Locations:
Search IconSearch

Why Do You Sneeze When You Look at the Sun?

ACHOO syndrome is your trigeminal nerve’s exaggerated response to bright light

person sneezing while walking on sidewalk

Summer lovin’, had me a … ah … achoo!

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Sneezing your face off probably wasn’t on your summer vacation bucket list, but for some of people, it’s hard to avoid: They sneeze when they look at the sun. In fact, some people do it every time they see the sun, even in the dead of winter. Most sneeze several times in a row before it stops.

There are many names for this phenomenon, like “sun sneezing,” “photic sneeze reflex,” “photoptarmosis” and, no joke, “photosneezia.” But the best name, without a doubt, is “autosomal dominant compelling helio-ophthalmic outburst syndrome.” That’s right: ACHOO syndrome!

Fun names aside, why does sunlight turn some of us into sneeze factories? And is there anything you can do to stop it? We talked to allergist David Lang, MD, to find out.

What is photic sneeze reflex or ACHOO syndrome?

Sneezing is a naso-expulsive response. The sneeze is to the nose what a cough is to the lung,” Dr. Lang explains. The average sneeze is a response to nasal irritation of some sort, such as an attempt to expel potentially infectious germs. But that’s not what’s happening in ACHOO syndrome.

What causes it?

“Solar sneezes are an exaggerated response that occurs with exposure to bright light,” Dr. Lang says.

It all starts with crossed wires involving your trigeminal nerve, a facial nerve that go to your eye and nose. When a bright light hits your eyes, your pupils constrict … and ACHOO!

This reflex usually happens on initial exposure to the sun or a very bright light. It’s most common when moving from a dark to a light environment, like when you drive out of a tunnel or walk from a dark room to a sunny patio. Some people even react to flash photography.

ACHOO syndrome is genetic, but researchers haven’t yet pinpointed the genetic variation responsible. We’re also not sure if it’s possible to acquire the condition.

How rare is photic sneeze reflex?

Sneezing at the sun sounds like a pretty odd thing to do, so you might be surprised to hear that ACHOO syndrome is fairly common. Exactly how common is still up for debate.

There aren’t a lot of studies on the photic sneeze reflex — and the studies that do exist tend to have very small sample sizes. But, taken together, those studies suggest that somewhere between 15% and 30% of us are solar sneezers. ACHOO syndrome is a dominant trait, which means you have a 50% chance of inheriting the photic sneeze reflex if one of your biological parents has it.

According to a 1995 study on photic sneezing, the condition is more common in people who are white, especially women and people assigned female at birth (AFAB). Having a deviated septum may also have something to do with it.

It’s worth noting that how severe a photic sneeze reflex is can vary from person to person. Some people sneeze uncontrollably (and multiple times in a row) with sun exposure, even in the dead of winter! For other people with the reflex, sun sneezes only happen occasionally. As a result, it’s quite possible to inherit the ACHOO syndrome and never realize you have it.

Advertisement

Are there any risks associated with photic sneeze reflexes?

While it can sometimes feel like you’re about to expel your brain through your nostrils, the act of sneezing itself isn’t dangerous. What is dangerous: Sneezing uncontrollably in high-risk situations. If you have a sneezing fit while driving or operating heavy machinery, your chances of an accident go way up.

It’s also common for people with a photic sneeze reflex to sneeze in response to a bright light shining in their face … which could happen during dental or eye procedures. Some photic sneezers also react to certain kinds of anesthesia, like propofol.

A photic sneeze reflex can also be triggered by having your eye injected with anesthetic for surgery. The injection — like sudden exposure to sunlight — stimulates your trigeminal nerve. We probably don’t need to explain why that could turn out badly.

Is there any way to prevent sneezing from sunlight?

At this point, you’re probably wondering what (if anything) can be done about ACHOO syndrome. There’s no specific treatment for solar sneezing, but Dr. Lang says there are three different things that may be worth trying:

  1. Some people have success wearing dark sunglasses, hats or other accessories that make sudden exposure to sunlight less dramatic.
  2. Treating rhinitis in sneezers with hay fever sometimes reduces the tendency to sneeze.
  3. Use the “transverse philtral pressure technique.” It sounds fancy, but all you do is apply pressure to the area between your nose and your lips. If you’re doing it right, it should look like you’re giving yourself a mustache with your finger.

Another way to reduce the risk: Let your provider know you have ACHOO syndrome whenever you’re going under the knife — or under the light. It’s especially important to tell your ophthalmologist, optometrist and dentist, too, because bright lights are critical to exams and procedures.

And if you’re having surgery that requires anesthesia of any kind, let your surgeon, anesthesiologist and nurses know you have ACHOO syndrome, just like you would tell them about allergies to medications. It may not matter for the procedure you’re having, but it’s always better to be safe than sorry.

On the sunny side

If you sneeze uncontrollably when you see the sun or a bright light shines in your eyes, you probably have a photic sneeze reflex, or ACHOO syndrome.

While it can be frustrating (and risky in certain situations) a photic sneeze reflex isn’t something to get concerned about. It’s actually quite common. And it’s the perfect excuse to buy a pair of fancy shades!

Advertisement

Learn more about our editorial process.

Related Articles

Caregivers holding toddler, playing in ocean
June 18, 2024/Infectious Disease
How To Stay Safe From Recreational Waterborne Diseases

You can reduce your risk by not swallowing water, and showering before and after swimming

Parents applying sunscreen to their toddler at the beach
June 12, 2024/Children's Health
Sunscreen for Babies: When Can You Use Sunscreen and What Kind Is Safest?

Babies shouldn’t wear sunscreen before 6 months old, so opt for shade and cooler parts of the day for outdoor fun time

People biking, scootering and walking in a park
June 11, 2024/Children's Health
Cycle Smart: 8 Bike Safety Tips for Kids

Make sure their bike is the right size, find a helmet that fits properly and teach them the rules of the road

Smiling parent holding smiling baby in a pool
June 7, 2024/Children's Health
When Can Babies Go in the Pool?

Wait until they’re at least 6 months old before your little one takes their first dunk

Glass of beer on table at beach with beach-goers
June 3, 2024/Skin Care & Beauty
Why Experts Say To Avoid Beer Tanning

You’re putting your skin at risk of sunburn and even skin cancer when you pour on the beer

Smiling person under sunny blue sky, holding tube of sunscreen, applying to face
May 24, 2024/Primary Care
The Difference Between Mineral and Chemical Sunscreens

Mineral sunscreens have a heavier texture to create a physical barrier, while chemical sunscreens are lighter and use a chemical reaction to prevent UV damage

Fish and mango soft taco
May 24, 2024/Recipes
Recipe Adventure: 7 Easy Summer Meals That Won’t Make You Sweat

From grilled peaches to grilled chicken pesto pizza, these easy summer recipes are sure to delight all summer long

Lifeguard looking at water with binoculars while two kids fly kites on the beach
May 23, 2024/Primary Care
12 Summer Health Risks To Watch Out For

From bug bites and blisters to sunstroke and swimming safety, here’s how to stay well this season

Trending Topics

Female and friend jogging outside
How To Increase Your Metabolism for Weight Loss

Focus on your body’s metabolic set point by eating healthy foods, making exercise a part of your routine and reducing stress

stovetop with stainless steel cookware and glassware
5 Ways Forever Chemicals (PFAS) May Affect Your Health

PFAS chemicals may make life easier — but they aren’t always so easy on the human body

jar of rice water and brush, with rice scattered around table
Could Rice Water Be the Secret To Healthier Hair?

While there’s little risk in trying this hair care treatment, there isn’t much science to back up the claims

Ad