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What happens if you control your sneeze? The unexpected health risks

3 min read

A single sneeze can generate immense pressure, with air expelled at speeds up to 100 miles per hour. Attempting to control your sneeze and hold it in can lead to various health issues.

Quick Summary

Suppressing a sneeze traps internal pressure that can cause injuries like a ruptured eardrum, sinus damage, and temporary vision issues from burst blood vessels. It is medically advised to let a sneeze out hygienically rather than holding it in.

Key Points

  • Pressure Builds: Holding in a sneeze traps immense pressure that must be redirected inside the body.

  • Risks to Ears: The redirected pressure can travel to the ears, potentially causing a ruptured eardrum or an infection.

  • Blood Vessel Damage: The strain can burst small, superficial blood vessels in the eyes and face, leading to temporary cosmetic issues.

  • Rare but Severe Injuries: In rare cases, holding a sneeze can lead to a ruptured throat, fractured ribs, or the rupture of a pre-existing brain aneurysm.

  • Sneeze Safely Instead: The recommended approach is to let the sneeze out, covering your mouth and nose with a tissue or your elbow to prevent germ spread.

  • Heart is Safe: Contrary to myth, holding in or releasing a sneeze will not stop your heart.

In This Article

The Powerful Mechanics of a Sneeze

Sneezing, or sternutation, is an involuntary reflex to clear irritants from the nasal passages. This process involves a deep breath, tightening of chest muscles, diaphragm contraction, brief vocal cord closure, and finally, an explosive release of air through the nose and mouth. This action is essential for preventing unwanted particles from entering the respiratory system.

Immediate and Minor Consequences

Holding in a sneeze often results in minor, temporary issues due to redirected pressure. Common effects include:

Sinus Pressure and Ear Issues

Suppressing a sneeze by pinching your nose or closing your mouth can cause a pressure surge in your nasal passages, ears, and sinuses, leading to pain. This can also force mucus into the eustachian tube, potentially causing a middle ear infection.

Temporary Vision and Eye Issues

The pressure can affect delicate blood vessels in the head and face, sometimes rupturing superficial vessels in the eyes or nose. A ruptured eye blood vessel appears as a temporary red patch and is typically harmless, resolving within a couple of weeks.

Serious, but Rare, Complications

While less common, aggressively stifling a sneeze has been linked to rare but serious injuries due to intense internal pressure.

Ruptured Eardrum

Pressure traveling up the eustachian tube to the middle ear can build up behind the eardrum, potentially causing it to rupture. Symptoms include sudden hearing decrease, ear pain, and a feeling of fullness.

Throat or Rib Injuries

In extremely rare instances, suppressed sneeze pressure has resulted in injuries like a ruptured throat, broken ribs, or a collapsed lung. The risk of these injuries increases with pre-existing conditions or forceful pressure trapping.

Aneurysm Rupture

Although very rare, the sudden pressure change from holding a sneeze has been associated with the rupture of a pre-existing brain aneurysm. This highlights the potential danger of resisting natural reflexes, as momentary changes in chest pressure and blood flow can stress a weakened blood vessel.

Comparison: Letting It Out vs. Holding It In

Feature Releasing a Sneeze (The Safe Way) Controlling a Sneeze (The Risky Way)
Pressure Release Normal, forceful expulsion of air outwards. Trapped and redirected inward toward the head and chest.
Function Clears nasal passages of irritants and pathogens. Prevents irritant expulsion, potentially pushing contaminants deeper.
Effect on Ears No adverse effect on eardrums or middle ear. Risk of eardrum rupture or middle ear infection due to redirected pressure.
Effect on Blood Vessels No adverse effect on blood vessels. Possible rupture of superficial blood vessels in the face and eyes.
Internal Injury Risk No risk of internal tissue damage. Extremely rare risk of throat rupture, rib fractures, or aneurysm complications.
Germ Spread Minimal if proper etiquette (using tissue/elbow) is followed. Not a concern for the individual, but spreads germs if not contained properly.

The Safest Way to Manage a Sneeze

The safest method is always to allow yourself to sneeze. To do so considerately and hygienically:

  1. Cover your mouth and nose completely with a tissue.
  2. If no tissue is available, sneeze into your elbow (the 'Dracula move').
  3. Wash your hands thoroughly with soap and water afterward.

To attempt to stop a sneeze before pressure builds, try gently pinching your nose, pressing your upper lip, or tickling the roof of your mouth with your tongue as soon as you feel the urge.

For more information on preventing the spread of germs, visit the official site of the {Link: Centers for Disease Control and Prevention https://www.cdc.gov/hygiene/about/coughing-and-sneezing.html}.

Conclusion: Sneeze for Your Health

Stifling a sneeze carries potential health risks. The force generated is a vital protective function. By practicing good hygiene and allowing yourself to sneeze, you prioritize your health.

Frequently Asked Questions

While extremely rare, case reports have linked the immense internal pressure from stifling a sneeze to the rupture of a pre-existing brain aneurysm. However, this is not a typical outcome for a healthy individual and is a consequence of a serious underlying condition.

Yes, trapping a sneeze can force air and infected mucus up the eustachian tube into the middle ear. This can lead to a ruptured eardrum, a middle ear infection, or persistent pain and pressure.

The safest methods involve interrupting the sneeze reflex before it begins building pressure. Try pressing your finger firmly on the spot between your upper lip and nose, or firmly tickling the roof of your mouth with your tongue as soon as you feel the urge.

No, this is a myth. The pressure from a stifled sneeze is not powerful enough to cause eyeballs to pop out of their sockets. The worst that might happen is a temporary, harmless rupture of a small blood vessel in the eye, which can look alarming but will heal on its own.

No, your heart does not stop. The pressure changes in your chest cavity during a sneeze can cause a brief, momentary change in heart rhythm, but your heart continues to beat normally. It's a physiological event, not a dangerous one.

If a tissue isn't available, the best etiquette is to sneeze into your elbow or upper sleeve. This contains the droplets and prevents them from getting on your hands, which could spread germs to other surfaces. It is safer than holding it in.

Sometimes, one sneeze isn't enough to clear all the irritants from the nasal passages. The body will trigger multiple sneezes in succession until it feels the irritant has been fully expelled. This is a normal and effective bodily function.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.