Between the jet lag, dry air, and muscle-cramping seating
in coach, flying can really do a number on your health. But one of the
most common body complaints fliers experience tends to go overlooked or be
blown off as no big deal: clogged or plugged ears.
The proper term is “ear barotraumas,” which pretty accurately
describes the pain and discomfort the condition typically causes.
This complaint isn’t just a passing annoyance. Besides starting your
vacation or business trip on a particularly sour note, it can also
lead to some pretty serious complications, too.
To understand what’s behind that clogged sensation, you’ll
need a quick anatomy lesson. Your ear is divided into three sections: the outer
ear, the middle ear (which houses the eardrum), and the inner ear. The middle
ear is connected to the back of the nose and upper throat via a passageway
called the Eustachian tube, whose job it is to stabilize the air pressure
levels between your nose and ear.
“Our Eustachian tubes open and close multiple times a day,
but the passageway is so tiny that we don’t really notice it as long as it’s
moving properly,” says Ana Kim, MD, an otolaryngologist at Columbia Doctors
Midtown and associate professor of otolaryngology—head and neck surgery at
Columbia University Medical Center in New York.
“When we’re flying, however, there’s a rapid change in the
barometric [air] pressure, which causes a collapse of the Eustachian tubes and
interferes with the normal air flow from the nose to the ear,” explains Kim.
Getting on a plane while you're sick with a cold or other head infection
that triggers nasal congestion makes those changes in air pressure
even worse.
“If you have an active ear or sinus infection, you’re taking away what
little volume of air you have [in the Eustachian tube] by flying, which could
cause a lot of pain,” says Kim. Gwen Stefani
experienced this a few
weeks ago when she hopped a flight while fighting a cold and ended up with a
ruptured ear drum due to changes in cabin pressure, boyfriend Blake
Shelton told Entertainment Tonight.
To re-stabilize the air pressure levels and prevent uncomfortable
aching, you’ll need to open up those tubes. Here are three things to try
if it happens to you.
Pinch
your nose and blow—gently!
To get your ears to “pop,” you can try closing off your nose and
mouth, then gently forcing the air into the middle ear. Do not—repeat, do not—blow
too hard. Doing so can actually rupture the membranes of the cochlea (the organ
that allows us to hear), says Kim. And when that happens, fluid can leak out,
causing hearing loss, nerve damage, dizziness, or a type of ringing in the ear
called tinnitus.
Move your mouth muscles
Call it a good reason to keep a pack of gum in your carry-on:
moving the muscles of your jaw by chewing, yawning, or swallowing water or
another beverage can help reopen the Eustachian tubes, says Kim. If
you're traveling with a baby or toddler and you suspect (or they tell you)
their ears are plugged up, have them sip juice or water or use a pacifier to
get those mouth muscles going.
Take
a decongestant
Medications like Afrin shrink blood vessels and
reduce inflammation in your nasal cavity. Since it
works right away, you can take it 10 minutes before takeoff to prevent your
ears from clogging in the first place. One word of caution: Although these
meds are over-the-counter, people who have heart problems or are pregnant
shouldn’t take them unless they’ve cleared it with their doctor
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