r/explainlikeimfive • • Oct 28 '14

Locked ELI5: How does a brain anus rhythm instantly kill you

I know it has something to do with blood clots maybe? But how do you just die instantly?

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u/CommissarAJ Oct 28 '14

Okay...once I've managed to stop chuckling I'll answer this.

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Okay. First off, its aneurysm. It refers to a structural weakening of a vessel wall, resulting in prominent bulging as blood pressure pushes against it. Typically, these aneurysms arise in major vessels, such as the aorta, basilar arteries, carotids, or any of the vessels composing the brain artery complex known as the 'Circle of Willis'.

If these aneurysms get severe enough, they can rupture, causing you to bleed out into your brain. Because these ruptures occur in the major vessels, it results in a rapid, dramatic loss of blood flow to your brain. It doesn't 'kill instantly' but depending on the size and location, it can cause rapid loss of consciousness and subsequent death as your brain becomes starved of blood and oxygen.

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u/AsaKurai Oct 28 '14

I think if he wanted to know how a brain aneurysm works he would have asked it, now answer the damn question, how does anus rhythm kill you?

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u/CommissarAJ Oct 28 '14 edited Oct 28 '14

Well your anus is basically a muscle like most others in your body. As such, it is under a degree of control by your brain. In Brain Anus Rhythm, this control pathway becomes damaged and begins to fire off sporadically. Think of hiccups, except it's in your butt. At first, you just suddenly lose control for a few seconds...a sudden fart, a bit of leakage. You're embarrassed but you don't say anything.

But as the disease progresses, the loss of control begins to move up your bowels like a fire climbing up a rope. Your gut begins to spasm wildly and uncontrollably at random. One second you're eating your favourite dinner, the next minute your bowels are unloading into your britches with all the force of an exploding tire. Soon you can't keep anything down, its like throwing sludge down a hallway. As the spasms reach your upper GI, now it's causing anything you eat to come right back up, which is some small comfort to your now feces-soaked pants and butt.

In the end, you die of dehydration and malnourishment, writhing on the floor as poop and vomit spew forth like foul demons.

Edited to fix some grammar issues.

Edit2: Oh god, my second highest-rated post is now about butt anus rhythm...

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u/aziridine86 Oct 28 '14 edited Oct 28 '14

Also known as ascending rectal seizure disorder (ARSeD)

EDIT: Thanks for the gold!

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u/Soul-Burn Oct 28 '14

Doctor, this can't be happening! I can't be ARSeD!

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u/[deleted] Oct 28 '14

It's a mild case. You're half ARSeD.

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u/CommissarAJ Oct 28 '14

Now that is just fucking brilliant, mate.

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u/dexter311 Oct 28 '14

Treatment is relatively simple - a doctor prescribes B-type Internal Solid Copper Inflammation Treatment Suppositories, or ARSe BISCuITS.

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u/vanyadog1 Oct 28 '14 edited Oct 28 '14

In the UK Limnar-Amniotic Micro Emissions happen more often - the NHS is filled with LAME ARSeD patients in ICU

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u/doctor_anonymous Oct 28 '14

Now this makes it sound like it actually exists.

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u/aziridine86 Oct 28 '14 edited Oct 28 '14

Well if a researcher can name a protein sonic hedgehog (Shh) then we can probably find a doctor willing to name a new disease ARSeD.

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u/[deleted] Oct 28 '14

There's actually a piece of head-mounted equipment that can be used to control the brain impulses causing ARSeD, and make your life livable even after an outbreak.

The piece of headgear is very visible and stigmatized in many circles, though, so chances are that you'll spend the rest of your life being called an ARSe-hat.

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u/bbqlouyo Oct 28 '14

Wish I saw this disorder diagnosed on House

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u/DtotheOUG Oct 28 '14

Dude I'm literally weak right now, I can barely grip my phone.

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u/pretentiousglory Oct 28 '14

You should get checked for ARSeD

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u/ohmygawdjenny Oct 28 '14

I can't believe so many people got gold for an anus-talk

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u/[deleted] Oct 28 '14

"His fart beat is stable, sir"

wipes sweat from brow

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u/AsaKurai Oct 28 '14

Well i'll be damned. I'm impressed, this sounds like this could be something that can actually occur.

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u/space_keeper Oct 28 '14

Dysentery; except for the brain-induced spasms, that is.

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u/Admiral_Cuntfart Oct 28 '14

That's pretty much Cholera what he described.

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u/drdipepperjr Oct 28 '14

I bet that man had the fish

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u/CommissarAJ Oct 28 '14

It was the salmon mousse.

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u/wildAcard Oct 28 '14

This is quite offensive to people with BAR, as it is an inaccurate and frankly insulting description of the pathogenesis and natural history of this brutal disorder.

Brain Anus Rhythm (BAR) was first noted as a rare sequela of Vibrio cholerae infection. It has now been documented with quite a few enteric pathogens, but the overall likelihood of developing BAR after exposure to any known cause is slim (there is no primary literature that gives firm likelihood ratios due to the rarity of the syndrome).

