How to Relieve Ear Pain and Pressure During Airplane Landings

Many air travelers experience ear blockage, temporary hearing loss, and sometimes sharp pain during flights, especially during landing. These symptoms result from atmospheric pressure changes affecting the middle ear, which relies on the Eustachian tube to equalize pressure on both sides of the eardrum. When the tube is blocked, often due to colds, nasal congestion, or allergies, pressure builds up causing discomfort.

To alleviate these symptoms, experts recommend encouraging swallowing and yawning during takeoff and landing, as these actions naturally open the Eustachian tube. Simple methods include sucking on candy, chewing gum, yawning deliberately, drinking small sips of water, or performing the Valsalva maneuver, gently blowing with the nose and mouth closed to help air pass into the middle ear. A popping sound often indicates pressure equalization.

People with colds, seasonal allergies, sinusitis, or nasal congestion are more prone to ear pressure problems. Using nasal sprays or drops before takeoff and landing can reduce congestion and improve tube function. For infants, sucking on a pacifier, bottle, or breastfeeding during these phases helps open the Eustachian tube. Saline nasal drops may also be used if the baby’s nose is blocked.

Most ear pressure symptoms resolve shortly after landing. However, if severe pain persists, hearing loss worsens, ear discharge occurs, or dizziness develops, consulting an ear, nose, and throat specialist is advised. Dr. Moshe Eilam, an ENT expert at Clalit Health Services in central Israel, provides these guidelines to help travelers manage ear discomfort during flights.