Can flying cause shortness of breath?

Air pressure is lower at higher altitudes, which means your body takes in less oxygen. Airlines “pressurize” the air in the cabin, but not to sea-level pressures, so there's still less oxygen getting to your body when you fly, which can make you feel drained or even short of breath.



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Most people with a lung condition can travel safely on planes, but you should talk to your doctor before you make any plans. You may need a fitness-to-fly (hypoxic challenge) test to confirm whether you need in-flight oxygen.

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While many people believe that recirculated, germy air is the main culprit of illness after a plane ride, the real reason why flying can cause us to get sick is from low humidity. When you're soaring through the sky, the high elevations cause the humidity level in the airplane cabin to decrease.

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The cramped conditions and long periods of being less active on a flight can cause pain, stiffness or swelling of your legs. Being less active can lead to slow blood flow in your veins which increases your risk of developing a blood clot, known as deep vein thrombosis (DVT). DVTs most commonly form in the legs.

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Choose a seat in the middle of the plane. As the air circulates across the rows and not up and down the plane, some experts believe the worst air is in the front or the back of the plane. Stay well hydrated by drinking lots of fluids (water or fruit juice) and avoiding caffeine and alcohol, which will dehydrate you.

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Low air pressure during air travel also decreases the amount of oxygen in the air. This effect is modest and generally not noticeable for healthy travelers. For patients with significant lung disease, a small decrease in available oxygen can cause significant symptoms, especially with exercise.

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Jet lag is a temporary sleep disorder, but not temporary enough for many travelers. If you're flying from San Francisco to Rome for a 10-day trip, for example, it may take six to nine days to fully recover. That's because it can take up to a day for each time zone crossed for your body to adjust to the local time.

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Symptoms are likely to be worse or last longer the farther you travel. This is especially true if you fly east. It usually takes about a day to recover for each time zone crossed.

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It can be simply referred to as oxygen deficiency. Hypoxia can be seen in high-altitude flights and dives at shallow levels, and hypoxia may also occur as a result of major disorders. Although it is rarely seen during flight, it is a serious disorder that requires professional help.

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Resting Pulse Oximetry
Values >95% on room air suggest that inflight hypoxemia is unlikely and that further evaluation is likely not necessary. Patients with saturations <92% on room air at rest should receive supplemental oxygen inflight, because they are at high risk of hypoxemia at altitude.

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How to aid recovery from long-haul flights
  1. Avoid alcohol for at least 24 hours.
  2. Go for a short burst of cardio. ...
  3. Keep drinking water.
  4. Sleep, or if you can't sleep, rest in a darkened room very soon after arriving at your final destination.
  5. And finally, if you can, get a massage within the first 24 hours of landing.


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Airplane travel and sleep disturbances caused by air travel are frequently reported. Passengers who travel regularly are likely to change time zones and can experience circadian rhythm misalignment, leading to jet lag disorder (JLD). The incidence of jet lag increases with the number of time zones crossed.

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One in three people said that the most stressful part of travelling was during the flight, with a further 35% saying they found landing the most stressful. Boarding, finding your seat on the plane and the flight itself all came at the bottom of the list, making them the least stressful moments whilst travelling.

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Takeoff and landing are widely considered the most dangerous parts of a flight.

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suggest that flying may cause a small pneumothorax to develop, which is then aggravated by further air pressure changes, most commonly the return flight. Thus, they recommend that patients are assessed for pneumothorax before making the return flight, although realistically this may not always be possible.

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recent operation or injury where trapped air or gas may be present in the body (e.g. stomach ,bowel, eyes, face, brain) severe long term diseases that affect your breathing. breathlessness at rest. unresolved pneumothorax (punctured lung)

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Long-term high-altitude exposure does not increase the incidence of atrial fibrillation associated with organic heart diseases. High Altitude Medicine & Biology. 2021; doi:10.1089/ham. 2020.0228.

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If your blood pressure is higher than 120 over 80, seek medical advice before you travel.

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