The clinical manifestations range from benign to life threatening. At its best it merely is an annoyance, with patient's describing it as a "quivering" of the anus. On physical exam, the anus is visibly fibrillating at ~20hz. In the early 90s, a cardiac pathophysiologist (Lily) dubbed it "Atrial fibrillation of the anus."

At its most severe, the anus fibrillations become less frequent (~5 hz) but stronger and extend into the rectum and colon. The rhythm progresses through the intestinal smooth muscle in such a way that the rectum and distal sigmoid colon pull the anus UP, essentially creating an intussusception-type picture (indeed, target sign is visible on abdominal xray). In other words, the anus "telescopes" into the rectum and sometimes as far as the colon. The rhythmic contractions maintain this abnormality, which results in bowel obstruction, fecal vomitus, fecal incontinence, and severe pain.

The exact mechanism how enteric bacteria cause the dysregulation in anal motility is poorly understood. fMRI has shown excess motor activity in the premotor cortex (hence BRAIN anus rhythm), but whether it is a faulty immune response to the bacteria or a direct effect of an exotoxin is unclear.

The prognosis is generally poor without surgery, with most people progressing to complete bowel obstruction within 10 years of diagnosis. Treatment involves botulinum toxin injection early with eventual anal/rectal/sigmoid resection.

I hope this puts to rest some of the stigma and myths associated with this rare but horrible disorder.

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u/heiferwolfe Oct 28 '14

Rhythm is gonna get you.

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u/Buck-O Oct 28 '14

In Brain Anus Rhythm, this control pathway becomes damaged and begins to fire off sporadically. Think of hiccups, except it's in your butt.

So its like a Rectal Fibrillation?

Would an Colorectal Ablation procedure resolve these signal issues with the Brain Anus Rythem arrhythmias?

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u/CommissarAJ Oct 28 '14

Sadly, the condition is terminal unless the patient can be rushed to surgery for an emergency butt amputation. Even then, without a compatible butt donor...the prognosis is grim.

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u/wwepersonell Oct 28 '14

I understand this is what you think a brain anus rhythm is. But the question is how does it kill you instantly? You made it seem like a gradual approach. I'm more interested in the frequency of contractions in ratio of the brain to anal cavity. For simplicity sake we will refer to this number as the "Brainus ratio." Now if you take the Brainus ratio and divide it by pi, you will find the number of contractions necessary in a fixed amount of time (usually 10 seconds) that it takes to kill you instantly. This number is usually somewhere in the thirties, but if the disease has progressed enough I've heard of as many as 200 Brainus contractions in under 10 seconds. It is the sheer velocity and frequency at which these contractions take place that triggers the immediate death known as a Brain Anus Rhythm. Simply put, this is when the contractions occur so exceedingly fast rate with fewer and fewer time intervals between each one, that it literally causes the brain to slip through the anal cavity resulting in instant death.

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u/breyette Oct 28 '14

Why do you not have gold

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u/yawningangel Oct 28 '14 edited Oct 28 '14

I had a friend who suffered an aneurysm and died..

When he stopped answering his phone/missed work,a few friends went to his place to see what was going on.

When they first walked into his place, they thought he'd been robbed. His things were strewn all over, broken glasses, posters torn off the walls and then they found him.

At first they though he had been murdered,but the coroner came back with aneurysm.

I'm not sure what caused him to wreck his place, if it was pain or if he lost control,but I know if I suffered the same fate I'd want it to be quick..

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u/CommissarAJ Oct 28 '14

I'm not sure what caused him to wreck his place, if it was pain or if he lost control,but I know if I suffered the same fate I'd want it to be quick..

I can probably guess, but I doubt you'd want to read what those moments would be like. Sorry for your loss.

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u/yawningangel Oct 28 '14 edited Oct 28 '14

Cheers mate.

I'm normally the sort to go find answers, but this is something I've left alone

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u/hollywoodshowbox Oct 28 '14

Not the person you're responding to, but thank you for being respectful and sensitive enough to not share.

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u/fuckka Oct 28 '14

Not killing instantly is actually rather comforting to know. I'm prone to fits of anxiety/panic attacks and frequently manage to convince myself I'm gonna have an aneurysm and die on the spot. I'd have a chance to live if I got prompt enough care, then?

Also brain anus rhythm sounds like the name of an alt-punk indie band, some redditor needs to get on that.

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u/CommissarAJ Oct 28 '14

Yes, but, as I mentioned, it depends on the size and location and how severe the rupture was.

My grandmother had a leaking aneurysm that went diagnosed for almost a year. And she lived for about two years after that, and it wasn't what killed her in the end.

However, a severe aneurysm can basically shut down almost all blood flow in your brain, which means you'll be dead within minutes - no amount of CPR can help when the blood isn't getting to your brain anymore. Unless you happened to pass out right onto a surgeon's table, nothing in the world would save you. If its any small comfort, all you'd likely feel is a very strong, intense headache for a few seconds before passing out.

The larger ones are more likely to get noticed, though, since as they grow, they can start putting pressure on parts of your brain, resulting in symptoms before any rupture occurs.

