Hematophagy (sometimes spelled haematophagy or hematophagia) is the practice by certain animals of feeding on blood (from the Greek words αἷμα haima "blood" and φαγεῖν phagein "to eat"). Since blood is a fluid tissue rich in nutritious proteins and lipids that can be taken without great effort, hematophagy is a preferred form of feeding for many small animals, such as worms and arthropods. Some intestinal nematodes, such as Ancylostomatids, feed on blood extracted from the capillaries of the gut, and about 75 percent of all species of leeches (e.g., Hirudo medicinalis) are hematophagous. The spider Evarcha culicivora feeds indirectly on vertebrate blood by specializing on blood-filled female mosquitoes as their preferred prey. Some fish, such as lampreys and candirus; mammals, especially vampire bats; and birds, including the vampire finch, Hood mockingbird, Tristan thrush, and oxpeckers, also practise hematophagy.
Hematophagous animals have mouth parts and chemical agents for penetrating vascular structures in the skin of hosts, mostly of mammals, birds, and fish. This type of feeding is known as phlebotomy (from the Greek words, phleps "vein" and tomos "cutting").
Once phlebotomy is performed (in most insects by a specialized fine hollow "needle", the proboscis, which perforates skin and capillaries; in bats by sharp incisor teeth that act as a razor to cut the skin), blood is acquired either by sucking action directly from the veins or capillaries, from a pool of escaped blood, or by lapping (again, in bats). To overcome natural hemostasis (blood coagulation), vasoconstriction, inflammation, and pain sensation in the host, hematophagous animals have evolved chemical solutions, in their saliva for instance, that they pre-inject—and anesthesia and capillary dilation have evolved in some hematophagous species. Scientists have developed anticoagulant medicines from studying substances in the saliva of several hematophagous species, such as leeches (hirudin).
Hematophagy is classified as either obligatory or facultative.