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Barotitis or Baro-sinusitis.

Changes in pressure (such as traveling by air) can cause pain in the ears or in the sinues.
Ear aches that are caused by pressure changes and not by either bacteria or viruses
called barotitis. Sinus pain caused by pressure change is called Baro-sinusitis.
Normally there is a tube that goes from the middle ear to the back of the throat, called the
Eustachian tube. Its function is to keep the pressure in the middle ear the same as the
local atmospheric pressure. (You can voluntarily open your Eustachian tube when you
click your ears, or by chewing or yawning or opening your mouth wide.)
When the airplane descends, atmospheric pressure goes up quickly. Sometimes the
pressure collapses the Eustachian tube and keeps it from equalizing the pressure in the
middle ear with the air outside the ear. The ear drum gets sucked in, gets inflamed, and
the middle ear may start to weep fluid. If the tube doesnt drain in a few days, that fluid
may get infected. The whole process is very painful.
To prevent barotitis, chew gun, click your ears, or yawn a lot. If you do not suffer from High
Blood Pressure, you may put a few drops of Neo Synephrine into each nostril just as the
airplane starts to descend. Do not use more than 2-3 doses of Neo Synephrine.
If your ears hurt a lot, you may take ibuprofen (Advil, Motrin) 10-15 mg / kg (5-7 mg / lb)
every 8 hours, together with up to 10-15 mg/kg or 5-7 mg/lb) of acetaminophen (Tylenol)
every 4 hours.

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