The Ruling on Holding Tissue Paper During Prayer

Question
What is the ruling on holding tissue paper (such as 'fine' or napkins) in hand during prayer, whether these tissues are used or unused?
Answer
I say, and with God's help: If there is no need to place it in the hand, it is disliked due to the presence of frivolity. However, if there is a need due to illness or other reasons, it is permissible without dislike. God knows best.
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