Eraser challenge

A kin to the salt and ice challenge, the eraser challenge has also been around for many years, and new videos are always available. This can be part of an individual or group competition in which kids and teens recite a song or poem repeatedly while rubbing erasers hard and fast on their skin. The game continues until the last child tolerating the friction is declared the winner.16 An initial rush of adrenaline can block the initial pain of this challenge, but the intense pain can outlast the contest, as the abrasive effects of the eraser can cause a burn-type effect. Scabbing and scarring are the consequences of this challenge, as well as skin infections and bloodborne infections if teens are sharing erasers.

Kylie Jenner challenge

In this “do it yourself” challenge, teens place a shot glass over their lips and suck forcefully in, causing a suction around their lips, in the attempt to cause “lip plumping” to look more like the teen idol Kylie Jenner. Significant pain, swelling, and bruising can occur from these suction techniques, and there is a risk for scarring and permanent disfigurement with repeated attempts.17 

Banana Sprite challenge 

In this challenge a person eats 2 bananas and quickly drinks a can of Sprite soda. Allegedly, this causes a chemical reaction in the stomach causing violent and projectile vomiting. Others suggest that the stomach cannot hold that much food, and others state a psychosomatic response to the challenge.18 Risks can include dehydration and electrolyte imbalances due to the excessive vomiting if it continues for a prolonged period of time. 

The chubby bunny challenge or cracker challenge

This challenge involves how many marshmallows or Saltine crackers someone can stuff in his or her mouth at once without any liquid.19 This is a choking hazard, and an airway can become blocked, with risks of aspiration up to and including death. In 2017, a college student died from asphyxiation after ingesting too many pancakes at a fund-raising competition and began to choke.20 The first responders had difficulty clearing her airway, and she succumbed to hypoxia.

The fire spray challenge and the fire challenge 

Both of these challenges are especially risky. In the Fire Spray challenge, the teen exhales some form of combustible liquid (frequently alcohol) and lights it on fire, creating a dragon-like fire-breathing burst, which is captured on video. The fire challenge is a more intense form of the challenge, with a combustible liquid being placed on the skin and people lighting themselves on fire. Both can cause serious burns, scarring, disfigurement, and death.19 

This article originally appeared on Clinical Advisor