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Ear barotrauma is discomfort in the ear due to pressure differences between the inside and outside
of the eardrum. It may include damage to the ear.
swallow, yawn, and chew when you feel symptoms of barotrauma, which can relieve symptoms
When flying, DO NOT sleep as the plane prepares to land. Repeat the listed steps to open
the Eustachian tube. For infants and small children, nursing or taking sips of a drink may help.
You may need medicine to relieve nasal congestion and allow the Eustachian tube to open. These
include:
Steroids
Prevention
You can use nasal decongestants (spray or pill form) before altitude changes. Try to avoid altitude
changes while you have an upper respiratory infection or allergy attack.
Talk to your provider about using decongestants if you plan to scuba dive.
Is the use of decongestants and nose sprays recommended?
Many experienced air travelers use a decongestant pill or an over the counter nasal spray an hour
or so before descent. This will shrink the membranes and help the ears pop more easily. Travelers
with allergy problems should take their medication at the beginning of the flight for the same
reason. However, avoid making a habit of over the counter nasal sprays. After a few days, they
may cause more congestion than relief.
Decongestant tablets and sprays can be purchased without a prescription. However, they should
be avoided by people with heart disease, high blood pressure, irregular heart rhythms, thyroid
disease, or excessive nervousness. Such people should consult their physicians before using these
medicines. Pregnant women should likewise consult their physicians first.
Consult with your surgeon on how soon after ear surgery it is safe to fly.
Patients in good health can take a decongestant pill or nose spray approximately an hour before
descent to help the ears pop more easily.
Chew gum or suck on a hard candy just before take-off and during descent.
When inflating the ears, do not use excessive force. The proper technique involves only pressure
created by the cheek and throat muscles.
These tips may also be used for people who scuba dive.
Ear Infections and Earaches, Symptoms and Treatment | ENT Doctors & Specialists in Los
Angeles and Beverly Hills
If you would like to speak with one of our ENT specialists about ear infection and earache
symptoms and treatment options, we at OHNI will be happy to schedule an appointment or
phone consultation with you.
Ear Infections And Earaches
What is an ear infection?
An ear infection can be in any three parts of the ear. It can be in the outer ear, the middle ear or
the inner ear. An outer ear infection would be like a swimmers ear, where its very painful, red
and swollen, and there may be fluid coming from the ear. Middle ear infection is when Otitis
Media bacteria get behind the ear drum and cause inflammation and pain. An inner ear infection
can be caused by a virus that infects the brain itself, like Encephalitis, or is isolated to the inner
ear, most commonly giving symptoms of hearing loss or dizziness.
The doctor featured in this informational video is Dr. Jason S. Hamilton, of the Osborne Head &
Neck Institute in Los Angeles, California. He is Board-Certified in Facial Plastic and
Reconstructive Surgery and Otolaryngology/Head and Neck Surgery and a member of the
Academy of Facial Plastics and Reconstructive Surgery.
If you would like to learn more about Dr. Hamilton, view his biography and contact
information on the OHNI main website: ENT Specialists in Los Angeles.