dizzy after air travel

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Vertigo After Flying: Management & Prevention

There are many people who suffer from vertigo after flying. If you are also one of them, then this article is going to be an essential read for you.

A Brief Note On “Vertigo After Flying”:

Vertigo refers to the imbalanced gravitational force, whereby the affected person feels things around them move constantly. This is generally caused by an imbalance between the ear and the brain. It may last for few hours, days, or even months. The sufferers experience several symptoms like, nausea, a spinning sensation, blurred vision , vomiting , dizziness, earache, inability to balance, and inability to walk normally. Usually treating vertigo includes antibiotics, exercises, medications and sometimes even surgery.

There are a lot of situations that may cause vertigo. One of the causes of vertigo is Airplane travel. In fact, many people are concerned about flying while they are dizzy. This is because they know they may feel more dizzy or suffer from vertigo attack after flying.

Flying does two things; it may induce motion sickness and it may also stimulate the ear through pressure fluctuations.

In small planes, vertigo may come from either or both the mechanisms. However, in larger planes, the main risk from flying is from the pressure change in the cabins.

How To Manage Vertigo While Flying?

Vertigo after flying can be mostly due to the pressure fluctuations in the cabins. So, you can try to manage vertigo by avoiding flying, especially when you have a cold or your nose is stuffed up. However, if you have to fly, you need to keep your Eustachian tube open during the times when the pressure in the cabin fluctuates, that happens mainly for 30 minutes just before landing. Simple ways to open the Eustachian tube include swallowing or chewing gums.

Below are some ways to manage pressure fluctuation and treat vertigo from flying:

Medications:

Decongestants like decongestant nose drops (that are available over the counter), may be beneficial as it help by opening up the nasal passages. These preparations are, however, not recommended in people with hypertension.

Antihistamines, such as Dramamine can also be taken before getting into the flight and it may help manage pressure fluctuations by keeping the Eustachian tube open. Meclizine is also one more antihistamine that can help in this situation. Using nasal steroid for several days before flying may help quiet down the symptom of vertigo.

Ear plugs can also be useful. There is a commercial product branded “Ear planes”, which is an ear plug that lets the air slowly into and out of the ear canal. This simple device is helpful for many people who suffer from vertigo while flying caused by pressure fluctuations in the cabin.

You can also avoid pressure fluctuation problems by having a tube placed in the ear drum. However, this is a “last resort” procedure, as it requires minor surgery and may also make the person more prone to getting infections.

Physiotherapy:

Physiotherapy can also help in preventing vertigo. Your physiotherapist can train you in synchronizing movements of your eyes and hands and legs so as to combat the feeling of spinning caused due to vertigo. Regular sessions of physiotherapy can enhance overall coordination of your body and help you regain your balance amidst the spinning sensations or sensation of constant motion with vertigo.

Some Preventive Measures for Vertigo:

• Do not look up or down immediately. Coordinate your movements and slowly raise your head or bend your shoulders.
• You can use multiple pillows to elevate your head slightly higher than the rest of your body. This can prevent occurrence of vertigo.
• In case you need to pick up anything from the floor, do not bend directly, as it can cause the blood to gush to your brain. Instead, lower yourself using your legs and then try to pick up the things. Avoid bending to an extent where the head is below your shoulders.

Conclusion:

It is essential for you to note that in case you notice any symptom of vertigo after flying, you need to consult your doctor immediately and get yourself diagnosed and treated. You can also visit a physical therapist who can help you to co-ordinate your hands and eyes to gain balance, where you suffer from vertigo.

• Various Massage Techniques to Cure Vertigo
• Vertigo Exercises: Ways to Cure or Prevent Vertigo with Exercises?
• How Long Does Vertigo Last & What Helps it Go Away?
• How Do You Get Vertigo|What Can Make Vertigo Worse?|Vertigo Treatment

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Why Do I Feel Dizzy After Travelling

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I always look forward to travelling, but it often leaves me feeling dizzy and disoriented. I used to think that this was just a normal part of the travel experience, but after doing some research, I discovered that there are several reasons why this happens.

One of the most common causes of dizziness after travelling is motion sickness. This occurs when your brain receives conflicting signals from your eyes and inner ear about movement and balance.

Other factors such as dehydration, changes in altitude, jet lag, inner ear imbalances, anxiety and stress can also contribute to post-travel dizziness.

In this article, we will explore these factors in detail and provide tips on how to prevent or manage them for a more comfortable travel experience.

Table of Contents

Understanding Motion Sickness

Understanding motion sickness is crucial for anyone who wants to enjoy their travels without experiencing discomfort. Motion sickness occurs when the brain receives mixed signals from the body’s sensory systems, causing a feeling of nausea and dizziness. This typically happens during car rides, flights, or boat trips, especially if you’re not used to traveling frequently.