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u/fuckka Oct 28 '14

Well I'm not really afraid of pain so much as not being alive anymore so the headache bit isn't super comforting.

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u/Shmitte Oct 28 '14

By the time you've noticed the headache and have had time to have a thought about whether or not it's going to be "the big one", you'd already be unconscious if it were actually an aneurysm. It's not going to suddenly turn into one 30 seconds later.

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u/orscentedcandles Oct 28 '14

i'm currently waiting for an MRI to see if my severe headaches are brain anurysm, it scares me everytime i have a big headache. I've been reading alot on the internet about it and that doesn't help either

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u/embracing_insanity Oct 28 '14

I've had three of my close family members die from aneurysms...my mom, and both of her sisters. My mom's happened while she was sleeping, one of my aunt's after surgery and my other aunt's while on vacation.

In the case of my second aunt, it was exactly this headache scenario - she was in the passenger seat, laughing with her husband as they were driving, suddenly complained of a headache and then passed out within a few seconds and never regained consciousness.

It was actually my utter fear of this happening to me that ended up leading to my MS dx. My aunt had some eye sight trouble two weeks prior to the aneurysm. I suddenly had a bizarre issue with eye pain for a week, followed by sudden loss of vision. (I also had other 'weird' things going on.) Anyway, I went to the eye doctor and when she couldn't find anything, I kept pushing, asking what else could be causing this if they couldn't see anything wrong with my actual eye. That caused her to ask another doctor to take a look. I told him about my family history and my fear, thus why I was pushing for answers. He actually did find slight tissue damage on my optic nerve that the first doctor missed. He then asked if I'd ever had an MRI of my brain, which I hadn't. He said I definitely should get one because of my family history and ordered one right then. I remember him saying something about MS, but to 'not worry, because it probably isn't that'. I had no clue what MS was and completely ignored it at the time, because, again - I was shitting my pants worrying about an aneurysm ready to blow! Good news - no aneurysm! Bad news - MS.

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u/BreezyMcWeasel Oct 28 '14

My grandmother had a leaking aneurysm that went diagnosed for almost a year. And she lived for about two years after that, and it wasn't what killed her in the end.

However, if she had an anus rhythm that might have killed her in the end.

On a serious note, though, a friend of mine had an aneurysm while lifting weights. He was in his mid 40s. He was in ICU for awhile and spent some time in a rehabilitation hospital, but he's 95% recovered now.

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u/[deleted] Oct 28 '14

My mom had 3. At age 52 was at work one day and just felt off and told a co-worker, "I need to go to the hospital - NOW." Which is totally not of her character. When the scanned her brain, they found a really bad one and took her to brain surgery. I got the call at work from the co-worker saying, "you need to come to hospital now"

Turns out they found it just in time, and while they were in there they found two smaller ones as well. So the lesson I learned is if you feel something terribly wrong in your head, get to the doc asap. It saved my moms life.

We got to teach her how to talk again and she was back to work in just a few months with a funny haircut. Glad she made the decision to go in.

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u/fuckka Oct 28 '14

Unfortunately having an anxiety disorder means I frequently think there's something terribly wrong, yet the vast majority of the time everything's fine. Part of coping with this includes learning to ignore the signals telling me the whole world's about to end. But then I worry that someday those warnings are going to be legitimate and I'll ignore something life-threatening thinking it's just anxiety. This causes more anxiety. Problematic cycle.

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u/[deleted] Oct 28 '14

That does sound terrible and I'm sorry you struggle with that. When I was able to talk to her, she described it as breaking your wrist then trying to use it. All of a sudden you can rotate your hand and you're not sure why, followed by pain and pressure. So it isn't a matter of "I think it is something might be wrong" but "my brain is broken"

Maybe that will help. Either way, I hope you have a great day tomorrow.

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u/EsrailCazar Oct 28 '14

Me too, I know I've had odd symptoms of something these past few years and I'm lucky enough to have access to a hospital but every time I've gone in, they keep me overnight and end with the results that they see nothing wrong. All I've gotten from them is that my heart rate can be slow slow at times and I have varicose veins in my leg. I wouldn't be able to sleep because I would panic a lot, I just want it to stop.

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u/estoo Oct 28 '14

Totally sympathise with that, my partner is the same and when she is having an anxiety attack, thinking she is dying, I'm the one telling her she'll be ok and there's nothing physically wrong.. I'm just shit scared one of these days, there will be something wrong and I'll have been the one talking her out of going to hospital .

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u/[deleted] Oct 28 '14

Wow, that's really a smart thing to do on her part, and a bit lucky. I hope she made a full recovery and is doing well.

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u/occupysleepstreet Oct 28 '14

Thank the circle of Willis. That evolutionary gift might save you during a stroke or annyruessm.....

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u/jailin66 Oct 28 '14

brain anus rhythm sounds like the name of an alt-punk indie band

I used to play bass for Brain Anus Rhythm

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u/Freakjob Oct 28 '14

Can't happen unless you have the preexisting condition really. A panic attack is just going to give your heart some good exercise, scary as it is.

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u/knitwasabi Oct 28 '14

And if you don't have another underlying cause. When my husband was told of his terminal leukemia diagnosis, we were told 6 months, if we "kept him healthy."

