How to relieve ear pain during a flight

Nov 27, 2025 Source: Cainiu Health

Dr. Lu Cheng

Introduction

Ear pain during flights is mostly caused by pressure imbalance in the middle ear due to changes in air pressure. It can usually be relieved through actions such as swallowing, chewing, performing the Valsalva maneuver (pinching the nose and gently blowing), massaging the ears, or adjusting sitting posture. When experiencing ear discomfort, you can actively perform swallowing movements—such as frequently gulping saliva—or drink small amounts of warm water repeatedly. Swallowing helps open the Eustachian tube, thereby equalizing the pressure between the middle ear and the outside environment.

Ear pain during flights is mostly caused by pressure imbalance in the middle ear due to changes in air pressure. It can usually be relieved through swallowing, chewing, performing the Valsalva maneuver, massaging the ears, adjusting sitting posture, and other methods. Specific measures are as follows:

1. Swallowing: When experiencing ear discomfort, actively perform swallowing actions—such as frequently swallowing saliva or sipping warm water several times. Swallowing helps open the Eustachian tube, balancing the pressure between the middle ear and the external environment, thereby reducing ear fullness and pain.

2. Chewing food: Carry sugar-free gum, nuts, or other easy-to-chew snacks. Continue chewing during takeoff and landing phases. The chewing motion repeatedly opens the Eustachian tube, promoting airflow and relieving pain caused by pressure differences in the middle ear.

3. Pinch-and-blow (Valsalva maneuver): Gently pinch both nostrils closed with your fingers, keep your mouth shut, and slowly blow air into your nasal passages. Stop when you feel a slight fullness in your ears. Repeat several times to help adjust middle ear pressure and alleviate ear pain. Be careful not to blow too hard.

4. Ear massage: Cover your ears with the palms of your hands, gently press down, then quickly release. Repeat this action multiple times. The pressure changes stimulate the ears, improve local blood circulation, and help relieve ear discomfort caused by pressure changes.

5. Adjusting sitting posture: If space permits, adjust your posture so that your head is slightly tilted forward, or slightly elevate your head and rest it against the headrest, avoiding tilting your head backward. This position helps reduce pressure buildup in the ears and relieve pain, especially recommended during aircraft descent.

Takeoff and landing are high-risk periods for ear pain, so it's important to prepare in advance. Individuals with conditions such as otitis media or rhinitis should consult a doctor before flying. If ear pain persists after landing or is accompanied by hearing loss, seek medical evaluation promptly.

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