During pressure change you may experience discomfort in your ears, sinuses or teeth (if you have fillings or cavities). The sensation in your ears may be relieved by several methods of equalization. Whenever a change of pressure occurs, there is the possibility of a small tear in the lung tissue and escape of air into surrounding structures outside of the lungs (pneumothorax). This can occur if the normal passage for air out of the lungs is blocked during depressurization. Slow depressurizations are used in all hyperbaric treatments to minimize this risk. Breathing normally will also aid in the minimization of pulmonary barotrauma. Do not hold your breath during you HBO treatment.