(LONDON) — Tempted to stifle a loud or untimely sneeze? Let it out instead, doctors in England warned Monday based on the very unusual case of a man who ruptured the back of his throat when he tried to suppress a sneeze. In a case study published in the journal BMJ Case Reports, doctors described their initial confusion when the previously healthy man turned up in the emergency room of a Leicester hospital, complaining of swallowing difficulties and “a popping sensation” in his swollen neck. The 34-year-old patient told them his problems started after he tried to stop a forceful sneeze by pinching his nose and closing his mouth.