Should I fly with chest congestion?

It's important to check with your doctor before you fly whether it's safe for you to travel. If you have a flare-up of your condition, with increased cough, sputum and breathlessness, your doctor may well recommend delaying travel until your symptoms are back to their normal level.



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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 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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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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During lift-off and landing, changes in the air pressure inside the plane's cabin, affects the air inside and outside of your head. If your sinuses are congested, this means an unbalanced amount of pressure, which can be a painful experience.

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It is recommended that if you have a cold that you do not fly; this should be enforced by airlines in the case of aircrew, and aircrew are required to self-report any symptoms of cold, flu, or similar.

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The answer to the question “Can I fly with pneumonia” is in many cases 'No'. Flying in a commercial airliner when you are infected by pneumonia is not possible because of the risks associated with the flight. As a general rule, doctors do not recommend flying commercially.

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If you fly with a head cold or seasonal allergies, Dr. Pinkston said it's possible you may significantly stretch your eardrum because your Eustachian tubes wouldn't be working properly to equalize pressure. If the stretching of the eardrum is considerable, these problems may occur: Capillaries in the ear break.

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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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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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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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Some recent studies do in fact suggest that traveling, especially flying, can have a negative effect on your immune system, thus making it easier for you to get sick.

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...you may be worried about flying. If your condition is well managed you should not have problems. Some people may find their symptoms get worse because of low humidity or allergens in the cabin. Make sure you pack your reliever inhaler in your hand luggage and continue to take all your medicines as prescribed.

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Airline restrictions on flying Airlines might not let you travel with them: if they are concerned that you have a medical condition that might get worse during a flight. if you have an illness that could infect other passengers.

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