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These include the upper and lower esophageal sphincters and the muscles of the esophagus that are involved in peristalsis.

He must also make the performance look easy, which can be a challenge. If you have ever swallowed a mouthful of food that was too large or not thoroughly chewed, you know how sensitive your esophagus can be.

A sword swallower must move a cold, rigid sword down the entire length of his throat and esophagus without showing any discomfort.

The human body also has a defense mechanism that has the sole function of preventing everything but chewed, swallowed food from entering the throat — the gag reflex.

When you accidentally touch the back of your throat with your toothbrush and involuntarily gag, you've activated this reflex.

In some people, the gag reflex is quite sensitive and can be activated by touching the back of the mouth.

In others, the gag reflex is minimal. A successful sword swallower has to learn to ignore his gag reflex. This is not easy.

Reflexes are involuntary — they happen without deliberate effort or thought. Your reflexes allow you to jerk your hand away from a hot stove, and they're also involved in the involuntary portions of body processes like urinating.

All of these reflexes are vital to survival, and all of them happen without the involvement of your conscious mind. Reflexes involve several physiological components that combine to form a reflex arc.

In the case of your gag reflex, nerve endings in the back of your throat detect an intrusive object. This generates nerve impulses, which a neuron carries to the integration center in your brain stem.

The brain stem, using a motor neuron, instructs the muscles in your throat — the effectors — to contract. The result is a retch intended to force foreign objects out of the throat and mouth.

All of this is involuntary and happens in an instant. Learning to ignore an involuntary process takes a tremendous amount of practice. In the case of sword swallowing, it generally involves deliberately activating the gag reflex over and over.

The process can cause vomiting and considerable discomfort. It also dulls or removes a process intended to protect the person from harm.

This is one of the many reasons why sword swallowing is dangerous. We'll look at some of the hazards of sword swallowing in the next section.

Some sword swallowers use other long, narrow objects in their performances, like oil dipsticks, medical forceps, drum sticks and pool cues. Authentic sword swallowers really insert all of these objects into their throats.

Swallowing a long balloon, on the other hand, is a different matter. Balloon swallowing is an illusion — but telling how it's done would reveal the secret of the trick.

Sword swallowing involves deliberately conditioning your body to do something its defense mechanisms prohibit, so it's not surprising that it's a dangerous activity.

It's also not widely studied in the field of medicine, perhaps because there are so few sword swallowers. The results of the most thorough medical study appeared in the British Medical Journal.

The study involved the voluntary survey of English-speaking sword swallowers. Forty-six of the 48 performers who responded consented to having their data used in the study.

Thirty-three of the respondents included information about their medical histories. From most to least common, the side-effects they experienced from sword swallowing included:.

Some respondents described seriously injuring themselves shortly after an unusually painful sword-swallowing performance.

A logical conclusion is that the swelling and tissue trauma associated with minor injuries may lead to more severe injuries.

Sinus infections are another potential side effect, since the practice involves guiding a non-sterile surface past tissues that connect to the sinus passageways.

Since the survey polled living sword swallowers, it did not include discussions of deaths caused by sword swallowing.

However, other medical literature has cited sword swallowing as a cause of death. Another British Medical Journal article describes a sword swallower who died after trying to swallow an umbrella [source: BMJ ].

Sword swallowing also appears in historical books on medicine, some of which present fantastic claims of people completely swallowing knives and living with the foreign objects in their stomachs for years at a time.

Not all medical discussions of sword swallowing involve injuries and deaths, though. In the mids, during the early development of endoscopy, or the examination of the interior of the human body using a scope, the available tools were generally rigid.

Researchers sometimes worked with sword swallowers, whose throats could accommodate the inflexible instruments. As with other dangerous performance arts, such as fire breathing , the human blockhead trick , and walking across glass , there's no real way to make authentic sword swallowing significantly safer.

However, since the practice has most likely existed for thousands of years, it's also not likely to fade away any time soon.

To learn more about sword swallowing and related acts, check out the links on the next page. In spite of the dangers involved, many sword swallowers teach themselves.

Others learn from experienced sword swallowers. A few learn through organized classes, such as the ones offered at the Coney Island Sideshow School.

Sword Swallowing and the GI Tract. On the left, the relatively curvy human GI tract. On the right, a sword of comparable length.

Trachea, or windpipe Heart Aorta, the artery that carries blood from your heart toward the rest of your body Vena cava, the major veins that return your blood to your heart Diaphragm , the sheet-like muscle that moves up and down, allowing you to breathe.

Swallowing Food versus Swallowing Swords. A swallowed sword passes through two sphincters and straightens the GI tract on its way down.

The performer tips his head back, hyper-extending his neck, to align the mouth with the esophagus and straighten the pharynx. He consciously moves his tongue out of the way and relaxes his throat.

He aligns the sword with his GI tract and moves it through his mouth, pharynx and upper esophageal sphincter and into his esophagus.

The performer's saliva lubricates the sword. Some performers use additional lubricant, like vegetable oil or jelly.

On its way down, the sword straightens out the curves of the esophagus. It passes by numerous — in some cases, it actually nudges them out of the way.

Learning to Swallow Swords. A receptor, or nerve ending, detects a threat or an event that requires the body's immediate attention.

A nerve, or neuron, carries the receptor's information to the central nervous system CNS. The integration center in the CNS determines the body's response.

A motor neuron carries the integrating center's instruction to the appropriate part of your body.

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When we have a dr u g swallower i n c ustody we monitor them for signs of impairment from the particular drug so we can initiate medical protocols if required.

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