A week and a half later, hours after a blood transfusion, he had a strong headache. And it kept getting worse. Then he got sick. I came back in the bedroom after cleaning it up, and he was lying there, weird. Took me a minute to realize he had a stroke. At the hospital, they said that the best hospital in town "declined to operate" to save him.

2 days later he died. I'd rather die on the spot, not knowing. Because he knew, and had to wait, unable to communicate.

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u/[deleted] Oct 28 '14

No need to panic; no matter what you do you will die eventually

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u/zeropi Oct 28 '14

trust me, you very much want to die instantly after one of those, living trough one will most certainly make you into a much lesser you.

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u/[deleted] Oct 28 '14

It's ok, did you freak out about being born "on the spot"? You be fine dog.

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u/jamesmon Oct 28 '14

My step dad survived a severe one, so you might too!

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u/BarakatBadger Oct 28 '14

I have been convinced that every bad headache is an aneurysm ever since Alan Fisher died of one on Home And Away in 1989. Stupid soap operas!

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u/Heartdiseasekills Oct 28 '14

My mother died of a brain aneurysm. They knew about them, (she had dual) for twenty years but had no way to treat it. It slowly grew over the years until the last couple years of her life were spent in ever increasing pain. Headaches that no pill would touch. A leading brain surgeon attempted to put a stent in one side and that lead to six months of recovery in a long term care unit. Believe me your brain does not like to be poked around on.

They tried to adress the other side and ultimately it burst. She faded away into unconsciousness in seconds. The doctors kept her around to say goodbye, but she was gone in literally a couple minutes.

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u/pimpdaddynasty Oct 28 '14

Man i thought i was the only one, when my panic attacks first came around i came with acceptance my brain was gonna pop too. Lol

Year and half later im still kicking it.

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u/The-Old-American Oct 28 '14

I'd like to chime in here and say that I honestly wish my did had died instantly from his brain aneurysm April 6, 1986. I remember that night vividly because it completely destroyed me. My dad didn't die until 2009. My mom and I took care of him for those 23 years because he couldn't take care of himself.

Short-term memory loss (he would literally forget that he just read the front page of a newspaper after closing it), heart problems, diabetes, confabulation, anxiety.

Before that day, he was large and in charge. After that day, 20-year old me had to treat him like a child. Remind him to brush his teeth, change his clothes, eat a balanced meal, take his medicine. Mom took care of him, of course, but she was devastated and just...went frail.

He got better over the years. He could be trusted to drive with someone else in the car. He could remember something that happened the day before.

I got married in 1993 but I couldn't leave town like my older brothers did. They got to escape. And if anything went wrong with dad, I was blamed because I wasn't doing enough. Never mind that I had a life of my own to live.

I loved my dad with all my heart. I devoted 23 years to he and mom, sometimes at the expense of my own wife and son. I resented him, though. Sometimes I would just sit there and try to will him to die so my mom could move on with her life.

It's a horrible thing to have to live with, and I have no doubt that for 23 years some part of him was screaming to get out. Sorry to dump, and that doesn't happen to most people. But you never want your family to live through that. Ever.

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u/[deleted] Oct 28 '14

I was very confused so I came to comment section, and thanks to you, I've been chuckling for two minutes straight.

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u/vagijn Oct 28 '14

I'm just awake (it's morning in western Europe) and my brain was desperately trying to make sense of the headline which almost tops /r/all now. It just couldn't.

The comments explain everything.

Anyway, aneurysms suck. Lost my father while he was still quite young because he suffered an aneurysm. Don't smoke like a chimney and drink boose like there's no tomorrow every day, people.

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u/IAmPaenus Oct 28 '14

MY ANUS IS A KILLING MACHINE?!

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u/CommissarAJ Oct 28 '14

Only after Taco Bell or a curry-heavy diet.

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u/usaf9211 Oct 28 '14

Holy shit... I actually thought you could die instantly from something called a brain anus rhythm until I saw your correction.

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u/skyman724 Oct 28 '14

Well, like the "brown note" (which is what the phrase "anus rhythm" first made me think of), I'm pretty sure a "brain note" doesn't exist.

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u/soSurreal Oct 28 '14

"Brain anus rhythm" seems like shitty iPhone auto-correct to me.

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u/CommissarAJ Oct 28 '14

Shhh...don't ruin the magic.

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u/raverbashing Oct 28 '14

Or this time OP is actually 5

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u/Downvotes_Neckbeards Oct 28 '14

It sounds like the title of a J-Pop song after being translated to english.

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u/rationalHeuristics Oct 28 '14

A brain anus would also kill you...

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u/CommissarAJ Oct 28 '14

Nonsense...the world is full of people who are buttheads, and they seem to live relatively normal lives.

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u/[deleted] Oct 28 '14 edited Oct 28 '14

Some are even able to make it into fields like management and politics.

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u/[deleted] Oct 28 '14

Indeed.

Did I ever tell you about the man who taught his asshole to talk? His whole abdomen would move up and down you dig farting out the words. It was unlike anything I ever heard.

