Airplane ear treatment: Ask the expert

Last update on Sep, 07, 2025
Dr. Tom Tedeschi

Dr. Thomas Tedeschi, Au.D.

Chief Audiology Officer, Miracle-Ear

Planning a summer vacation?
I feel a lot of pressure and even some pain in my ears when I am on a plane.

"I’m planning a summer vacation and will be traveling on an airplane. The problem is, I feel a lot of pressure and even some pain in my ears, especially when the plane is taking off or landing. Do you have any suggestions?"

You’ve just identified the number one medical complaint among air travelers, airplane ear! For most people, the problem is a blocked-up sensation deep inside the ear. Sometimes, as you’ve experienced, there can also be ear pain after flying, as well as temporary hearing loss. Conditions such as the common cold, the flu, sinus infections, ear infections and allergies may exacerbate ear problems for the airplane passenger.

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Airplane ear,” as it’s commonly called, occurs when air pressure in the middle ear and external ear are out of sync, placing stress on your eardrum and other middle ear tissues. As you know, the problem is often worst when the airplane is taking off or descending.

A quick swallow or yawn will usually “pop” the ears and ease the airplane ear pressure discomfort. “Popping” is one of the most effect airplane ear treatments out there. If that’s not enough, here are some other airplane ear pain treatments for making air travel more pleasant for your ears:

  • Chew gum, or let a mint melt in your mouth; this will cause you to swallow more frequently, activating the muscle that opens the Eustachian tube.
  • Yawn frequently; this is a stronger muscle activator than swallowing.
  • Avoid sleeping during descent because you may not swallow or yawn enough to keep up with the air pressure changes.
  • If yawning or swallowing do not work, pinch your nostrils shut, breathe in through your mouth, and force the air into the back of your nose (as if you’re trying to blow your nose).

Lastly, if you experience a severe case of “airplane ear,” please seek treatment from your physician.

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What exactly is airplane ear?

Airplane ear, also known as ear barotrauma or aerotitis media, is the discomfort, pain, or pressure you feel in your ears during or after a flight. It happens when there's an imbalance between the air pressure in your middle ear and the air pressure outside, typically during takeoff or landing.

Your ears have a small passage called the Eustachian tube, which connects the middle ear to the back of your nose and throat. This tube helps equalize pressure on both sides of your eardrum. But when you're flying, especially during rapid altitude changes, the pressure in the cabin changes faster than your Eustachian tube can adjust.

If the Eustachian tube is blockedfrom a cold, allergies, or sinus congestionair can't flow properly in or out of the middle ear. This causes the eardrum to stretch inward or outward, leading to a feeling of fullness, muffled hearing, discomfort, or even sharp pain.

In most cases, airplane ears are temporary and harmless, but in severe situations, it can lead to fluid buildup, dizziness, hearing loss, or a ruptured eardrum.

Simple actions like swallowing, yawning, or using decongestants before a flight can help prevent airplane ear and keep your ears feeling normal during air travel.

How to relieve ear pressure after flying for kids

Young children often can’t perform pressure-relief maneuvers, so different approaches are needed.

  • For infants and babies, feeding them with a bottle or using a pacifier encourages constant swallowing. Always keep them upright during feeding them to avoid choking.
  • Older children can drink water or suck on hard candy or gum to stimulate swallowing.
  • A decongestant—either oral or nasal—can be given about 30 minutes before takeoff or landing but only under medical advice.

The Hot Cup Hack: a new airplane ear remedy

If traditional methods haven’t relieved your in-flight ear pain, there’s one more trick you might want to try—shared by TikTok user Baby Griffin.

In a video that’s racked up with over 6 million views since early December 2024, she’s seen on a plane holding a paper cup over her ear. The on-screen text reads:

 

“When the flight attendant sees you struggling & saves you with a ‘hot cup,’ because you thought your eardrum was going to explode during descent.”

 

She credits the flight attendant for saving her from severe ear pain. “I owe that girl!” she wrote in the caption. Surprisingly, not all crew members know the trick: she says a flight attendant on a later flight had never heard of it, prompting her to share it with others.

 

In a follow-up video, Baby Griffin explains the process:

  • Ask a flight attendant for a paper coffee cup and a few napkins or paper towels.
  • Have them dampen the napkins with hot water (easily available on board with tea and coffee service).
  • Place the hot, damp paper in the bottom of the cup.
  • Hold the open end of the cup over your affected ear.
  • Wait for relief as the steam works its magic.

She recommends asking for a “hot cup” if you feel ear pain coming on—but keep in mind not all crew members may be familiar with the term, so be prepared to explain.

