Many people experience ear pain when travelling on flights. But it can become excruciating and extreme for those with a cold or related allergies.
Dr Aditij Dhamijam, an MBBS doctor and health educator, recently shared the story of a 27-year-old man who boarded a flight with a mild cold and allergies. “As the plane ascended, he felt intense ear pain—but before he could react, his eardrum ruptured,” he wrote in an Instagram post.
Doctors explained that his Eustachian tube, which helps equalise pressure between the ear and nose, was blocked due to congestion. “The pressure buildup caused his eardrum to tear, leading to severe pain and potentially permanent hearing loss. In some cases, only surgery can restore hearing,” he added.
Some netizens agreed with the analysis in the comments section. One recollected, “Experienced exactly the same just 10 days ago. Had shooting pain in ears and felt like as if the eardrum would burst. Pain was so severe that it left me teary-eyed. Later I realised it happened because I had a cold. Never before I experienced this.” Another wrote, “Happened with me once. Believe me, it was the worst experience in my life, I thought my ears would bleed. Better to treat flu before flight. Chewing won’t help”.
Let’s learn more
Dr Nayan K. Shetty, consultant ENT surgeon, Wockhardt Hospital Mumbai Central, said that flying can sometimes cause discomfort in the ears, and in severe cases, can lead to an eardrum rupture. “This occurs when the rapid changes in cabin pressure create an imbalance between the inner and outer ear, putting excessive strain on the eardrum. The Eustachian tube, responsible for regulating pressure in the middle ear, may struggle to function properly, leading to pain, hearing difficulties, or even a tear in the eardrum,” explained Dr Shetty.
Be wary when you have a cold (Photo: Getty Images/Thinkstock)
Several factors contribute to the risk of eardrum rupture during a flight; the most common is the rapid shift in air pressure, particularly during takeoff and landing. If the Eustachian tube is blocked due to congestion from a cold, sinus infection, or allergies, it becomes even more challenging for the ear to equalise pressure. “Forcefully blowing the nose, using excessive pressure to pop the ears, or flying with an untreated ear infection can further increase the likelihood of rupture,” stressed Dr Shetty.
Experts suggest simple yet effective techniques to regulate ear pressure to prevent this. “Swallowing, yawning, or chewing gum can help keep the Eustachian tubes open, allowing for better airflow. Performing the Valsalva maneuver—gently blowing while pinching the nose and keeping the mouth closed—can also provide relief,” said Dr Shetty.
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Decongestants or nasal sprays before flying can help clear nasal passages and promote better pressure equalisation. “Staying hydrated, using specialised pressure-regulating earplugs, and avoiding air travel when experiencing severe congestion can further reduce the risk,” said Dr Shetty.
By taking these precautions, travelers can protect their ears and ensure a more comfortable flying experience, minimizing the chances of painful ear complications mid-flight.
DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.
