Passengers on air plane experiencing ear fatigue due to pressure

Airplane Ear: Causes, Symptoms & How to Prevent Ear Pain When Flying

Airplanes and Ear Pain

Most of us have experienced clogged ears or ear pain at some point during a flight. This condition is often referred to as “airplane ear.” More often than not, it occurs during takeoff or landing. For some people, it may just be a minor annoyance, but for others it can cause symptoms like severe pain and temporary hearing loss.

Why does airplane ear happen?

It all comes down to rapid fluctuations in air pressure. Normally, the air pressure inside the middle ear and the air pressure outside are essentially the same, or at least not different enough to cause any trouble.

During a flight, the pressure inside the middle ear and the air pressure outside don’t have time to equalize. This is known medically as ear barotrauma.

How to prevent ear pain when flying

Swallowing: When you fly, the trick is to ensure that the Eustachian tubes work overtime and open more frequently to accommodate the change in air pressure.

Chewing gum or sucking on hard candy: This will stimulate frequent swallowing, which helps equalize air pressure.

Valsalva maneuver: With a mouthful of air, close your mouth and pinch your nostrils shut. Gently exhale and force air out until your ears pop. This is not recommended if you have a cold or allergies, as it could cause a severe ear infection.

Toynbee maneuver: Close your mouth and pinch your nose shut. Swallow several times until pressure equalizes. Repeat either technique as needed.

Stay hydrated: Drink lots of fluid both before and during the flight. Not only does this keep you hydrated, which reduces your risk of congestion, but it also means you’ll be swallowing and equalizing your ears regularly.

Use specialized earplugs: Products like EarPlanes are specially designed ear plugs that have a filter that helps slow down the air pressure changes on the flight. This can put less stress on the eardrum, reducing the feeling of pain and fullness.

Use decongestants: Over-the-counter nasal and oral decongestants narrow the blood vessels in the nasal passages and reduce or thin mucus, making it easier for air to flow through the Eustachian tubes. Before taking any decongestants, it is important to speak with your doctor, as people with certain heart conditions may want to avoid taking them.

When to see a doctor

Airplane ear is usually a minor annoyance that resolves on its own. However, it is important to see a doctor if your symptoms are severe or last for several days post-flight.

Safe travels & keep healthy!

Info from Healthy Hearing
Contributed by Joy Victory, managing editor