Ear pain when flying with a cold
Jan 23, 2024
Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, ear pain during air travel when having a cold may be caused by factors such as Eustachian tube blockage, Eustachian tube dysfunction, otitis media, tympanitis, or eardrum perforation. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate symptomatic treatment under the guidance of a qualified physician. In daily life, maintain healthy habits and avoid consuming spicy and irritating foods, such as Sichuan pepper, chili peppers, and garlic.
Generally, ear pain during air travel when having a cold may be caused by factors such as Eustachian tube blockage, Eustachian tube dysfunction, otitis media, tympanitis, or tympanic membrane perforation. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:
1. Eustachian Tube Blockage
The nasal cavity is connected to the middle ear via the Eustachian tube. During a cold, increased nasal secretions may lead to blockage of the Eustachian tube. When flying, if the Eustachian tube fails to equalize pressure on both sides of the eardrum, ear pain may occur. Under medical guidance, medications such as antiviral oral solution, Lianhua Qingwen capsules, or Ganmaoling granules may be used for treatment.
2. Eustachian Tube Dysfunction
During a cold, inflammation may affect the Eustachian tube, causing it to become obstructed. This can result in unequal pressure between the inside and outside of the ear, leading to ear pain. Pressure changes during aircraft ascent and descent may exacerbate this condition. As directed by a physician, medications such as cefixime dispersible tablets, amoxicillin capsules, or compound Honeysuckle granules may be used to relieve symptoms.
3. Otitis Media
Infections in the nasopharynx due to a cold may spread to the middle ear, causing otitis media. Changes in cabin pressure during flight can worsen symptoms of otitis media, resulting in ear pain. Under medical supervision, treatments may include cefaclor dry suspension, clindamycin hydrochloride tablets, or azithromycin capsules.
4. Tympanitis
Tympanitis occurs when inflammation from the external auditory canal spreads to the eardrum, causing congestion of the eardrum. During air travel, rapid changes in external air pressure may pull on the inflamed eardrum, leading to ear pain. As prescribed by a doctor, ofloxacin ear drops, boric acid with borneol ear drops, or acetaminophen tablets may be used to alleviate discomfort.
5. Tympanic Membrane Perforation
In individuals with a cold, drastic changes in external air pressure during flight may cause rupture of the eardrum, leading to tympanic membrane perforation and subsequent ear pain. Prompt medical attention is advised, and surgical repair of the eardrum (tympanoplasty) may be recommended under a doctor's supervision.
It is important to maintain healthy lifestyle habits in daily life. Avoid consuming spicy and irritating foods such as Sichuan pepper, chili peppers, and garlic, as they may impair recovery.
