Baby Ear Pain During Takeoff and Landing
Babies often cry during takeoff or landing because rapid cabin-pressure changes can create uncomfortable pressure behind the eardrum. The discomfort is usually temporary, but babies cannot intentionally yawn or “pop” their ears as easily as adults.
Breastfeeding, bottle-feeding or offering a pacifier can encourage swallowing and help equalize the pressure. Ear pain is usually more noticeable during descent and landing, especially when a baby has a cold, nasal congestion, fluid behind the eardrum or a recent ear infection.
This guide explains why babies’ ears hurt on flights, when to start feeding, whether a pacifier helps, how long airplane ear lasts and which warning signs need medical attention.
Quick answer: Offer your baby the breast, a bottle or a pacifier during takeoff and especially during descent. Keep the baby reasonably upright while feeding, allow frequent swallowing and never give decongestants, antihistamines or pain medicine for a flight unless your pediatrician has advised it for your baby.
Table of Contents
- Why Do Babies’ Ears Hurt on Flights?
- Is Ear Pain Worse During Takeoff or Landing?
- Signs Your Baby Has Airplane Ear
- How to Relieve a Baby’s Ear Pressure
- Breastfeeding or Bottle-Feeding
- Does a Pacifier Help?
- When Should You Start Feeding?
- Should the Baby Be Held Upright?
- Should You Wake a Sleeping Baby?
- Flying With a Cold or Ear Infection
- Should You Give Medicine Before Flying?
- Can Flying Damage a Baby’s Eardrum?
- How Long Does Airplane Ear Last?
- When Should You Contact a Doctor?
- Can a 3-Month-Old Baby Fly?
- Before-the-Flight Checklist
- Takeoff and Landing Checklist
- What Parents Should Not Do
- Related Baby Flight Guides
- Medical Sources
- Frequently Asked Questions
Why Do Babies’ Ears Hurt on Flights?
The air pressure inside an aircraft cabin changes as the plane climbs and descends. The middle ear also contains air, and the pressure on each side of the eardrum needs to remain reasonably balanced.
A small passage called the Eustachian tube connects the middle ear to the back of the nose and throat. Swallowing helps this tube open so that air can move and pressure can equalize.
Babies are more likely to experience difficulty because their Eustachian tubes are:
- Smaller than those of adults
- Narrower and more easily blocked
- More horizontal in position
- More affected by colds, mucus and middle-ear fluid
When the pressure cannot equalize quickly, the eardrum stretches inward or outward. This can produce pressure, muffled hearing and pain known as airplane ear or ear barotrauma.
Airplane ear is not the same as an ear infection. Pressure changes do not normally create an infection, although an existing infection or congestion can make flight-related pain worse.
Do Babies’ Ears Hurt More During Takeoff or Landing?
Ear discomfort can occur during both takeoff and landing, but it is often worse during descent.
| Flight Stage | What Happens to Pressure | What Parents May Notice |
|---|---|---|
| Takeoff and climb | Cabin pressure gradually decreases as the aircraft climbs. | The baby may become unsettled, swallow repeatedly or cry briefly. |
| Cruising altitude | Cabin pressure becomes relatively stable. | Pressure discomfort commonly improves. |
| Descent and landing | Cabin pressure increases and air must move back into the middle ear. | Pain may be stronger because blocked Eustachian tubes may not open easily. |
Landing is usually the critical period. Have the bottle, pacifier or breastfeeding setup ready before the descent begins rather than waiting until the baby is already crying in pain.
Signs Your Baby Has Airplane Ear
A baby cannot explain that the ears feel blocked, so parents must look for behavioral clues.
Possible signs include:
- Sudden crying during climb or descent
- Pulling or rubbing an ear
- Repeated swallowing
- Refusing the breast or bottle because of discomfort
- Becoming unusually restless
- Turning the head from side to side
- Waking suddenly as the aircraft descends
- Settling soon after the plane levels off or lands
Crying alone does not prove that the baby has ear pain. A baby may also be hungry, tired, overstimulated, cold, hot or uncomfortable in the seat.
How to Relieve a Baby’s Ear Pressure From Flying
The most useful action is to encourage swallowing while cabin pressure is changing.
Depending on the baby’s age and routine, you can:
- Breastfeed
- Offer a bottle
- Offer a pacifier
- Give an older baby small sips from an age-appropriate cup
- Hold the baby in a reasonably upright feeding position
- Keep the baby calm enough to suck and swallow
- Offer several shorter feeds rather than one large feed
Prepare before descent: Keep the bottle, expressed milk, formula, burp cloth and pacifier within reach. You may not be able to open the overhead bin once the seat-belt sign is on.
Does Breastfeeding or Bottle-Feeding Help Baby Ear Pain?
