(Image source from: Canva.com)
Numerous individuals encounter discomfort in their ears when flying. For those suffering from a cold or related allergies, this discomfort can escalate to unbearable levels. Dr. Aditij Dhamijam, a medical doctor and health educator, recently recounted the case of a 27-year-old man who boarded a plane despite having mild cold symptoms and allergies. According to an Instagram post by Dr. Dhamijam, "As the aircraft took off, he experienced severe ear pain, and before he could respond, his eardrum burst." Medical professionals clarified that this was due to congestion blocking his Eustachian tube, which is essential for maintaining pressure balance between the ears and nose. "The buildup of pressure led to the eardrum tearing, resulting in intense pain and the possible risk of permanent hearing damage. In some instances, surgery may be required to regain hearing," he further explained.
Many online users shared their own experiences in the comments. One person noted, "I went through the same thing just ten days ago. I felt sharp pain in my ears, and it seemed like my eardrum might explode. The pain was so intense, it brought me to tears. I later realized it was because of my cold. I had never experienced anything like this before." Another commenter said, "I had a similar episode once. Trust me, it was the worst ordeal of my life. I thought my ears might start bleeding. It’s better to treat a cold before flying. Chewing won’t make a difference." Dr. Nayan K. Shetty, an ENT consultant at Wockhardt Hospital in Mumbai Central, indicated that flying can sometimes lead to ear discomfort and, in serious situations, result in a ruptured eardrum. "This happens when the rapid cabin pressure changes create an imbalance between the inner ear and the outer ear, exerting excessive pressure on the eardrum. If the Eustachian tube, which helps manage pressure in the middle ear, isn’t functioning properly, it can cause pain, hearing issues, or even a rupture," Dr. Shetty elaborated.
Several elements can increase the risk of eardrum rupture while flying, with rapid air pressure changes during takeoff and landing being the most prevalent. When the Eustachian tube is blocked due to congestion from colds, sinus infections, or allergies, it becomes significantly more difficult for the ear to equilibrate pressure. "Forcefully blowing your nose, trying to pop your ears with too much force, or flying while suffering from an untreated ear infection can further heighten the risk of rupture," Dr. Shetty emphasized.
To mitigate these risks, experts recommend simple but effective strategies for managing ear pressure. "Engaging in swallowing, yawning, or chewing gum can help to keep the Eustachian tubes open, improving airflow. The Valsalva maneuver—gently exhaling while pinching the nose and keeping the mouth closed—can also provide relief," Dr. Shetty advised. Additionally, using decongestants or nasal sprays prior to flying can help clear nasal passages and facilitate better pressure balance. "Remaining hydrated, utilizing specialized earplugs that regulate pressure, and avoiding air travel when experiencing significant congestion can also minimize the risk," Dr. Shetty stated.
By implementing these precautions, travelers can safeguard their ears and enhance their flying experience, significantly reducing the probability of experiencing painful ear issues during their journey.
