Should I fly with a tight chest?

If at home you are breathless at rest or with very little effort you probably are not fit to fly or will need oxygen on the trip. An airline rule of thumb is that you should be able to walk 100 metres carrying a suitcase at a reasonable pace with no discomfort.



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Patients with active or contagious chest infections should avoid traveling until they are no longer infectious, as they may infect those sitting next to them. Flying is usually possible 7 to 10 days after the infection, even though the cough and mucus can last up to 3 weeks.

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The air is 'thinner' because the pressure is less and, as a result, there is less oxygen. In fact, the concentration of oxygen falls from 21% at sea level, to about 15%. Most people will tolerate this, but, if you already have problems breathing, this will become worse.

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Talk With Your Doctor About Traveling
It's easier to stay healthy while traveling if you are in good health before you go. Before traveling, you should talk with your health care provider if you have breathing problems and you: Are short of breath most of the time.

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Chew gum during the flight, especially during takeoff and before the plane begins its descent, to help equalize the pressure. Blow your nose gently into a tissue to alleviate pressure.

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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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Unstable heart disease is associated with a higher risk of adverse events due to flying, and you may need to avoid flying, at least temporarily, until your condition is well controlled. People with pacemakers or implantable defibrillators can fly safely.

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Air pressure is lower at higher altitudes, which means your body takes in less oxygen. Airlines “pressurize” the air in the cabin, but not to sea-level pressures, so there's still less oxygen getting to your body when you fly, which can make you feel drained or even short of breath.

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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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