Yes. Sucking and swallowing help open the Eustachian tubes and equalize pressure behind the eardrums.
You can use:
- Direct breastfeeding
- Expressed breast milk in a bottle
- Infant formula
- An age-appropriate drink for an older baby
Do not try to make the baby finish a large feeding solely for ear pressure. Repeated small swallows may be enough.
Breastfeeding during pressure changes
The Centers for Disease Control and Prevention advises nursing during takeoff and landing to help protect a baby from ear pain caused by cabin-pressure changes.
Plan your clothing and seat position so that you can feed comfortably. Keep a burp cloth available because feeding during a bumpy descent may result in spit-up.
Bottle-feeding during pressure changes
Keep the baby reasonably upright rather than feeding completely flat. Make sure milk fills the nipple so the baby does not swallow excessive air.
Never prop a bottle and leave the baby unattended. Hold both the baby and bottle securely.
Do not feed against active resistance. If the baby is coughing, choking, turning away or too distressed to coordinate sucking and swallowing, pause, settle the baby and try again safely.
Parents carrying milk or formula can review:
- Can I Carry Baby Food and Formula on Indian Flights?
- Can I Carry Breast Milk on Indian Flights?
- Carrying Baby Formula on Flights in India
Does a Pacifier Help a Baby’s Ears on a Plane?
Yes. A pacifier encourages sucking and repeated swallowing, which may help the Eustachian tubes open.
A pacifier can be particularly useful when:
- The baby is not hungry
- The baby has recently completed a feeding
- A bottle cannot be prepared quickly
- The parent cannot breastfeed at that moment
- The baby normally uses a pacifier for comfort
Bring more than one clean pacifier in case one falls onto the aircraft floor. A pacifier clip attached according to the manufacturer’s safety instructions may help, but never use a long cord around the baby’s neck.
A pacifier helps through swallowing—not by physically “pulling” pressure from the ear. It may reduce discomfort, but it cannot guarantee that a congested ear will equalize.
When Should You Start Feeding During Takeoff and Landing?
Timing matters. Feeding too early may leave the baby full or asleep before the main pressure change begins.
During takeoff
- Prepare the feeding while the aircraft taxis.
- Begin when the aircraft starts its takeoff roll or begins climbing.
- Continue while the baby is interested and safely swallowing.
During landing
- Listen for the crew’s descent announcement.
- Prepare the bottle or breastfeeding position early.
- Begin when you notice the aircraft descending or approximately 20–30 minutes before landing.
- Offer a pacifier if the baby finishes feeding before the pressure change is complete.
Do not delay feeding until touchdown. The most noticeable pressure change often occurs during the descent before the wheels reach the runway.
Should You Keep a Baby Upright During Takeoff and Landing?
A reasonably upright feeding position may make swallowing easier and reduce the chance of choking or milk flowing too quickly.
However, aviation safety instructions come first. Follow the cabin crew’s directions and use the child-restraint arrangement approved for your booking and aircraft.
When possible:
- Support the baby’s head and neck
- Keep the face visible
- Do not feed while the baby is lying completely flat
- Do not loosen an approved restraint contrary to crew instructions
- Stop feeding if turbulence makes it unsafe
Pressure comfort does not override restraint safety. During unexpected turbulence, securing the child safely is more important than continuing a feeding.
Should You Wake a Sleeping Baby for Takeoff or Landing?
Babies swallow less frequently while sleeping, so a sleeping baby may be less able to equalize pressure.
However, you do not necessarily need to wake a baby who is sleeping comfortably and showing no sign of pain.
A practical approach is:
- Keep a pacifier or bottle ready
- Watch for stirring, grimacing or crying
- Offer sucking as soon as the baby begins waking
- Gently wake the baby if previous flights caused severe ear pain
- Avoid fully stimulating an otherwise comfortable baby unnecessarily
For a baby who repeatedly experiences severe pain, discuss a personalized flight plan with the pediatrician before travel.
Can a Baby Fly With a Cold or Ear Infection?
A cold, nasal congestion, sinus infection or middle-ear infection can block the Eustachian tubes and make pressure equalization more difficult.
Contact your pediatrician before flying when the baby has:
- A current or recent ear infection
- A fever
- Severe nasal congestion
- Fluid draining from an ear
- Persistent ear pulling with distress
- Recent ear surgery
- Recent placement of ear tubes
- Breathing difficulty
- A chronic heart or lung condition
The American Academy of Pediatrics advises parents to ask the child’s doctor about flying after an ear infection or ear surgery, particularly when it occurred within the previous two weeks.
Do not assume that a baby is fit to fly merely because the airline accepts the booking. Airline age rules and medical fitness are separate questions.
