Airplane Ear Pain: Pressure, Children and Safe Relief

Why ears hurt

The Eustachian tube helps balance pressure between the middle ear and the cabin. A cold, sinus infection, allergies or an ear infection can prevent it from opening normally. Descent is often the most uncomfortable part of the flight.

What can help

For a gentle Valsalva manoeuvre, pinch the nose, close the mouth and blow very lightly. Stop if pain increases.

Children and babies

• Breastfeed, offer a bottle or a pacifier during climb and descent.
• Give older children small sips of water.
• Keep children awake during descent when possible.
• Ask a clinician before flying with an ear infection or severe congestion.

Medication caution

Decongestants are not appropriate for everyone and should not be used automatically for children. Ask a doctor or pharmacist about pregnancy, high blood pressure, heart disease, medication interactions or a recent ear procedure.

Before the flight

• Have a significant infection or congestion assessed.
• Keep water, gum and medication in cabin baggage.
• Prepare a bottle or pacifier before descent.
• Keep insurance details available offline.