Though it’s trending on social media, the hot cup method isn’t new. Many medical professionals have long recommended it for ear pressure, whether on planes or on the ground.

The warm steam inside the cup helps relax the tissue around the ear and improves blood flow. This can make it easier for the Eustachian tubes to open, allowing trapped air and pressure to release—bringing fast, natural relief.

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How to get rid of ear pain after flying: 6 home remedies

What to do when your ears hurt during flight? Here are 6 effective methods adults can use to relieve airplane ear, plus a few tips to help children manage it as well.

1. Swallowing

Swallowing activates muscles that help open the Eustachian tubes, equalizing pressure in the ears. It’s especially helpful for children, who may struggle to perform other pressure-relieving techniques.

2. Chewing Gum

Chewing gum or sucking on hard candy helps in two ways:

  • It boosts saliva production, which increases swallowing.
  • Continuous chewing encourages the Eustachian tubes to open.

3. Valsalva Maneuver

To do this, close your mouth and pinch your nose shut. Then gently blow air through your nose. The pressure created can help push air into the Eustachian tubes. Be careful - blowing too forcefully can damage your eardrum.

4. Toynbee Maneuver

Like the Valsalva maneuver, this involves closing your mouth and nose, but instead of blowing, you swallow. Drinking a mouthful of water can make it easier.

5. Frenzel Maneuver

Often used by scuba divers, this technique closes the trachea and uses tongue pressure to push air into the Eustachian tubes. It’s effective for equalizing middle ear pressure. To do this, pinch your nose, close your throat as if you're lifting something heavy, and use the back of your tongue to push air upward—similar to making a “k” or “guh” sound without actually voicing it.

6. Yawning

Forceful yawning can help open the Eustachian tubes. Repeat several times until the pressure eases.

How to get rid of airplane ear with OTC devices

In addition to natural techniques, several over-the-counter tools can help relieve pressure in the ears during flights. Here are a few commonly used options:

  • Plane Earplugs

Specially designed earplugs are available that help regulate ear pressure. Unlike standard earplugs, these allow controlled airflow between the ear and the surrounding environment. While scientific evidence on their effectiveness is limited, many travelers use them as a precaution. They’re affordable, safe, and pose no known risks.

  • Eustachian Tube Ventilation Device

This is a medical device used to open Eustachian tubes. To use it, insert the tip into one nostril and press the button to release a burst of air into the nasal cavity. This airflow helps force the Eustachian tube open, allowing trapped fluid and pressure to escape from the middle ear. It should only be used under the guidance of a healthcare professional.

  • Nasal Balloon Auto-Inflation Device

This is a small, balloon-based device designed to open the Eustachian tubes. It has a nozzle on one end and an uninflated balloon on the other. To use it, place the nozzle in one nostril, block the other nostril with a finger, and blow to inflate the balloon. This creates pressure like the Valsalva maneuver, helping equalize ear pressure. It is especially helpful for children and individuals who struggle to perform pressure-equalizing techniques on their own.

How to relieve eardrum pain after flying

If your ears are still aching after you land, you’re not alone. Eardrum pain from flying—often due to pressure imbalances—can linger long after descent. While techniques like yawning or chewing gum are well-known, here are some less commonly mentioned but effective ways to ease that discomfort:

1. Use Steam Inhalation

Inhale warm steam by taking a hot shower or using a bowl of steaming water with a towel over your head. The steam helps loosen mucus and encourages the Eustachian tubes to open naturally, relieving pressure and soothing pain.

2. Try Over-the-Counter Pain Relievers

If the pain is sharp or throbbing, medications like acetaminophen or ibuprofen can help reduce inflammation and discomfort. While these won’t fix the pressure imbalance, they can make the pain more manageable as your ears recover.

3. Limit Exposure to Loud Sounds

After a flight, your eardrums may be more sensitive. Avoid loud environments or listening to music with earbuds at high volume, as this can aggravate irritation and delay healing.

4. Avoid Rapid Altitude Changes

If possible, avoid hiking, diving, or driving through mountainous areas for a day or two after flying. This allows your ears time to normalize without experiencing additional pressure shifts.

5. Use Moist Heat, Not Just a Warm Compress

Apply a heated gel pack or a warm rice sock to the affected ear. Unlike a damp compress, these provide steady, penetrating heat that can help relieve inner ear pressure more effectively.

If symptoms worsen or don’t improve within 48 hours, consult a doctor to rule out infection or a ruptured eardrum.

What’s the best medicine for airplane ears?

