Possibly.
It is actually an artery deep in the head with an aneurysm that bursts to cause the most devastating outcome, either sudden death or stroke, often with coma.
An aneurysm is like a tire with a broken belt that bubbles outward and is weakened. In the case of an aneurysm, it is the muscular layer that is broken, usually from birth.
Straining at stool is usually not enough exertion, but it is possible. After all, if the vessel were weak enough to succumb to that pressure, it probably would have happened years ago.
The kind of bloody outcome that is more commonly seen with straining, such as arm wrestling or heavy lifting is the small vessels of the outer eye (conjunctiva) and around the eyelids. This is much less serious.
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