- One of the simplest tricks is the Valsalva maneuver. Simply close your mouth, pinch your nose and direct air into your nose as if you were going to blow it. This should help reduce the pressure on the ears' eustachian tubes. Repeat the maneuver periodically during ascent and descent. Chewing gum, swallowing or yawning can have the same effect.
- Using a nasal decongestant spray a few hours before your flight can help prevent airplane ear. Oral decongestants and antihistamines also can help, especially if you have a cold or allergy problem. Another product to consider is a type of earplug that regulates air pressure. It's sometimes sold under the brand name Earplanes. These earplugs work by restricting the flow of air to the eardrum. Simply insert them before takeoff and do not remove them until the plane has reached cruising altitude. Put them back in for descent.
- In rare cases airplane ear can become quite serious, especially when you have a cold, which can block the eustachian tube. The eardrum can stretch because of the pressure imbalance, leading to ear infections, burst eardrums, hearing loss, vertigo or tinnitus (ringing in your ears). In severe cases, your doctor may choose to perform a myringotomy, a minor surgical procedure in which the eardrum is punctured to release pressure or drain it of excess fluid.
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