How long can ears hurt after flying?

Many symptoms ease as soon as your eustachian tubes can manage air or water pressure changes. In some cases, you may need medication to manage congestion or inflammation. In that case, it may be a few days before your ears feel normal. Rarely, airplane ear causes ruptured eardrums.



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Airplane ear is also called ear barotrauma, barotitis media or aerotitis media. Self-care steps — such as yawning, swallowing or chewing gum — usually can counter the differences in air pressure and improve airplane ear symptoms. However, for a severe case of airplane ear, you might need to see a doctor.

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Airplane ear occurs when the air pressure in the middle ear and the air pressure in the environment don't match, preventing your eardrum (tympanic membrane) from vibrating normally. A narrow passage called the eustachian tube, which is connected to the middle ear, regulates air pressure.

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Ear barotrauma, also known as airplane ear, is that clogged-up, sometimes painful feeling you get in your ears when the air pressure changes quickly. It's the biggest health problem for people who fly. And it can be especially painful for babies and young kids because their ears aren't fully developed.

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Self-care steps — such as yawning, swallowing or chewing gum — usually can counter the differences in air pressure and improve airplane ear symptoms. However, for a severe case of airplane ear, you might need to see a doctor.

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Protecting Ears When on a Plane Exposure to noise at 85 dB for more than eight hours a day can cause permanent hearing loss or temporary hearing problems like tinnitus (2). However, at 100 dB, the safe duration of exposure is only 15 minutes a day (3).

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Spray Afrin nasal decongestant spray twice into each nostril one hour prior to flying. Begin taking a decongestant, like Sudafed, one hour before the flight. Both of these medications can be purchased over-the-counter in a drug store.

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Mild symptoms of ear barotrauma usually last a few minutes. If they last longer, you may need treatment for an infection or another problem. Serious damage, such as a burst eardrum, may take a few months to heal. Sometimes you may need surgery to repair the eardrum or the opening into your middle ear.

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If you have severe pain or symptoms associated with airplane ear that don't improve with self-care techniques, talk to your family doctor or a general practitioner. You might then be referred to an ear, nose and throat (ENT) specialist.

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If at all possible, it's best to avoid flying when you or your children have an ear infection or a sinus infection. These block the Eustachian tubes, placing additional pressure on the eardrum. Whenever there is continual, increased pressure on the eardrum, it can rupture.

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