A recently released case report, courtesy of the BMJ, reaffirms one of life’s important lessons: Don’t try to hold back a sneeze. Especially, don’t do it by plugging up your nose and mouth—you just might end up in the emergency room with a gaping hole in your throat. The report details an otherwise healthy 34-year-old man in the UK who felt a popping, painful sensation in his throat immediately following a sneeze he had tried to stop by sealing off his mouth and nose.