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Why do my ears hurt a week after flying?

Airplane ear occurs when the air pressure in the middle ear and the air pressure in the environment don't match, preventing your eardrum (tympanic membrane) from vibrating normally. A narrow passage called the eustachian tube, which is connected to the middle ear, regulates air pressure.



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Many symptoms ease as soon as your eustachian tubes can manage air or water pressure changes. In some cases, you may need medication to manage congestion or inflammation. In that case, it may be a few days before your ears feel normal.

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Airplane ear is also called ear barotrauma, barotitis media or aerotitis media. Self-care steps — such as yawning, swallowing or chewing gum — usually can counter the differences in air pressure and improve airplane ear symptoms. However, for a severe case of airplane ear, you might need to see a doctor.

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Even severe injuries, such as a ruptured eardrum or ruptured membranes of the inner ear, usually heal on their own. However, in rare cases, an office procedure or surgery might be needed. This might include a procedure in which an incision is made in your eardrum (myringotomy) to equalize air pressure and drain fluids.

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Self-care steps — such as yawning, swallowing or chewing gum — usually can counter the differences in air pressure and improve airplane ear symptoms. However, for a severe case of airplane ear, you might need to see a doctor.

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Fluid or mucus sometimes accumulates in the middle ear for a few days after the flight, which may make hearing rather dull for a while. This happens if the Eustachian tube is still blocked, and is more likely if you had a cold before flying. To clear it, you could try one of the measures in the section above.

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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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Protecting Ears When on a Plane Exposure to noise at 85 dB for more than eight hours a day can cause permanent hearing loss or temporary hearing problems like tinnitus (2). However, at 100 dB, the safe duration of exposure is only 15 minutes a day (3).

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