mostly it is bleeding esophageal varices from bilharziasis or liver cirrhosis due to HCV as both was prevalent in Egypt in the past years. In brief it is ignorance versus knowledge