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.
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Most of the time, the pressure should clear up a few hours after you're back on land, she says. If it lingers longer—into the following day, for example—you might have a buildup of fluid behind your ear that isn't ventilating properly. For that, you'll probably want to see a doctor.
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.
It's all due to pressure changes. As the plane starts to lose height, the pressure in the air around you changes. Until the pressure inside the tubes behind your eardrum adapts, the pressure inside and outside your ear is different.
Generally, airplane ear does not pose problems unless there is any structural damage in the middle ear. Rare complications may include permanent hearing loss and chronic tinnitus [6],[7].
Fluid or mucus sometimes accumulates in the middle ear for a few days after the flight, which may make hearing rather dull for a while. This happens if the Eustachian tube is still blocked, and is more likely if you had a cold before flying.
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).
There are several effective methods to reducing or eliminating airplane ear, either before or after pain starts. Take an antihistamine, oral decongestant, or nasal decongestant spray about 30 to 45 minutes before the flight. This alleviates any allergy or cold symptoms that will cause sinus pressure.