Colds, Sinus Infections, and Airplane Travel

August 11th, 2015

Sometimes, we must travel on planes when we have a cold or sinus infection.  This can be problematic as the pressure changes during flight can cause ear problems and pain.  We have a tube called the “Eustachian Tube” which connects the ear to the airway (sinuses/throat).  When this tube gets clogged, pressure builds up behind the eardrum (tympanic membrane).  When the pressure changes on the outside, the pressure difference can be so great that the eardrum can burst.  People describe severe pain crescendo-ing (building up of pressure), then a severe pain (eardrum bursting), a sense of relief (pressure is equalized), then a realization that they cannot hear as well out of that ear. I always recommend that you see a health care provider before you fly when you are sick.  If your symptoms are severe, you may want to postpone your flight.  Here are some tips that can reduce your risk.

• Take decongestants at least 1 day before your flight.  These are pills such as psuedephedrine or phenylephrine or nasal decongestant spray called oxymetazoline (Afrin).  (If you have high blood pressure or heart problems, you should not take these.)
• Use a medication called Mucinex to thin out the mucus.  Thick mucus is difficult to clear out of your nose and can block the Eustachian tube.
• Drink plenty of fluids before the flight.  Sip on fluids continuously while the plane is taking off and landing.  I recommend buying a large bottle of water so that you have it at your seat rather than depend on the flight attendants.
• Do NOT fall asleep just before landing.  This is the most dangerous part of the flight.  Instead, make sure you sip fluids.  If you are tired, a cup of coffee can help you stay awake.
• Do a “clearing technique” when you feel pressure start to build.  Cover your nostrils with one hand and keep your mouth closed.  Then gently blow your nose.  You should feel the pressure suddenly release in both ears.  If not, repeat.   If you feel pressure start to build up again, repeat this process.
• Yawn and swallow frequently.  Candies that stimulate salivation are helpful.  Sour candies work the best (lemon flavored or “Sour Patch Kids” are my favorite)
• Blow your nose if you feel mucus starting to accumulate in your nose.
• If you feel like your eardrum has burst, make sure you visit a medical provider immediately for further evaluation.  A burst eardrum makes you more susceptible to inner ear infections.  Avoid getting water in the ear.