But doctors have warned against the polite practice, after a man ruptured the back of his throat while trying to contain the convulsive explosion of air.
Ruptured spleen.
"Your spleen had ruptured, probably--and fortunately for you--a delayed rupture, because you had signs of early hemorrhage into your abdominal cavity My colleagues from the general surgery unit had to perform an emergency splenec tomy.
With a quiet pop, the small body ruptured and its soft tissue melted pink in the snow.