Is it OK to fly with ear pressure?

Many people feel pressure or a blockage in their ears when they fly, especially during takeoff and landing. While this is usually nothing more than a minor inconvenience that resolves fairly quickly, it becomes a much riskier endeavor if you or your child is flying with an ear infection.



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If possible, don't fly when you have a cold, a sinus infection, nasal congestion or an ear infection. If you've recently had ear surgery, talk to your doctor about when it's safe to travel. Use an over-the-counter nasal spray.

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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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Two common recommendations: 12-hour or 24-hour Sudafed or Afrin nasal spray. If you opt for the nasal spray, give yourself a spray 30 minutes before takeoff and again about 30 minutes prior to descent.

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Should your ears “plug up” when taking off, hold your nose and swallow. This will help suck excess air pressure out of the middle ear. 45 minutes before the aircraft is due to land again use the nasal spray every five minutes for 15 minutes. Chew gum to stimulate swallowing and opening of the eustachian tube.

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During sudden ascend or descend of an aeroplane, ear cavity pressure is often decreased complemented by an increase in the cabin compared to the outside air pressure. In such a scenario, the unusual stretching of the eardrum or tympanic membrane may precipitate pain in the ear.

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Sit away from the engine.
Seats in the front rows are farthest away from the engine and therefore better for your hearing. However, if you have to sit farther back in the plane, choose an aisle seat as they are several decibels quieter than window seats.

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But the pain is only temporary — it won't cause any lasting problems for kids and usually will ease within a few minutes as the Eustachian tubes open to let the air pressure equalize on both sides of the eardrums.

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While there is no scientific proof that earplugs actually help with in-flight ear pain, anyone who feels like they are a benefit should continue to use them to relieve their pain. Some other effective methods of reducing pressure include swallowing, yawning, blowing your nose, and chewing gum.

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Prevention
  1. Yawn and swallow during ascent and descent. ...
  2. Use the Valsalva maneuver during ascent and descent. ...
  3. Don't sleep during takeoffs and landings. ...
  4. Reconsider travel plans. ...
  5. Use an over-the-counter nasal spray. ...
  6. Use decongestant pills cautiously. ...
  7. Take allergy medication. ...
  8. Try filtered earplugs.


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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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Can a patient have irrigation prior to flying? Yes, flying is not a contraindication to ear irrigation. Once the wax has been removed, you should advise the patient to keep their ears dry for 2-3 days to allow the ear canal to produce more wax, which is its natural protection.

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Eustachian tube dysfunction often resolves on its own, particularly if triggered by a cold or other virus. You should see a doctor if these symptoms don't go away: Ear popping that causes pain or discomfort. Feeling fullness or pressure in the ear.

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