They won't fall off. But if you plan to ride roller coasters, I'd wait. Your ears will be hit many times and could cause unnecessary swelling and pain.
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Other health conditions can make going on high-speed rides unsafe, including pregnancy, recent surgery, heart problems, high blood pressure and aneurysms, as well as the influence of drugs or alcohol.
Yeah you'll be totally fine with a fresh septum (mine was five days old on our first coaster day of the season!) just remember to give it your usual good cleaning routine before/after to keep it happy. Helix piercings on the other hand....not sure mines gonna last the year, poor thing.
People with high blood pressure and/or heart conditions are warned not to ride roller coasters because of the way they tax the cardiovascular system. The adrenaline rush that roller coasters give you causes a rapid spike in your heart rate and blood pressure.