Garudapurana 1.147.16

1.147.16

ṣṭhīvanaṃ raktapittasya loṭhanaṃ śiraso 'titṛṭ /
koṣṭhānāṃ śyāvaraktānāṃ maṇḍalānāṃ ca darśanam //

spitting of blood and bile; tossing of the head; excessive thirst; / and the appearance of circular patches on the trunk that are dark and red;