Traveling with a cold can be more than just uncomfortable—it can pose serious health risks, particularly to your ears. Colombian pilot Captain Jaimes García has highlighted the dangers of flying while congested, emphasizing the potential for severe ear complications that many travelers may not be aware of.

When you’re dealing with a cold, your Eustachian tubes—the small passages connecting the middle ear to the back of your throat—can become inflamed and blocked. This blockage prevents proper equalization of pressure between your middle ear and the external environment, an issue that becomes particularly problematic during an airplane’s ascent and descent. As a result, the pressure imbalance can lead to ear barotrauma, causing symptoms such as sharp ear pain, a sensation of fullness, muffled hearing, and in extreme cases, a ruptured eardrum.
Captain García warns that when congestion is severe, the inability to equalize ear pressure can increase the risk of eardrum rupture, which is not only painful but may also result in temporary or even permanent hearing loss. Health expert Professor Franklin Joseph further explains that flying with a cold can intensify sinus pressure, leading to severe headaches, facial pain, and breathing difficulties. This can be especially dangerous for individuals with pre-existing respiratory conditions, as it may worsen their symptoms and make flying an even more distressing experience.

To minimize the risk of ear damage, travelers should take precautionary measures before boarding a flight. Using a decongestant nasal spray before takeoff and landing can help reduce nasal inflammation, making it easier for the Eustachian tubes to function properly. Chewing gum or swallowing frequently during ascent and descent can also aid in equalizing ear pressure naturally. Staying hydrated is crucial, as dehydration can worsen congestion, so drinking plenty of water before and during the flight is recommended. On the other hand, caffeine and alcohol should be avoided, as they can contribute to dehydration and exacerbate the problem.
For those who frequently experience ear discomfort while flying, using specialized earplugs designed to regulate pressure changes can provide relief. Additionally, simple actions like yawning, swallowing, or performing the Valsalva maneuver—pinching your nose and gently exhaling—can help maintain balanced ear pressure. However, if symptoms persist or become severe, seeking medical attention is advisable, as prolonged ear problems may require professional treatment.

While many travelers assume that flying with a cold is merely an inconvenience, the reality is that it can have serious consequences for ear health. Taking preventive measures can make a significant difference, ensuring a safer and more comfortable flight experience while reducing the risk of long-term damage.