Why Do Ears Hurt During Flights? Causes and Quick Relief Tips

Ear pain during flights is a common issue caused by rapid air pressure changes, especially during takeoff and landing. Here’s why it happens and how to fix it.


Why It Happens

  1. Eustachian Tube Dysfunction
    • The Eustachian tube connects your middle ear to the throat, balancing air pressure.
    • At high altitudes, cabin pressure drops faster than your ears can adjust, creating a vacuum effect on the eardrum.
    • If the tube is blocked (due to colds, allergies, or sinusitis), pressure can’t equalize, causing pain.
  2. Children Are More Prone
    • Kids’ Eustachian tubes are narrower and less developed, making pressure regulation harder.

Immediate Relief Methods

  1. Swallow, Yawn, or Chew
    • Activate muscles that open the Eustachian tube: suck candy, chew gum, or drink water.
  2. Valsalva Maneuver
    • Pinch your nostrils, close your mouth, and gently blow air out through your nose until ears “pop.”
  3. Use Specialized Earplugs
    • Pressure-regulating earplugs (e.g., EarPlanes) slow pressure changes.
  4. Decongestants
    • Use nasal sprays (oxymetazoline) or oral decongestants (pseudoephedrine) 1 hour before landing if congested.

Preventive Measures

  • Avoid Flying with Colds/Sinus Infections: Postpone travel if possible.
  • Stay Hydrated: Prevents mucus from thickening and blocking the Eustachian tube.
  • Allergy Management: Take antihistamines before flying if prone to allergies.

When to See a Doctor

Seek help if pain persists for >24 hours or is accompanied by:

  • Severe dizziness or hearing loss.
  • Fluid/pus drainage from the ear (sign of a ruptured eardrum).

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