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Multiple realities
(covers information from several alternate timelines)

Garak's nosebleed

A nosebleed was a condition where the capillaries in one's nose burst, causing blood loss. It could be caused by an actual blow to the nose or manifest as a psychosomatic response.

In 2255 of the alternate reality, James T. Kirk suffered a nosebleed after getting into a fight with Hendorff and other Starfleet Academy cadets at the Shipyard Bar. Later, he used wadded-up napkins to stem the flow of blood. (Star Trek)

In 2372, Elim Garak suffered a nosebleed after being punched in the face by a Cardassian soldier during his unconscious state while experiencing the Great Link. (DS9: "Things Past")

Also in 2372, Jake Sisko suffered two nosebleeds while under the creative influence of Onaya. She offered him a handkerchief the second time. (DS9: "The Muse")

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