An "airplane headache," or "AH," is a specific type of secondary headache triggered by the rapid pressure changes in an aircraft cabin during ascent or, more commonly, during the descent. It is characterized by an intense, stabbing, or "ice-pick" pain usually localized to one side of the forehead or behind the eye. For the vast majority of travelers, it is not serious in a life-threatening sense; it is a mechanical issue where the air trapped in the paranasal sinuses cannot equalize quickly enough with the changing cabin pressure, causing the sinus membranes to stretch or contract painfully. However, it can be extremely distressing and, in rare cases, can lead to minor mucosal barotrauma or nosebleeds. In 2026, medical experts suggest that if the pain is accompanied by neurological symptoms like vision loss, confusion, or extreme dizziness, it should be treated as a medical emergency. To prevent it, many use "EarPlanes" (pressure-regulating earplugs) or nasal decongestant sprays 30 minutes before the plane begins its descent. If you experience these frequently, consulting an ENT specialist is recommended to rule out underlying sinus blockages or anatomical issues like a deviated septum.