How to Relieve Ear Pain and Pressure During Airplane Landings

Many air travelers experience ear blockage, temporary hearing loss, and sharp pain during flights, especially upon landing. These symptoms result from atmospheric pressure changes that affect the middle ear. The Eustachian tube, which connects the middle ear to the throat, normally balances pressure on both sides of the eardrum. However, when this tube is blocked due to colds, nasal congestion, or allergies, air cannot pass through easily, causing discomfort and pain.

Dr. Moshe Eilam, an ENT specialist, explains that natural ways to open the Eustachian tube include swallowing and yawning. Passengers are advised to suck on candy, chew gum, yawn deliberately, or sip water in small amounts during takeoff and landing to encourage these actions. Another helpful technique is the Valsalva maneuver, which involves gently blowing with the nose and mouth closed to equalize ear pressure. A popping sound often indicates successful pressure balance.

People with colds, seasonal allergies, sinusitis, or nasal congestion are more prone to ear blockage during flights. Using nasal sprays or drops before takeoff and landing can reduce congestion and help prevent symptoms. For infants, giving a pacifier, bottle, or breastfeeding during these times promotes swallowing and pressure equalization. Saline nasal drops may also be used if the baby’s nose is blocked.

Most ear blockage symptoms resolve shortly after landing. However, if severe pain persists, hearing loss worsens, ear discharge occurs, or dizziness develops, travelers should consult an ENT specialist promptly. Dr. Eilam emphasizes that these measures can significantly ease ear discomfort and prevent complications during air travel.