Is it OK to fly with sinus pressure?

If suffering from a sinus infection while flying, you may experience severe sinus pressure and pain. We recommend avoiding air travel when possible if you have a sinus infection. By treating the root cause of your sinus pressure and pain, you can avoid a lifetime of painful flights.



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You can fly with a sinus infection, but to avoid unnecessary pain and sinus pressure, it's best not to fly. The changes in air pressure while flying can cause your symptoms to worsen. When your sinuses are clogged, your body can't equalize the pressure difference, so you feel pain in your head.

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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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If your ears feel full and blocked or you keep getting the sensation that they aren't able to pop properly, then flying is probably going to make this worse. It is especially important for children to avoid flying with an ear infection as they are at higher risk due to having narrower Eustachian tubes.

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If you start to notice this pressure building, you can try some of these strategies:
  1. Take an antihistamine if needed before your flight. ...
  2. Yawn or swallow during takeoff.
  3. Try chewing a piece of gum or candy during takeoff, if yawning and swallowing don't work for you.


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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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However, flying is possible for cases of controlled chronic intracranial hypertension. In many cases following treatment and medications, the increased fluid and pressure around the brain is under control and flying is possible, but not completely painless.

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Why does this happen? Known as aerosinusitis, the inflammation in the paranasal sinus cavities (those are the air-filled spaces that stem from the sides of your nose to between your eyebrows) is caused by a difference in air pressures inside and outside the body.

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It is not recommended to fly with acute intracranial hypertension because the conditions in the plane can worsen your condition and cause excruciating pain. If you have chronic or benign intracranial hypertension, you might be able to fly if your condition is under control.

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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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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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