The Courier & Advertiser (Perth and Perthshire Edition)

Let out your sneeze, advise health experts

warning: Patient damaged throat by holding nose and closing mouth

- Jennifer cockerell

Holding your nose and closing your mouth while you sneeze might seem a harmless thing to do, but doctors have advised against it following the case of man who ruptured the back of his throat when doing so.

Ear, nose and throat specialist­s at the University Hospitals of Leicester NHS Trust said trying to contain a forceful sneeze in such a way is not a good idea as it could lead to “numerous complicati­ons”.

Writing in the journal BMJ Case Reports, they described the case of a 34-year-old man, described as previously fit and well, who spent a week in hospital and was left barely able to speak or swallow after suffering spontaneou­s perforatio­n of the pharynx.

They said the “unusual condition” is most often caused by trauma or sometimes by vomiting, retching or heavy coughing, so the patient’s symptoms initially surprised emergency care doctors.

The patient told them he had developed a popping sensation in his neck which immediatel­y swelled up after he tried to contain a forceful sneeze by pinching his nose and keeping his mouth clamped shut at the same time.

He then found it extremely painful to swallow and could barely speak.

When doctors examined him they heard popping and crackling sounds, which extended from his neck all the way down to his ribcage, a sign that air bubbles had found their way into the deep tissue and muscles of the chest – later confirmed by a scan.

Because of the risk of serious complicati­ons he was admitted to hospital where he was fed by a tube and given intravenou­s antibiotic­s until the swelling and pain had subsided.

After seven days the man, who has not been identified, was well enough to be discharged and given the advice not to block both nostrils when sneezing in future.

“Halting sneezing via blocking (the) nostrils and mouth is a dangerous manoeuvre, and should be avoided,” the authors said.

“It may lead to numerous complicati­ons, such as pseudo-mediastinu­m (air trapped in the chest between both lungs), perforatio­n of the tympanic membrane (perforated eardrum), and even rupture of a cerebral aneurysm (ballooning blood vessel in the brain),” they added.

Sneezing is not something most of us think too deeply about. So new advice not to cover your mouth and nose when the urge for a sternutati­on takes you is sure to raise a few eyebrows.

Rupturing one’s throat is, experts warn, just one of a raft of potential complicati­ons.

With so many people suffering from winter sniffles it is a timely interventi­on – bless those boffins.

 ?? Picture: PA. ?? A warning has been issued about the dangers of sneezing after a man ruptured the back of his throat.
Picture: PA. A warning has been issued about the dangers of sneezing after a man ruptured the back of his throat.

Newspapers in English

Newspapers from United Kingdom