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Medical Forum / Diseases and Disorders / Sinusitis / March 2008

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Sinus infection and air travel

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Justin Case - 16 Mar 2008 01:03 GMT
I have a question about sinus infections and a traveling on a airplane.  
I'm asking this question because of an incident I had about a year ago when
I flew and had a sinus infection.  I'm not a medical professional so some
of my descriptions may not be medically precise but I'm trying to describe
this as accurately as possible.  I was flying a commercial flight
(Southwest I believe).  Take off was fine, and the flight was fine, but my
problem began as the flight began its decent in to Phoenix Sky Harbor.  For
some reason, the pressure did not change in my right ear (or did not change
as fast).  I kept waiting for the regular pop but never came.  Instead it
became painful.  As the plane descended more, it became more and more
painful.  A short time after the plane landed the pressure seemed to
equalize and the pain gradually subsided.

This was a very painful experience that I don't really care to repeat.  I
have a sinus infection and I'm flying tomorrow.  Any ideas or suggestions
on how to minimize this from happening?

Can someone explain what happened?  Is this a common thing?  Is there a
potential for permanent hearing damage?

Thanks for any assistance.
Susan - 16 Mar 2008 01:13 GMT
> I have a question about sinus infections and a traveling on a airplane.  
> I'm asking this question because of an incident I had about a year ago when
[quoted text clipped - 17 lines]
>
> Thanks for any assistance.

I can't answer your questions about damage or exactly what happened
other than pressure buildup causing pain, but I can tell you that
sucking on a very strong menthol drop during landing will usually stop
the pain, and that EarPlanes pressure equalizing ear plugs are also
very, very useful for it.  They make them because this problem is very
common.

Also, try taking a decongestant before your flight.

Susan
Fred - 16 Mar 2008 01:33 GMT
> I have a question about sinus infections and a traveling on a airplane.  
> I'm asking this question because of an incident I had about a year ago when
[quoted text clipped - 17 lines]
>
> Thanks for any assistance.

I would suggest that you spray Afrin into your nose and perhaps take
some Pseudophed.  Prevent your membranes from loading up with mucus
and then they can drain and you should not have to deal with the
pressure equalization problem.  Some pilots and scuba divers have had
hearing damage.   I know that scuba divers actually use Afrin to
prevent air presssure equalization problems.  I think everyting should
work if you don't have so much mucus in your sinus membranes.  You
might check with your doctor to verify my advice.  I know that this is
the action that I would take.
judy.n - 16 Mar 2008 14:03 GMT
> > I have a question about sinus infections and a traveling on a airplane.  
> > I'm asking this question because of an incident I had about a year ago when
[quoted text clipped - 27 lines]
> might check with your doctor to verify my advice.  I know that this is
> the action that I would take.

Due to infection your eustachian tube couldn't equalize the pressure
and you developed painful negative pressure within the middle ear.
Sometimes your ear drum can rupture.
My ENT has me use afrin before flight and I chew gum. When I've had a
sinus infection, he would give me a couple of days of prednisone
before the flight to try and open things up.
I had the experience once, and it's never come back if I spray afrin a
half hour before take off--it's 12 hours, so I don't find the need to
use it again before landing. I did try the ear planes, but didn't find
them helpful, others do, though.
Judy
Susan - 16 Mar 2008 17:52 GMT
 I did try the ear planes, but didn't find
> them helpful, others do, though.
> Judy

I found Ear Planes only moderately helpful, but strong menthol candy is
amazingly effective.  An old woman gave it to my suffering child on a
flght once, saying her doctor had recommended it. Really, REALLY works,
even after pain is active.

Susan
Murray Grossan - 16 Mar 2008 18:15 GMT
On 3/16/08 9:52 AM, in article 6451imF2a9t8bU1@mid.individual.net, "Susan"
<nevermind@nomail.com> wrote:

> x-no-archive: yes
>
[quoted text clipped - 8 lines]
>
> Susan
Yes menthol Is good, so is Benzedrex inhaller. Carry tea bags and drink hot
tea. Moisten the nose with nasal moisturizer gel. My company Hydro Med makes
one.
Susan - 16 Mar 2008 18:55 GMT
> Yes menthol Is good, so is Benzedrex inhaller. Carry tea bags and drink hot
> tea. Moisten the nose with nasal moisturizer gel. My company Hydro Med makes
> one.

ANy water soluble moisturizer is fine, something like K-Y, for instance.
I moisturize with Bactroban ointment before I get on a plane, to trap
germs and to moisturize.

Susan
Becca - 16 Mar 2008 15:28 GMT
> I would suggest that you spray Afrin into your nose and perhaps take
> some Pseudophed.  Prevent your membranes from loading up with mucus
> and then they can drain and you should not have to deal with the
> pressure equalization problem.  Some pilots and scuba divers have had
> hearing damage.   I know that scuba divers actually use Afrin to
> prevent air presssure equalization problems.  

Fred, that is exactly what I do.  I take pseudophed  and I use Afrin
before each flight. I buy the 12 hour pseudophed, so I only have to take
it once. If I take a long, overnight flight, I might have to take
another one before landing and I have to use the Afrin again. I use
Afrin when I go diving, but not the pseudophed.

Becca
Steven L. - 16 Mar 2008 17:42 GMT
> This was a very painful experience that I don't really care to repeat.  I
> have a sinus infection and I'm flying tomorrow.  Any ideas or suggestions
> on how to minimize this from happening?

Yep. Stay off the plane.  Postpone the flight.  You are ILL and have a
good excuse not to go.

If possible, look into alternatives:  Amtrak or Greyhound bus; or rent a
car and drive to wherever you need to go.

> Can someone explain what happened?  Is this a common thing?  Is there a
> potential for permanent hearing damage?

Yep.  A friend of mine went traveling with sinusitis and blew out her
sinuses permanently.  That one flight turned her acute sinusitis into
chronic sinusitis.

DON'T DO IT.

Don't ask for trouble.

Signature

Steven L.
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

Justin Case - 20 Mar 2008 20:57 GMT
Thanks everyone for the info and suggestions.  I'm back from my trip with
no problems to report.  I used my prescription decongestang (Omnihist II)
with no problems. I couldn't find the ear plugs but fortunatly I didn't
need them.

> I have a question about sinus infections and a traveling on a
> airplane.  I'm asking this question because of an incident I had about
[quoted text clipped - 18 lines]
>
> Thanks for any assistance.

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