Ear-Nose and Throat Doctor (ENT) Questions Ear pain

How can I ease my ear pain after a flight journey?

I have terrible ear pain after my flight last night. It has still not gone away. Why is this happening? Please suggest a quick remedy.

7 Answers

If no contraindications is cardiac disease, high blood pressure or prostate issues try Sudafed orally and afrin nasal spray for up to 3 days
Hello,

There isn't a quick solution. I would recommend seeing an ENT physician or Urgent care as it is possible that you have blood collection layers of the eardrum or behind them.

Dr. D
Barometric otalgia is common after descent in the airplanes caused from ear congestion after a head cold. Oral antiinflammatory medication helps and attempts to clear the eustachian tubes with ear popping techniques.
If you have no hypertension, heart disease, asthma, thyroid disease, or asthma and aren’t being treated for any of these and aren’t pregnant, then over-the-counter decongestants (pseudoephedrine), 3 days of nasal decongestant spray (oxymetazoline) are helpful along with “sucking candies” or chewing gum (think PT of the ears). If you have or receive medications for any of the aforementioned conditions, contact your PCP before using.
Frequently, people do not auto-inflate their ears as the airplane descends to land, this chance in pressure can cause collapse of the tympanic membrane with some times rupture of the ear drum or bleeding into the middle ear space.more commonly the ear drum just collapses and give pain and hearing loss. You can try to relieve this symptom by pinching your nose so that no air can escape through your nose, the take a deep breath and attempt to blow you nose, the ear drums may pop open or you may hear a bubbling, if you do this several times you may be able to inflate the tympanic air space permanently or back to normal. If you are not successful, you may need to see an ENT doctor in person for further help.
It is better to prevent it by using a nasal decongestant like afrin which is longlastin spraying it 1/2 hour before going in the plane and if glying for more than 12 hours agai 1/2 hour before landing. Ear damage from flying can be serious and barotrauma of the ears can end eith permanent hearing loss and live threatening infections.
No alcohol. Do not fly when you have a head cold. Do not use the air blowers. Valsalva as needed. Decongestants and chewing gum do no good.