Can I fly with a chesty cough?

Patients with active or contagious chest infections should avoid traveling until they are no longer infectious, as they may infect those sitting next to them. Flying is usually possible 7 to 10 days after the infection, even though the cough and mucus can last up to 3 weeks.



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The impact being in a pressurised aeroplane could have on your symptoms. Whether you have existing chest problems which could mean flying could make your symptoms worse.

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The most important preventive measure is to avoid flying when symptoms of upper respiratory tract infection are present. When this is not possible, passengers should yawn, swallow, or chew to relieve pressure in the middle ear. Use of the Valsalva maneuver and decongestants or antihistamines may be helpful.

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“If you've got inflammation blocking your means of equalizing the pressure, that's going to hurt,” he said. That pain can continue even after your flight as inflammation prevents the pressure from equalizing, Adalja added. It can also lead to trouble hearing, vertigo, and in rare cases, damage to the eardrum, Wu said.

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Persons with any of the following conditions should not travel by air: Pneumothorax (collapsed lung) within 2 to 3 weeks prior to travel. Pleural effusion (excess fluid occurring between the pleural layers) within 2 weeks prior to travel. Major chest surgery within 10 to 14 days prior to travel.

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Pleurisy is an inflammation of the thin layers of tissue that cover the lungs and ribcage. It causes severe chest pain and difficulty breathing. Flying commercially while suffering from pleurisy is strongly discouraged. Pulmonary embolism and respiratory distress are the two most feared complications.

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It is recommended that if you have a cold that you do not fly; this should be enforced by airlines in the case of aircrew, and aircrew are required to self-report any symptoms of cold, flu, or similar.

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However, if the breathing rate is already accelerated due to pneumonia and the traveller is unable to take in enough oxygen, this situation, and thus the patient's condition, can deteriorate further.

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The answer to the question “Can I fly with pneumonia” is in many cases 'No'. Flying in a commercial airliner when you are infected by pneumonia is not possible because of the risks associated with the flight. As a general rule, doctors do not recommend flying commercially.

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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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If you have sinus pressure during flights then you should bring along a decongestant spray (Oxymetazoline or Phenylephrine), found in the nasal aisle at the drug store, and use it approximately one hour before a flight of any duration.

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As a general rule, flying with a sinus infection and a congested nose is not advised. Changes in cabin air pressure affect the air inside and outside of your head. As a result, clogged sinuses, which prevent you from equalizing pressure differences, can be excruciatingly painful.

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If you fly with a head cold or seasonal allergies, Dr. Pinkston said it's possible you may significantly stretch your eardrum because your Eustachian tubes wouldn't be working properly to equalize pressure. If the stretching of the eardrum is considerable, these problems may occur: Capillaries in the ear break.

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91.119 Minimum safe altitudes; general (b) Over congested areas – Over any congested area of a city, town, or settlement, or over any open-air assembly of persons, an altitude of 1,000 feet above the highest obstacle within a horizontal radius of 2,000 feet of the aircraft.

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