Flying with an ear infection is a common concern for travelers. The change in air pressure during a flight can exacerbate ear pain and potentially lead to complications if you’re already dealing with an infection. Understanding the risks and taking appropriate precautions is crucial for a comfortable and safe journey.
Generally, it’s not recommended to fly when you have an active ear infection, especially if it’s a moderate to severe one. Ear infections, particularly middle ear infections (otitis media), cause inflammation and fluid buildup in the middle ear. This area is connected to the back of your throat by the Eustachian tube, which helps to equalize pressure in your ears. During ascent and descent, the air pressure in the airplane cabin changes rapidly. If your Eustachian tube is blocked due to an ear infection, it can’t properly equalize the pressure, leading to significant pain, pressure, and even potential damage to the eardrum.
However, there are situations where flying might be necessary even with a mild ear infection. If your symptoms are mild and you absolutely must travel, there are several strategies you can employ to minimize discomfort and potential issues:
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Employ pressure-equalizing techniques: The most common advice is to actively work to open your Eustachian tubes. Yawning and swallowing are effective methods as they engage the muscles that control these tubes. Chewing gum or sucking on candy can encourage swallowing and help keep these pathways open.
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Utilize the Valsalva maneuver: This technique can be particularly helpful during descent when pressure changes are most acute. Gently try to exhale while pinching your nostrils and keeping your mouth closed. This can help force air into your Eustachian tubes and equalize the pressure in your middle ear. Repeat this several times, especially as the plane descends.
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Stay awake during crucial times: Being awake during takeoff and landing allows you to actively manage ear pressure. If you’re asleep, you won’t be able to perform these pressure-equalizing techniques when you need them most.
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Consider nasal decongestants: If you have nasal congestion accompanying your ear infection, an over-the-counter nasal spray can be beneficial. Using it about 30 minutes to an hour before takeoff and landing can help to open up your nasal passages and potentially improve Eustachian tube function. However, it’s important to use nasal sprays sparingly, as overuse can actually worsen congestion over time.
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Oral decongestants with caution: Decongestant pills might also be an option if taken about 30 minutes to an hour before flying. However, these medications can have side effects and are not suitable for everyone. Individuals with heart conditions, high blood pressure, or pregnancy should avoid oral decongestants.
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Filtered earplugs for flying: Special filtered earplugs are designed to gradually equalize pressure on the eardrum during flights. These can be purchased at pharmacies or airport stores. While they can be helpful, they are not a complete solution, and you should still use other techniques like yawning and swallowing in conjunction with earplugs.
It’s crucial to reconsider your travel plans if you have a significant ear infection, cold, sinus infection, or nasal congestion. Flying in these conditions significantly increases the risk of airplane ear and potential complications. If you have recently undergone ear surgery, it is essential to consult your doctor to determine when it is safe for you to fly again.
For individuals who frequently experience severe airplane ear or those undergoing hyperbaric oxygen therapy, doctors may recommend surgically placed ear tubes. These tubes help to ventilate the middle ear, drain fluid, and equalize pressure more effectively, making flying more comfortable and safer.
In conclusion, while flying with an ear infection is generally not advisable, it might be possible to fly with a mild infection by taking careful precautions. However, it is always best to consult with your doctor before flying if you have an ear infection. They can assess the severity of your infection and provide personalized advice on whether it is safe for you to fly and what measures you should take to minimize risks and discomfort.
