Why we yawn…and other physiologic peculiarities

Muscles are responsible for numerous bodily functions. Their actions can be broken down into two categories, voluntary and involuntary.  Voluntary actions, such as walking or talking, are functions that are prompted and controlled by conscious decision.  Involuntary actions, such as when our heart beats or our food undergoes digestion, occur without us having to think about it.  Many involuntary actions are highly specialized and essential to our existence. Some  involuntary actions, such as those we will consider today, either have a purpose that defies logic or one that science has yet to uncover.

Yawning---Although commonly linked with boredom or fatigue, there is little evidence to link yawning with either of these. The two main theories for why we yawn are: 1) it improves our breathing function or, 2) it serves as a form of social communication.   From a respiratory standpoint, it was once thought that low levels of oxygen or elevated levels of carbon dioxide triggered yawning.  Yawning, it was believed, could help restore a normal oxygen/carbon dioxide balance.  More likely than this is the premise that yawning appears to be a way to “stretch” the lungs and fill the small air sacs (alveoli) that partially collapse when we are breathing at rest. In regard to its proposed communication function, the best supportive evidence has to do with its “infectious” nature. How many times have you seen others (or yourself) yawn when someone else does?  Exactly what is being communicated is not clear, but yawning is a behavior that is common among many animal species, not just humans.

Hiccups--- During normal respiration, the diaphragm muscles contract, pulling air into the lungs.  Relaxation of the diaphragm allows air to flow back out the lungs.  Certain irritations can cause the diaphragm to spasm, resulting in a sudden, involuntary inhalation. When the inhaled breath is stopped by closure of the glottis, the characteristic “hic” sound occurs.  Reasons for the diaphragm becoming irritated include:

• Eating too much or eating too quickly

• Emotional stress or excitement

• Overdoing it with alcoholic beverages

• Swallowing air while chewing gum or sucking on candy

• Taking certain medications, including corticosteroids (e.g. Prednisone), opiate pain medications and tranquilizers in the benzodiazepine class.

• Certain medical conditions such as gastroesophageal reflux (GERD), diabetes and asthma

Sneezing---There is a wealth of medical mythology attached to sneezing.  One legend has it that when sneezing, the heart stops beating. The saying, “bless you" was meant to encourage the heart to resume beating.  Other sources say that blessing someone after sneezing came about in the 14th century during the bubonic plague epidemic.  At that time, sneezing was considered to be an early sign that someone had contracted the disease. The physiologic reality is that sneezing is your body's way of removing an irritation from your nose. During a sneeze, air is expelled forcefully from the mouth and nose in an explosive manner, hopefully removing the irritant in the process. Sneezing can be very bothersome, but is generally not a sign of a serious problem. The most common causes for sneezing include:

• An allergy to pollen, mold, or dander, often part of the “hay fever” constellation of symptoms

• Viral infections of the upper respiratory tract, including the common cold

• Nasal irritants such as dust, powders, or snuff

• Exposure to bright light, known as “photic sneezing”, that affects up to a third of all people

Sighing--- A sigh is an involuntary deep inhalation immediately followed by an exhalation. Unlike yawning, sighing is not “contagious” and does not seem to have a role in communication.  Similar to one of the theories regarding yawning, its purpose is thought to be more physiologic in nature by “resetting” the respiratory system. When breathing, particularly while at rest, blood oxygen levels can drop slightly and many of the small air sacs (alveoli) in the lungs collapse. With the deep inspiration associated with sighing, blood oxygen levels are boosted and the lungs are fully expanded.  Sighing does appear to occur more often along with certain emotional states. Relief of stress (“sigh of relief”), yearning (“sigh for the good old days”), and weariness (“sign of despair”) are feelings often expressed through this most peculiar involuntary action.