Airplane ears occur when changes in cabin pressure during takeoff or landing cause discomfort or pain in the ears. While it usually resolves on its own, certain medications can help relieve symptoms, especially if you're prone to congestion or have a cold, allergies, or sinus issues.

The most recommended medicine is a nasal decongestant, available in both spray and tablet form. It helps reduce swelling in the nasal passages and Eustachian tubes, making it easier for pressure to equalize in the middle ear. It’s best to take a decongestant about 30 to 60 minutes before the plane begins to ascend or descend.

Oral antihistamines can also be helpful if your ear pain is related to allergies, as they reduce inflammation and fluid buildup in the sinuses and ears. In some cases, combining an antihistamine with a decongestant may be more effective.

If you're experiencing pain after the flight, over-the-counter pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen can ease discomfort.

Always consult a healthcare provider before using these medications, especially for children, pregnant travelers, or individuals with heart conditions. When used properly, these medicines can make your flying experience far more comfortable.

Ear drops for ears plugged from airplane travel

If your ears feel blocked after a flight, you might wonder whether ear drops can help. The answer depends on what's causing the blockage.

In some cases, ear drops can be helpfulespecially if your ears are plugged due to fluid buildup from allergies, a cold, or sinus congestion. Certain over-the-counter drying or decongestant drops may reduce moisture in the ear canal and ease mild discomfort. If earwax buildup is contributing to the problem, earwax-softening drops can also help loosen and remove the blockage.

However, if your ear feels plugged due to air pressure changes—the most common cause of airplane ear—ear drops are usually not effective. That’s because the problem typically originates behind the eardrum, in the Eustachian tube, which ear drops can’t reach.

In these cases, other methods are more effective, such as:

  • Nasal decongestants or antihistamines (before or after flying)
  • Steam inhalation to relieve sinus pressure
  • Breathing techniques like swallowing or gentle pressure maneuvers
  • Tools designed to open the Eustachian tubes, such as balloon inflators or nasal air devices

Important: If you notice ear pain, hearing loss, or fluid discharge after flying, avoid using drops and consult a healthcare professional—especially if a ruptured eardrum is suspected.

How long will my airplane ear last?

Airplane ear, the discomfort or pressure you feel in your ears during or after a flight, usually lasts from a few minutes to a few hours. In most cases, symptoms go away on their own shortly after landing, especially once the pressure inside the ears equalizes with the surrounding environment.

However, how long it lasts can vary based on a few factors:

  • Mild cases: Typically resolve within a few minutes to a few hours after descent.
  • Moderate cases: If you have congestion from a cold, allergies, or sinus issues, symptoms may last up to 24–48 hours.
  • Severe cases (barotrauma): In rare instances, airplane ear may cause a ruptured eardrum or fluid buildup. Symptoms like pain, muffled hearing, or ringing may persist for several days or even weeks and may require medical attention.

What to do if your ear is still clogged a few days after flying? If symptoms such as pain, hearing loss, or a feeling of fullness in the ear last more than two days, or if you notice fluid leaking from the ear, it’s best to see a healthcare provider. Prompt treatment can help prevent complications and restore comfort more quickly.

Feeling ear pain after flying with a cold

Flying with a cold often increases the risk of ear pain due to blocked Eustachian tubes, which normally help equalize pressure between the middle ear and the environment. When these tubes are congested, pressure can build up during a flight, especially during descent, causing discomfort or even sharp pain. If you're experiencing ear pain after flying while sick, here’s what you can do to find relief:

  • Start by using a nasal decongestant, either as a spray or oral medication. This helps reduce swelling in the nasal passages and Eustachian tubes, allowing pressure to normalize more easily. Always follow dosage instructions, and avoid overusing nasal sprays, as they can cause rebound congestion.
  • Applying a warm compress to the affected ear can also help. A warm washcloth or heating pad used for 10–15 minutes may relieve discomfort by improving circulation and relaxing nearby muscles.
  • Stay upright and well-hydrated after your flight. Avoid lying down, and drink plenty of fluids to help thin mucus and encourage natural drainage from your sinuses and ears.
  • Avoid blowing your nose forcefully, as this can push mucus into the middle ear and worsen the problem.
  • If needed, over-the-counter pain relievers like ibuprofen or acetaminophen can reduce pain and inflammation while your ears recover.
  • Finally, if ear pain lasts more than 48 hours or is accompanied by hearing loss, dizziness, or fluid drainage, consult a healthcare provider. You may have developed a middle ear infection or a perforated eardrum that requires medical treatment.

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