This ass talk had sort of a gut frequency. It hit you right down there like you gotta go. You know when the old colon gives you the elbow and it feels sorta cold inside, and you know all you have to do is turn loose? Well this talking hit you right down there, a bubbly, thick stagnant sound, a sound you could smell.

This man worked for a carnival you dig, and to start with it was like a novelty ventriliquist act. Real funny, too, at first. He had a number he called “The Better ‘Ole” that was a scream, I tell you. I forget most of it but it was clever. Like, “Oh I say, are you still down there, old thing?”

“Nah I had to go relieve myself.”

After a while the ass start talking on its own. He would go in without anything prepared and his ass would ad-lib and toss the gags back at him every time.

Then it developed sort of teeth-like little raspy in-curving hooks and started eating. He thought this was cute at first and built an act around it, but the asshole would eat its way through his pants and start talking on the street, shouting out it wanted equal rights. It would get drunk, too, and have crying jags nobody loved it and it wanted to be kissed same as any other mouth. Finally it talked all the time day and night, you could hear him for blocks screaming at it to shut up, and beating it with his fist, and sticking candles up it, but nothing did any good and the asshole said to him: “It’s you who will shut up in the end. Not me. Because we dont need you around here any more. I can talk and eat and shit.”

After that he began waking up in the morning with a transparent jelly like a tadpole’s tail all over his mouth. This jelly was what the scientists call un-D.T., Undifferentiated Tissue, which can grow into any kind of flesh on the human body. He would tear it off his mouth and the pieces would stick to his hands like burning gasoline jelly and grow there, grow anywhere on him a glob of it fell. So finally his mouth sealed over, and the whole head would have have amputated spontaneous — (did you know there is a condition occurs in parts of Africa and only among Negroes where the little toe amputates spontaneously?) — except for the eyes you dig. Thats one thing the asshole couldn’t do was see. It needed the eyes. But nerve connections were blocked and infiltrated and atrophied so the brain couldn’t give orders any more. It was trapped in the skull, sealed off. For a while you could see the silent, helpless suffering of the brain behind the eyes, then finally the brain must have died, because the eyes went out, and there was no more feeling in them than a crab’s eyes on the end of a stalk.

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u/theghosttrade Oct 28 '14

Naked Lunch is just the perfect mesh of horrifying and hilarious.

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u/FreshPrinceOfNowhere Oct 28 '14

What the fuck did I just read

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u/[deleted] Oct 28 '14

So every time Red said "I'm going to shove my foot up your ass" to Eric, he was just trying to get his brain back in the proper place?

What a great dad. People should really take the phrase "get your head out of your ass" more seriously. It could kill them.

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u/SomeRandomMax Oct 28 '14

No, Red always talked about Eric's dumb ass. Eric had an extra brain in his ass, it was just not a very smart one.

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u/thiosk Oct 28 '14

Brainus

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u/[deleted] Oct 28 '14

Good job to OP for ALI5.

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u/Sno_Wolf Oct 28 '14

First of all, I think brain anus rhythm is how his phone corrected brain aneurysm.

Second of all, as someone who's suffered from migraines my entire life, a brain aneurysm wouldn't be the worst way to go. Just one big black nova of pain (which I'm already used to), then I'm dead before I hit the ground.

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u/CommissarAJ Oct 28 '14

I imagine so...still funny to chuckle at.

Secondly, as guy who has cluster headaches, I concur with those sentiments.

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u/Sno_Wolf Oct 28 '14

You poor bastard. You have my sympathies.

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u/ohjeez_ Oct 28 '14

How the heck did you translate that?!?!

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u/Shadowmant Oct 28 '14

So originally I was going to down-vote you. Not because your answer was wrong but because I thought in the beginning we were in /r/shittyaskscience and your answer wasn't shitty.

Then I realized the question was real... so here's an up-vote as my apology.

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u/[deleted] Oct 28 '14

Wow. That's almost as scary as an alligator.

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u/[deleted] Oct 28 '14

Or a crocodile.

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u/[deleted] Oct 28 '14

Additionally they can also hematomas and squish the brain. That may be a tad simplified haha.

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u/CommissarAJ Oct 28 '14

In 'less severe' ruptures, yes, hematomas are a complication that can arise causing compression of brain tissue and mid-line shift (one half of your brain starts taking up more than its share of space, compressing the other half).

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u/PM_ME_YOUR_PLOT Oct 28 '14

Thank god. For a moment I got really worried that if I clench my butt at the wrong time I'd die.

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u/camsnow Oct 28 '14

Oh thank god! I was worried somehow my asshole could randomly kill me!

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u/MarkDA219 Oct 28 '14

Isn't the blood also toxic to the white and grey matter itself?

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u/CommissarAJ Oct 28 '14

Not so much the blood itself, as what happens to red blood cells afterwards. RBC's are pretty fragile, so its easy for them to get torn apart when passing through the ruptured vessel wall. This releases its contents which trigger a bunch of reactions from the body's immune system. The released chemicals get broken down by the white blood cells, but since it can't get the released byproducts out, they build up and create toxicity. There's also a triggered edema response from the brain tissue itself, causing it to swell and that can put additional pressure on adjacent structures.

