On 20 September 1918, while hearing confessions, Pio claimed to have had a reappearance of the physical occurrence of the stigmata. The phenomenon was reported to have continued for fifty years, until the end of his life. The blood flowing from the stigmata purportedly smelled of perfume or flowers. He reported to Agostino that the pain remained and was more acute on specific days and under certain circumstances. He also said that he was suffering the pain of the crown of thorns and the scourging. He did not define the frequency of these occurrences but said that he had been suffering from them at least once weekly for some years. Though Pio said he would have preferred to suffer in secret, by early 1919, news had begun to spread. Pio often wore red mittens or black coverings on his hands and feet as he was embarrassed by the marks. However, no visible scarring was present at the time of Pio's death.