Does congestion make airplane ear worse?

Ear barotrauma can happen more frequently if you have congestion from a cold or allergies. Congestion may block or inflame your eustachian tubes, making it even harder for them to manage air pressure changes.



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Take a decongestant before your flight. Reducing congestion will help prevent ear barotrauma (airplane ear). Remember to swallow and yawn during plane takeoff and landing. This helps your eustachian tubes open.

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In extreme circumstances, rupture of the eardrum may occur leading to lasting damage. For this reason, most doctors would agree that it's wise to avoid air travel when you're sick to prevent pain and possible complications.

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Flying whilst infected with a cold increases the risk of physical damage to the inner ear and sinuses.

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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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To ease discomfort, you can take a nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), or an analgesic pain reliever, such as acetaminophen (Tylenol, others).

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If you're awake during ascents and descents, you can do the necessary self-care techniques when you feel pressure in your ears. Reconsider travel plans. If possible, don't fly when you have a cold, a sinus infection, nasal congestion or an ear infection.

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By staying awake, you can practice the methods below to help eliminate or reduce pain and pressure. If you have any allergy or cold-related symptoms, make sure you take an antihistamine or decongestant spray at least 30-45 minutes before your flight.

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It is important to note that an airline has the right to refuse a passenger if staff believe that the passenger meets the following conditions: if the passenger could be considered a potential safety hazard, might require medical attention during the flight, has a condition that might deteriorate during the flight, or ...

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Not only does flying with a sinus infection lead to pain, it can also lead to other inner ear symptoms.

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Really, Hertzberg says, the risk of getting a respiratory infection from a plane is low. There are very few reports of infectious disease being transmitted on airplanes, she says.

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Some studies suggest that the cabin pressure changes in the airplane, which are more pronounced during takeoff and landing, affects the head and sinuses in a way that triggers a headache. Another possible explanation for AHs is a fear of flying, which can cause stress and anxiety and subsequently trigger a headache.

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When the plane changes elevation during descent and ascent the sinuses must equilibrate to match the air pressure in the cabin but when the sinuses and eustachian tubes are blocked equilibration can be an issue. The pain occurs because of the restriction of air flow causing pressure in our sinuses.

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What to do before you fly with cold symptoms
  1. Take decongestants. Medicines like Sudafed work to reduce swelling around your Eustachian tubes, giving the ear more of a shot at equalizing, says Linder. ...
  2. Try nasal sprays. Really stuffed up? ...
  3. Pack lozenges. Keep hard candy to suck on or gum to chew in your carry-on as well.


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