Should You Give a Baby Medicine Before Flying?
Do not give medication solely to prevent airplane ear without advice from your baby’s pediatrician.
Decongestants and antihistamines
The CDC reports that antihistamines and decongestants have not been shown to provide a useful benefit for preventing flight-related ear pain in children. Some products are unsafe for infants and young children.
Do not give:
- Over-the-counter decongestants
- Cold and cough medicines
- Antihistamines to make the baby sleepy
- Adult nasal sprays
- Someone else’s prescription medicine
Infant pain medicine
A pediatrician may occasionally recommend an age- and weight-appropriate pain reliever when a baby has a history of significant ear discomfort or another medical reason.
Parents should confirm:
- The correct medicine
- The correct dose for the baby’s current weight
- Whether the medicine is suitable for the baby’s age
- When it should be given
- Whether another medicine contains the same ingredient
Never estimate an infant dose. Do not give aspirin to a baby or child, and do not give ibuprofen to a young infant unless the child’s healthcare professional specifically approves it.
Can a Baby’s Eardrum Be Damaged During a Flight?
Serious injury is uncommon, but a large unresolved pressure difference can occasionally cause ear barotrauma.
Possible complications can include:
- Fluid behind the eardrum
- Temporary muffled hearing
- Bleeding behind the eardrum
- A perforated or ruptured eardrum
- Dizziness or balance problems
- Rare injury to deeper ear structures
The risk may be higher when the baby has severe congestion, an ear infection or an existing ear problem.
Most crying during landing does not mean the eardrum has ruptured. Ordinary pressure pain usually improves soon after the aircraft lands and cabin pressure stabilizes.
How Long Does Baby Ear Pain Last After Flying?
For most babies and children, pressure pain improves within a few minutes after the aircraft levels off or lands.
A blocked or muffled feeling can sometimes last longer while the Eustachian tube gradually opens. Mild symptoms may persist for several hours, especially when the child has congestion.
| Symptom Pattern | What It May Mean |
|---|---|
| Crying stops shortly after landing | Typical temporary pressure discomfort |
| Mild fullness for a few hours | Pressure may still be equalizing, especially with congestion |
| Persistent severe pain | Needs medical advice |
| Ear drainage, blood or sudden hearing change | Needs prompt medical assessment |
| Fever or continuing distress | Could indicate an infection or another condition |
Call a healthcare professional if the baby remains in significant pain after the flight, appears unable to hear normally, develops fever, has fluid or blood coming from the ear, becomes very dizzy or seems unusually ill.
When Should You Contact a Doctor?
Seek medical advice promptly when the baby has:
- Severe ear pain that does not improve
- Blood, pus or clear fluid draining from the ear
- Noticeably reduced response to sound
- Loss of balance or unusual dizziness
- Repeated vomiting with dizziness
- Fever
- Persistent inconsolable crying
- Swelling or redness behind the ear
- Symptoms that continue into the next day
Urgent medical care is appropriate if the baby appears seriously unwell, has trouble breathing, is unusually difficult to wake or has another emergency symptom.
Should a 3-Month-Old Baby Fly on a Plane?
Most healthy, full-term 3-month-old babies can travel by air. The American Academy of Pediatrics states that waiting until approximately 2–3 months is preferable when possible because newborns have immature immune systems and airports expose them to crowds and respiratory infections.
Ask the pediatrician before flying when the baby:
- Was born prematurely
- Has a heart or lung condition
- Requires oxygen
- Has a current respiratory illness
- Has a current or recent ear infection
- Had recent surgery
- Has difficulty feeding or gaining weight
- Has another significant medical condition
Airlines also set minimum ages for newborn travel. Check the operating airline’s policy and any medical-certificate requirement.
Read How Early Can Infants Fly? Newborn Airline Rules and Safety Tips.
Before-the-Flight Checklist
- Ask the pediatrician about recent ear infections, congestion or surgery.
- Check the airline’s minimum infant age.
- Reserve an appropriate seat or approved child restraint where possible.
- Pack sufficient breast milk, formula or baby food for delays.
- Bring at least two clean pacifiers.
- Keep bottles and nipples easy to reach.
- Pack a burp cloth and extra clothing.
- Carry any pediatrician-approved medicine in cabin baggage.
- Bring prescriptions and medical information.
- Choose a feeding plan for takeoff and descent.
- Avoid scheduling a full feeding too close to takeoff when possible.
- Keep essentials out of the overhead bin during descent.
Takeoff and Landing Checklist
- Prepare early: Have the bottle or pacifier ready before the aircraft begins moving.
- Encourage swallowing: Breastfeed, bottle-feed or offer the pacifier during pressure changes.
- Hold safely: Support the baby’s head and neck and follow crew instructions.
