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Stuffy nose and blocked ears
I have got blocked ears after a 3hr flight while also dealing with stuffy nose along with some frozen blood in mucus. Also while descending the flight, severe unbearable pain started near the left eyebrow. Please advise on the best treatment for this, Usually the blocked ears get open within hours but its taking more than 3days.
Features are suggestive of pressure injury (barotrauma) to Eustachian tube and PNS due to flying.
Ear examination is required to rule out middle-ear injury ( hemotympanum..)
Start short-course of
-N/d xylometazoline 2 drops TDS 3-5 days
-N/s fluticasone 2 puffs BD 1-2 weeks
-Steam inhalatio TDS
-Tab sinarest 1 tab SOS ( max to TDS)
- Gentle valsalva maneuver TDS
-If fever/purulent discharge persists, evaluate for acute sinusitis and need for antibiotics.
-Urgent ENT review if hearing loss, vertigo, or severe persistent pain develops.
Next Steps
Follow the above treatment for 5 days.
If symptoms settle, continue the remaining medications for another 5 days
except Xylometazoline nasal spray,
which should not be used beyond 5 days.
Health Tips
Advice regarding future flights:-
-Avoid flying during URTI / allergic episode
-Decongestant 30 min before takeoff/landing
-Chewing gum/sipping water during descent
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