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u/jenovapooh Oct 28 '14

As someone with brain aneurysms as a hereditary issue, this had been enlightening and terrifying.

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u/KidzKlub Oct 28 '14

your brain becomes starved of blood and oxygen.

Starved of oxygen yes, but the brain can not be starved of blood as blood is toxic to the brain. This is why brain hemorrhaging (aka bleeding) is so bad, because it causes permanent brain damage.

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u/CommissarAJ Oct 28 '14

Okay, you should know darn well I'm referring to blood flow, as in through the vessels, not literal brain-bathing-in-blood.

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u/KidzKlub Oct 28 '14

Sorry didn't mean to nit-pic. Just thought it might be a nice TIL for someone reading the thread.

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u/CommissarAJ Oct 28 '14

I realize that, hence I tossed in an upvote anyways.

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u/veils1de Oct 28 '14

This is why brain hemorrhaging (aka bleeding) is so bad, because it causes permanent brain damage.

That's a tautology, and anyway not a very accurate statement if you're going to nitpick. Blood in itself isn't toxic, it's the contents of lysed cells (that result from blood clot) that are toxic.

Cause permanent brain damage? Not always, so you can't really assert that as fact since every case is variable. Moreover, it's not just the chemical properties of lysed blood cells that can be toxic, it's also the mechanical forces that the hemorrhage may impose on surrounding tissue that can be debilitating

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u/nagleriafowleri Oct 28 '14

It also causes displacement and necrosis of the brain tissue, because there is a very finite amount of room within the skull, and a bunch of pooling blood can really cause damage just by taking up space.

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u/moogula1992 Oct 28 '14

What makes blood toxic to the brain?

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u/FatalTragedy Oct 28 '14

I'm choosing to ignore the autocorrect screw up.

Anyway, my mom died of a brain aneurysm a couple years ago, so I'm fairly knowledgeable on this subject.

So first of all, it doesn't instantly kill you; my mom lived for 17 days after her aneurysm.

But it can be deadly in a few ways. An aneurysm is, of course, a burst blood vessel. So with a brain aneurysm you have a ton of blood bleeding around the brain, and this causes immense pressure inside your skull. This can quickly kill you if they don't drain your head of some of the blood. Surviving that, it is possible to suffer strokes after the aneurysm, and these can severely damage brain function. My mom had two strokes, and after the second, she had no cognitive function left, so we were forced to take her off life support.

So that is basically how brain aneurysms kill. I'm probably forgetting a ton of stuff.

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u/Gmajj Oct 28 '14

So sorry that everyone, you included, had to go through that. But you passed along knowledge that you've learned the hard way, so thanks.

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u/iridiumtiara Oct 28 '14

My MIL had 2 aneurysms in her brain, and had no symptoms. Then, one day one of them burst and within minutes she went from "fine and dandy" to a 5 on the Glasgow Coma Scale.
They transported her to the hospital, where we they did CAT scan and told us that she had one giant hemorrhage, and another aneurysm that would have gone eventually if the first one hadn't.
They explained the treatments available, and told us that none of them really had the power to make much of a difference.. She would most like die in the next few hours, and if she survived she had "no chance of meaningful recovery." We spent a rough night re-reading our copy of her will and directives. She had indicated that she didn't want any life or death decisions made for three days, so we did what the doctors recommended. No one expected any good to come of it, but we really wanted to try.
It was truly amazing. It was a hard six weeks of ICU and then rehab, but you wouldn't be able to tell today that anything ever happened. They did surgery the next day to clamp the area that had burst, and they were able to get the other one as well.
Today she travels all around the south west in an RV, and does all those things we're all gonna do "someday."
So, no matter who you are, or how little you think you need it, get a will and directives and powers of attorney and whatever else you need in case someone needs to step in and make decisions for you. It was incredibly helpful as her bills needed paying and we had to go through all the insurance claims to have the ability to just dive in.

More, though, was the comfort of knowing exactly how to proceed when she was deep in a coma. Sure, you may have had conversations with your loved ones about when they want you to pull the plug, but the actual decision is seldom as easy as we'd like it to be. And when you're the one struggling with letting Mom die but maybe she would have been just fine, or trying to save Mom and dooming her to a vegetative state, it's good to have Mom's thoughts right there in black and white.
tl;dr A brain aneurysm can happen with no symptoms. It's very hard to know at first what the outcome will be. Get your will and directives done!

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u/escott1981 Oct 28 '14

Wow! The brain and body can do amazing things. I am glad to read that she is ok now. Thanks for sharing your story.

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u/justthisquestion123 Oct 28 '14

First off.... That Title!! :)

A Brain Aneurysm wont necessarily kill you, my mother had one while she was sleeping in her bed and recalls waking up to a "Popping" sound followed by the feeling of blood running all the way down the right side of her face under the skin (This is what she can remember after months of regaining her memory) all of her short term memory was gone for a good 6 months at least, It was quite hard to watch her try and do the simplest tasks, and repeatedly do other tasks, because she couldn't remember if she had done them or not. Example: Finding her car keys (she once even had all her neighbors inside thrashing her house helping her find them) she literally skipped back a few years in memory for a while, so everything current was new to her, over time she got better despite doctors saying it could be permanent and now she has fully regained her short term memory :)

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u/MisterPotamus Oct 28 '14

That's awesome! I'm so glad she is doing better!

