Ear Pressure Issues After Flying: When to Seek Medical Help - Otolaryngology

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Experiencing a feeling of fullness or blockage in the right ear while flying, and now hearing clearly at certain angles when turning the head?


Hello Doctor, I flew abroad on Saturday, and due to a layover, I had four takeoffs and landings in one day.
After getting off the plane, I have been unable to equalize the pressure in my right ear (I tried pinching my nose and blowing to balance the ear pressure).
I usually have allergies, and the day after the flight, I started experiencing a sore throat and yellow nasal discharge.
Today marks the third day of ear fullness, and occasionally when I turn my head, I can hear more clearly (but it still feels like there is something blocking the sound compared to normal).
I occasionally experience a brief sharp pain for a second or two.
Is it necessary for me to seek immediate medical attention? I am currently studying at a language school in the Philippines and won’t return to Taiwan for another two months.
Should I see a local doctor now, or can I just take the cold medicine I brought from Taiwan?

Nìmíng, 20~29 year old female. Ask Date: 2018/05/21

Dr. Zheng Jueyi reply Otolaryngology


Hello: Commonly, middle ear effusion is caused by Eustachian tube dysfunction.
If there is no persistent ear discharge, you may first take medication to treat allergies and colds.
If there is no improvement after one week, it is advisable to seek medical examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/21

More Info


Experiencing ear pressure issues after flying is a common concern, particularly for those who have undergone multiple takeoffs and landings in a short period, as you described. The symptoms you are experiencing—persistent ear pressure, throat pain, yellow nasal discharge, and occasional sharp pain—suggest that you may be dealing with a combination of Eustachian tube dysfunction and possibly an upper respiratory infection, which can be exacerbated by flying.

When you fly, the rapid changes in altitude can cause pressure imbalances in the middle ear. The Eustachian tube, which connects the middle ear to the back of the throat, helps equalize this pressure. If the Eustachian tube is not functioning properly—due to allergies, a cold, or sinus congestion—it can lead to discomfort, muffled hearing, and even pain. Your history of allergies may be contributing to this dysfunction, especially if you are experiencing nasal congestion or sinus issues.

In your case, since you have been experiencing these symptoms for three days, it is advisable to monitor your condition closely. If you notice that your symptoms are worsening or if you develop additional symptoms such as fever, severe pain, or discharge from the ear, it would be prudent to seek medical attention. Given that you are currently in the Philippines and may not have immediate access to your usual healthcare providers in Taiwan, visiting a local doctor could be beneficial. They can assess your condition, possibly perform an examination of your ears and sinuses, and provide appropriate treatment.

In the meantime, you can try several self-care measures to alleviate your symptoms. These include:
1. Nasal Decongestants: Over-the-counter decongestants can help reduce nasal swelling and improve Eustachian tube function. However, be cautious with prolonged use, as it can lead to rebound congestion.

2. Antihistamines: If your symptoms are related to allergies, antihistamines may help reduce nasal congestion and improve your overall comfort.

3. Hydration: Staying well-hydrated can thin mucus and promote drainage, which may help relieve pressure in your ears.

4. Valsalva Maneuver: You mentioned attempting to equalize ear pressure by pinching your nose and blowing gently. This technique can be effective, but it should be done cautiously to avoid damaging the eardrum.

5. Warm Compress: Applying a warm compress to the affected ear may help alleviate discomfort.

6. Avoid Flying Until Symptoms Resolve: If possible, avoid flying until your symptoms improve, as changes in altitude can exacerbate ear pressure issues.

If your symptoms persist beyond a week or if you experience significant discomfort, it is essential to seek medical attention. An ENT specialist can evaluate for potential complications, such as middle ear infections or fluid accumulation, and recommend further treatment options, which may include prescription medications or other interventions.

In summary, while it may not be an emergency at this moment, your symptoms warrant attention, especially given their duration and your underlying allergies. Seeking local medical advice would be a wise decision, as they can provide tailored care based on your specific situation.

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