Is it safe to fly with an upper respiratory infection?

The most important preventive measure is to avoid flying when symptoms of upper respiratory tract infection are present. When this is not possible, passengers should yawn, swallow, or chew to relieve pressure in the middle ear. Use of the Valsalva maneuver and decongestants or antihistamines may be helpful.



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The main risk of flying commercially while suffering from a chest infection is acute respiratory distress. The oxygen level and atmospheric pressure are respectively lower and higher than we are used to in a pressurized cabin. Passengers with a chest infection are especially vulnerable to these changes.

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Having a lung condition should not stop you from travelling by air. Whether you are going on holiday, a business trip or a visit to family and friends, it should be possible to make the necessary arrangements - as long as you plan ahead.

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Generally, you should also bag a trip if you have a fever higher than 100 degrees Fahrenheit and symptoms such as coughing or sneezing, says William Schaffner, M.D., a professor of infectious diseases at the Vanderbilt University Medical Center.

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“If you've got inflammation blocking your means of equalizing the pressure, that's going to hurt,” he said. That pain can continue even after your flight as inflammation prevents the pressure from equalizing, Adalja added. It can also lead to trouble hearing, vertigo, and in rare cases, damage to the eardrum, Wu said.

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Low air pressure during air travel also decreases the amount of oxygen in the air. This effect is modest and generally not noticeable for healthy travelers. For patients with significant lung disease, a small decrease in available oxygen can cause significant symptoms, especially with exercise.

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The unexpected death, illness, or injury of you and/or a traveling companion that deems you unfit to travel, by order of a licensed physician. The hospitalization or death of a non-traveling family member.

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An airline can deny boarding of any passenger who looks unwell, especially if they suspect the passenger might be infectious (infect other passengers).

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Keep your coughs at minimum by either popping cough drops as needed or taking cough medicine before you take off. Decongestants are also a good idea for that runny nose. Little Kleenex packets are available at most airports and could save your nose as well.

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As a general rule, flying with a sinus infection and a congested nose is not advised. Changes in cabin air pressure affect the air inside and outside of your head. As a result, clogged sinuses, which prevent you from equalizing pressure differences, can be excruciatingly painful.

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Resting Pulse Oximetry
Values >95% on room air suggest that inflight hypoxemia is unlikely and that further evaluation is likely not necessary. Patients with saturations <92% on room air at rest should receive supplemental oxygen inflight, because they are at high risk of hypoxemia at altitude.

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