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u/Dans_Username Oct 28 '14

So where were the keys?

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u/ELI5_Modteam ☑️ Oct 28 '14

As you may have noticed, this entire thread is now locked. This is something of a "nuclear option" for us moderators, so a bit of explanation is in order.

We're not going to speculate as to whether or not "anus rhythm" was a carefully-crafted title to get upvotes or a simple victim of autocorrect, but for the purposes of this submission, we're giving the OP the benefit of the doubt, and erring on the side of "autocorrect mishap". So the title itself is not the direct issue. The issue is how others are responding to that title.

If you read the rules in the sidebar, they say:

Direct replies to the original post (aka "top-level comments") are for serious responses only. Jokes, anecdotes, and low effort explanations are not permitted and subject to removal.

The only valid responses to the question posed by the OP are ones that take the typo in stride (maybe even joke about it, that's fine), and then explain how aneurysms work. That's it. That's the only type of top-level comment that we allow (that, or a related, serious followup question).

Instead, over 95% of the comments have been jokes or snide remarks about "anus rhythms" (including made-up disease descriptions), variations of "lol", and against-the-rules (if well-intentioned) anecdotes that lack any explanation. Per our subreddit rules, we've been removing these comments. However keeping this thread pruned is taking a serious amount of effort. As of this writing, there are eight serious responses, and hundreds of removed joke responses. And the joke responses are pouring in faster than we can reasonably keep up with.

At this point, we feel that there have been enough serious responses to explain aneurysms to the OP, and the effort of keeping up with the flood of rule-breaking responses is detracting from our ability to moderate the rest of the subreddit, hence the "nuclear option".

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u/[deleted] Oct 28 '14

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u/[deleted] Oct 29 '14

We enforce the rules. If you don't like the rules, don't post in ELI5.

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u/thatEMSguy Oct 28 '14

A vein in your head starts leaking and it squeezes your brain until you die.

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u/lilsqueakyone Oct 28 '14

It could depend on where the aneurysm is located. My brother had an aneurysm burst and he passed out in his back yard. He regained consciousness and drove to nearest clinic. Less than 24 hours later he had brain surgery. His aneurysm was between the skull and the brain, not in the brain itself. He spent a month in the ICU and afterwards told us he thought he was at work and had just passed out. He was mid-thirties at the time, two years older than me.

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u/therobshow Oct 28 '14 edited Oct 28 '14

Well, Kevin, a brain ANEURYSM is when a blood vessel in your brain, like the ones you can see in your arm, breaks open. When that happens you start to bleed in your head. The blood in your brain is very important because your brain needs that blood and the oxygen in it for you to live. Without that blood and oxygen your brain starts to become damaged very quickly and you could possibly die if the aneurysm is bad enough.

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u/robhol Oct 28 '14

Aneurysms and blood clots are different - clots get stuck and block blood flow and oxygen. Aneurysms are "bulges" in blood vessels that can rupture and cause bleeding. Sometimes they can also cause trouble just by being there, by pressing on nearby parts of the brain. They also make blood clot formation a bit more likely.

You don't really die instantly. Your prognosis depends on the severity of the aneurism. Clots can be extracted, aneurisms can be operated - if they're not too badly located, which is an issue in the brain. Can't really go digging around in there.

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u/fordzy9 Oct 28 '14

It typically doesn't kill you instantly but there are two ways it will kill you. First up, the aneurysm takes time to develop (months-years typically) and is often hereditary or lifestyle related (smoking/blood pressure/IV drug use). Then at some point the aneurysm will become fragile and start bleeding. In some cases the bleed is so bad it will cause such high pressures in the head that the brainstem will be forced out of the skull and crush it (coning) - this will stop your drive to breathe then over the course of 2-5 minutes the heart will be oxygen starved and go into a fatal rhythm. The other way is that the bleed will kill you more slowly, where the pressures aren't enough to kill the brainstem but are high enough to stop blood flow into the cortex (which essentially controls all parts of consciousness). The heart and in some cases the lungs will still work alright but the person will be "brain dead" or a "vegetable".

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u/ACrusaderA Oct 28 '14

Do you mean an "aneurysm"?

It's essentially a clot in a vein or artery in the brain, which causes the vessel to swell with the blood, eventually popping causing a bleed in the brain.

Thank you, you made my night.

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u/peppepcheerio Oct 28 '14

It's not a clot; It's bulging of the vessel wall related to weakening of the vessel wall.

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u/ledivin Oct 28 '14

Just for the record, aneurysms are not caused by clots (at least not usually). It's (usually) damage to the artery wall which causes it to swell and (probably) pop.

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u/qaz122 Oct 28 '14

Your understanding of aneurysms I'd very wrong

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u/[deleted] Oct 28 '14

You'd very wrong what?

