How to relieve ear pain during a flight

Nov 28, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
Ear pain during air travel can be relieved by actively swallowing, chewing food, performing the Valsalva maneuver (pinching the nose and gently blowing), keeping the ear canal clear, and adjusting seating posture. The key is to equalize pressure between the inside and outside of the ear. If ear pain is severe, persistent, or accompanied by hearing loss or tinnitus, prompt medical attention is recommended. Frequent swallowing, such as drinking water at regular intervals,

Ear pain during air travel can be relieved through active swallowing, chewing certain foods, performing the Valsalva maneuver (pinching the nose and gently blowing), keeping the ear canal clear, and adjusting seating posture. The key is to balance the air pressure inside and outside the ear. If ear pain is severe, persistent, or accompanied by hearing loss or tinnitus, prompt medical attention is recommended.

1. Active swallowing: Frequently perform swallowing actions, such as drinking water at regular intervals or swallowing saliva. This helps open and close the Eustachian tube, allowing air to enter the middle ear and equalize pressure. This is especially important during takeoff and landing and is simple and easy to perform.

2. Chewing certain foods: Chew gum, hard candy, or nuts. The movement of the chewing muscles promotes opening of the Eustachian tube. Continuous chewing effectively balances ear pressure and relieves ear fullness or pain.

3. Performing the Valsalva maneuver: Gently pinch your nose, close your mouth, and slowly blow air into your nasal passages. The airflow will pass into the Eustachian tube, helping to equalize middle ear pressure. Be sure to apply gentle force and avoid excessive pressure.

4. Keeping the ear canal clear: Avoid wearing earplugs or headphones that block the ear canal. Remove excess earwax in advance if present, ensuring unobstructed ventilation in the ear canal and reducing pressure differences that may irritate the eardrum.

5. Adjusting seating posture: During takeoff and landing, remain seated or in a semi-reclining position—avoid lying flat. Slightly turning your head from side to side can help open the Eustachian tubes and reduce ear pressure.

Avoid flying with a cold or active rhinitis; if you have an upper respiratory infection, consider postponing your trip. Avoid frequent ear cleaning during flight, keep your mouth moist, and minimize intake of spicy or irritating foods to reduce the risk of ear discomfort.