- Use an upright feeding angle: Avoid feeding the baby completely flat.
- Watch breathing and swallowing: Pause if the baby coughs, chokes or struggles.
- Stay calm: Use a quiet voice, gentle touch and familiar comfort routine.
- Burp when practical: Swallowed air can add to discomfort.
- Try again during descent: Landing often produces more pressure pain than takeoff.
- Do not force food: Use a pacifier when the baby is not hungry.
- Observe after landing: Confirm that the baby settles and responds normally.
What Parents Should Not Do
- Do not give decongestants without medical advice.
- Do not use antihistamines to make the baby sleep.
- Do not give adult cold medicine.
- Do not place cotton buds or objects inside the baby’s ear.
- Do not use ear drops unless a healthcare professional recommends them.
- Do not force-feed a distressed or choking baby.
- Do not blow forcefully into the baby’s nose or mouth.
- Do not attempt an adult pressure-popping maneuver on an infant.
- Do not ignore drainage, bleeding or persistent hearing problems.
- Do not unfasten an approved child restraint contrary to crew instructions.
Final recommendation: For most babies, the safest practical approach is simple: plan a feed or pacifier for takeoff and descent, keep the baby comfortably upright, avoid unapproved medication and obtain medical advice when the baby has an ear infection, severe congestion or persistent symptoms.
Related Baby Flight Guides
- Flying With Babies and Children in India
- How Early Can Infants Fly?
- Airline Tickets for Babies and Infants in India
- Infant Baggage Allowance in India
- Diaper Bag Rules on Indian Flights
- Can I Carry Baby Food and Formula on Indian Flights?
- Can I Carry Breast Milk on Indian Flights?
- Can You Carry Baby Water on Flights in India?
- Can You Carry a Car Seat on Indian Flights?
- Can You Take a Stroller on Indian Flights?
- Do Airlines in India Provide Bassinets for Infants?
- Travel Documents Required for an Infant or Child
Medical Sources
- CDC: Traveling Safely With Infants and Children
- CDC: Travel Recommendations for Nursing Mothers
- American Academy of Pediatrics: Flying With Baby
- KidsHealth: Flying and Your Child’s Ears
- MedlinePlus: Traveling With Children
- MedlinePlus: Ear Barotrauma
Frequently Asked Questions
Do babies’ ears hurt during takeoff or landing?
They can hurt during both, but discomfort is often worse during descent and landing. The increasing cabin pressure can be difficult to equalize when the baby’s small Eustachian tubes are blocked or slow to open.
How do I relieve my baby’s ear pressure from flying?
Encourage swallowing by breastfeeding, bottle-feeding or offering a pacifier during takeoff and descent. Keep the baby reasonably upright and follow all cabin-crew safety instructions.
Does a pacifier help a baby’s ears on a plane?
Yes. Sucking on a pacifier encourages repeated swallowing, which may help the Eustachian tubes open and balance middle-ear pressure.
Why is ear pain worse during flight landing?
During descent, cabin pressure increases. Air must move through the Eustachian tube into the middle ear, which can be difficult when the tube is narrow or blocked by congestion.
Can a baby’s eardrum rupture during a flight?
A perforated eardrum from pressure changes is possible but uncommon. Seek medical attention for severe persistent pain, bleeding, ear drainage, dizziness or an apparent hearing change.
How long does baby ear pain last after flying?
Typical pressure pain improves within minutes after landing. Mild fullness may last for several hours, especially with congestion. Persistent or severe symptoms need medical advice.
Are airplanes bad for babies’ ears?
Air travel is not generally harmful to the ears of a healthy baby. Temporary pressure discomfort is common, but serious ear injury is rare.
Should I wake my baby during landing?
You may gently wake a baby who has a history of flight-related ear pain so that the baby can feed or suck on a pacifier. A baby sleeping comfortably without distress does not always need to be awakened.
Can a baby fly with an ear infection?
Flying with an ear infection can cause greater pain and may increase the risk of pressure injury. Ask the baby’s pediatrician before the trip, especially when the infection occurred within the previous two weeks.
Should I give my baby a decongestant before flying?
No, not unless the baby’s healthcare professional specifically directs it. Decongestants and antihistamines have not been shown to prevent airplane ear in children and may be unsafe for infants.
Can a 3-month-old baby fly on a plane?
Most healthy, full-term 3-month-old babies can fly. Consult the pediatrician first if the baby was premature or has an ear infection, respiratory illness, heart condition, lung condition or other medical concern.
How long does airplane ear last?
Most airplane-ear discomfort resolves within a few minutes after pressure stabilizes. A blocked sensation can last several hours, but severe pain, drainage or symptoms continuing into the next day should be medically assessed.