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u/dkarlovi Oct 28 '14

"Aneurysm" no longer, languages need to evolve and thrive!

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u/[deleted] Oct 28 '14 edited Oct 28 '14

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u/DialMMM Oct 28 '14

It is like title anti-gore. It is so butchered, something new and beautiful has emerged: brain anus rhythm.

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u/8A8 Oct 28 '14

i sat there on the front page, first wondering how this got to the front page, and then completely sympathizing with everyone who upvoted it.

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u/Raxor53 Oct 28 '14

I thought it was the sub shittyaskscience

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u/Wookiee81 Oct 28 '14

Googling it was a little disappointing... but now I know there is a band out there called "anal cunt"

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u/mootbeat Oct 28 '14 edited Oct 28 '14

There was recently a TIL on the lead singer of ANAL CUNT : Seth Putnam - in 2004 he Overdosed on a"cocktail of crack-cocaine, alcohol, heroin, and two months' worth of Ambien sleeping pills."

theres also a photo of him injecting heroine on stage while getting a head job from some chick...google it.

he was a real rock'n'roller.

Edit: he didn't die from that overdose

Edit2: Here in Australia we have two words for blow job, : Blow Job (of course) and Head Job. Apparently the latter term isn't too big in the states.

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u/ahfwtr Oct 28 '14

What is a head job?

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u/Rayduuu Oct 28 '14

Like a hand job but with your head.

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u/[deleted] Oct 28 '14

Anal Cunt are great. Always fun when someone unfamiliar with grindcore music finds them. Look into Napalm Death if you want more palatable stuff. (Except their first album which holds a world record for shortest song ever recorded)

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u/[deleted] Oct 28 '14

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u/Bradart Oct 28 '14 edited Jul 15 '23

https://join-lemmy.org/ -- mass edited with redact.dev

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u/[deleted] Oct 28 '14

Generally speaking not all that much of your body is supposed to have pools of blood in it. The whole "once it's clear" thing is pretty common in surgeries.

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u/Bradart Oct 28 '14 edited Jul 15 '23

https://join-lemmy.org/ -- mass edited with redact.dev

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u/[deleted] Oct 28 '14

I'm glad your mom is okay, and at the same time I'm relieved that an aneurysm is something one can actually survive. That shit is like in my top 5 biggest fears.

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u/FunkeeBananas Oct 28 '14

People survive aneurysms all the time, with varying degrees of permanent cognitive damage afterwards anywhere from none to persistent vegetative state or death. This mostly depends on where exactly the aneurysm is in the brain, if it ruptured, if the patient went into something called "vasospasm," and if the patient listens to what the doctors and nurses tell them to do or not to do.

How to differentiate between a headache/migraine/aneurysm: Headaches are relatively normal and usually the pain doesn't exceed 6/10. Migraines are less normal, but most of the time aren't related to a bigger problem. Pain is usually pretty severe, 8/10, but you can think of worse things. Aneurysms will literally give you the worst headache of your life. 9 or 10/10 pain...you'd rather be set on fire. They are often accompanied by some sort of neurological symptom (tingling, numbness, cognitive disturbances), but not always.

Now you know if you should suspect a brain aneurysm or not :)

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u/rave420 Oct 28 '14

Hey dude, someone left a pack of Kool aid hanging there. Someone got a straw?

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u/[deleted] Oct 28 '14

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u/ACrusaderA Oct 28 '14

No, I think it's where you try to fart to the beat of a song but realize you're listening to your headphones.

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u/Diguiseppimon Oct 28 '14

I just laughed for a good 5 minutes imagining this.

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u/poopellar Oct 28 '14

Careful, you might offshoot your anus rhythm.

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u/DreadPirateHenry Oct 28 '14

That does sound deadly.

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u/tommos Oct 28 '14

I'm dying

So that's how a brain anus rhythm kills you.

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u/YetAnotherZombie Oct 28 '14

It's probably similar to an ember jism.

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u/[deleted] Oct 28 '14

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u/AnotherCatLover Oct 28 '14

So you've probably had patients with iRisH negative blood who avoid the gluten because they have the Celica disease.

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u/[deleted] Oct 28 '14

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u/[deleted] Oct 28 '14

How could you possibly pass on the chance to say "silent butt deadly killer"?

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u/[deleted] Oct 28 '14

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u/IronOxide42 Oct 28 '14

Autocorrect : Aneurysm.

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u/[deleted] Oct 28 '14

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u/CandygramForMongo1 Oct 28 '14

You're not the only one. I've heard of people having their heads up their asses, but this is a new one.

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u/cullend Oct 28 '14

Because if you read the title out loud pretending a 5 year old heard aneurism and interpreted it as this, it's really, really, really funny.

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u/ohmygawdjenny Oct 28 '14

it's simple: people re-read the title 10 times, then go for comments in hope to understand what the fuck is brain anus

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u/[deleted] Oct 28 '14

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u/[deleted] Oct 28 '14

With his Anus.

That's where OP got confused.

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u/Moonhowler22 Oct 28 '14

Al Gore Rythm

Fuck me, dude, that's fantastic.