It's all due to pressure changes. As the plane starts to lose height, the pressure in the air around you changes. Until the pressure inside the tubes behind your eardrum adapts, the pressure inside and outside your ear is different.
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You'll probably find that the ear symptoms simply settle soon after landing. But sometimes, they can take 24 hours to settle. The important thing is to keep swallowing – this can eventually open up the Eustachian tube and equalise the pressure and therefore lessen your symptoms.
Pinch Your Nose and Blow?Gently!To get your ears to "pop," you can try closing off your nose and mouth, then gently forcing the air into the middle ear.
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.
Generally, airplane ear does not pose problems unless there is any structural damage in the middle ear. Rare complications may include permanent hearing loss and chronic tinnitus [6],[7].
There are several effective methods to reducing or eliminating airplane ear, either before or after pain starts. Take an antihistamine, oral decongestant, or nasal decongestant spray about 30 to 45 minutes before the flight.