How to prevent discomfort in the ear when flying

Some of us experience discomfort or pain in our ears during flying. It happens mainly during ascent and descent, or if the altitude changes suddenly. It almost feels like the ear is blocked and we cannot hear properly. This phenomenon is commonly called ‘Airplane Ear’.

1. Before flying, check if your nose is congested. Use a decongestant spray into each nostril, an hour before flying. However, always check the label before you do so. If you have any medical condition and please check with your doctor if you can use a spray decongestant.
2. Some people find chewing gum helpful during landing.
3. Yawning is also one of Nature’s ways to manipulate the air pressure back to normal.
4. Use earplugs that are specifically designed with a filter to balance air pressure, like "EarPlanes," which can be purchased in most airport convenience stores.
5. Try the Valsalva maneuver when the airplane begins to descend. Close your mouth and nose tightly so that no air escapes and then gently (gently!) begin to blow your nose. This will oppose the build-up of the negative air pressure that occurs. Please avoid doing this if you are not feeling well as you may risk having an ear infection. Instead, try the Toynbee maneuver where you swallow the air with the nostril and mouth closed. It will balance the air pressure effectively and prevent ear pain. 
6. If you have a baby or a child, the easiest solution is to allow the child to drink from a milk or water bottle as the plane descends. The act of swallowing helps to equalize air pressure. Babies often start crying when the airplane begins to land and this is actually Nature’s way to clear the Eustachian tubes and equalize the ear pressure. Before you travel, check with the doctor if you can give any medication to your child during a flight in case of nasal congestion.
7. It is good to stay hydrated during flight and avoid sleeping when taking off and landing.  ​
8. Should there be any severity, leading to hearing loss, dizziness, or severe pain, please see your doctor as soon as possible. You will regain hearing and be pain-free with the help of your ENT doctor.