Thankfully, there are several prevention techniques that can help reduce motion sickness symptoms. For example, sitting in a seat facing forward rather than backward can make a big difference. Additionally, avoiding heavy meals before traveling and keeping your eyes closed while resting can also help ease discomfort. If these methods don’t work for you, medication options such as antihistamines or prescription drugs may be available with your doctor’s guidance. However, it’s important to note that medication may cause drowsiness or other side effects that could affect your ability to travel safely.

It’s also essential to stay hydrated while traveling since dehydration can exacerbate motion sickness symptoms.

Dehydration

You’re like a plant that needs water, and when you don’t drink enough fluids while traveling, it’s like the leaves wilting – causing dizziness due to dehydration.

Dehydration is a common cause of feeling dizzy after traveling, especially if you’re on a long plane or car ride. When we travel, we tend to forget to drink water because we’re busy doing other things or may not have access to it. However, it’s essential to keep yourself hydrated by drinking plenty of water before and during your journey.

Preventing dehydration can be easy if you follow simple hydration strategies. Try carrying a reusable bottle with you and fill it up whenever possible. Avoid sugary drinks as they can dehydrate you further and opt for plain water instead. Eating fruits high in water content such as watermelon or cucumber can also help keep your body hydrated.

By keeping yourself hydrated, you can prevent feeling dizzy after traveling due to dehydration and enjoy your trip without any discomfort.

Now that we’ve covered the importance of preventing dehydration, let’s move on to the next section about changes in altitude and how they can affect our bodies.

Changes in Altitude

Going up in altitude can make us feel like our ears need to pop, and it’s important to understand how this change can affect our bodies.

Altitude sickness is a common condition that occurs when we travel to high altitudes too quickly without giving ourselves time to acclimatize. Symptoms of altitude sickness include headaches, dizziness, nausea, and shortness of breath. It may take several days for our bodies to adjust to the new altitude.

To prevent altitude sickness, there are certain acclimatization techniques we can use. These include ascending slowly and taking frequent breaks, staying hydrated by drinking plenty of water, avoiding alcohol and caffeine which can dehydrate us further, and consuming foods high in carbohydrates. It’s also recommended to avoid strenuous activities during the first few days at a higher altitude until our bodies have had enough time to adjust.

Transitioning into the subsequent section about ‘jet lag’, travelling not only affects us physically but also disrupts our sleep patterns which leads us feeling groggy and tired upon arrival.

I’ve recently been traveling quite a bit and have experienced the dreaded jet lag. It can be tough to adjust to a new time zone, but understanding the causes and symptoms of jet lag can help.

In addition, there are some simple tips for minimizing the effects of jet lag that I’ve found helpful in my travels.

Causes and Symptoms of Jet Lag

Jet lag can cause a range of symptoms including fatigue, insomnia, irritability, and difficulty concentrating. It occurs when our body’s natural clock is disrupted due to rapid travel across multiple time zones. While it’s impossible to prevent jet lag entirely, there are steps you can take to minimize its effects.

One way to cope with jet lag is by adjusting your sleep schedule before your trip. Gradually shift your bedtime closer to the timezone you’ll be traveling to a few days before your departure date. During the flight, try to stay hydrated and avoid alcohol or caffeine as they can disrupt your sleep cycle.

Once you arrive at your destination, expose yourself to natural sunlight during daylight hours and limit naps so that you can adjust more quickly. With proper preparation and self-care techniques, minimizing the effects of jet lag is possible for any traveler.

Tips for Minimizing Jet Lag

To minimize jet lag, there are tips you can follow such as adjusting your sleep schedule before traveling and staying hydrated during the flight. It’s also important to maintain healthy eating habits and exercise regularly to keep your body in good shape for travel. Additionally, practicing good sleep hygiene and relaxation techniques can help reduce stress and promote better sleep while on the plane.

Here are three specific tips for minimizing jet lag:

• Try to adjust your sleep schedule a few days before your trip by going to bed earlier or later depending on which direction you’re traveling.
• Drink plenty of water during the flight to stay hydrated and avoid alcohol or caffeine which can disrupt your sleep.
• Take breaks from sitting by walking around the cabin or doing some light stretching exercises.

By following these tips, you can minimize the effects of jet lag and enjoy your travels without feeling dizzy or disoriented upon arrival.

Speaking of dizziness, another possible cause is inner ear imbalance which we’ll explore in the next section.

Inner Ear Imbalance

An inner ear imbalance is often the culprit behind that disorienting sensation many experience after a trip. This happens because traveling can disrupt the vestibular system, which is responsible for our sense of balance and spatial orientation.

When we’re in motion, like on an airplane or in a car, our body relies on both our eyes and ears to maintain balance. However, when these two senses send conflicting signals to the brain, it can cause dizziness or vertigo.

If you suspect an inner ear imbalance may be causing your post-travel dizziness, there are some remedies you can try. Certain exercises can help stimulate the vestibular system and improve balance, while others can provide relief from symptoms of vertigo. It’s always best to consult with a healthcare professional before starting any new exercise or vertigo treatment regimen.

Now let’s discuss how anxiety and stress can also contribute to feeling dizzy after traveling without proper transition words.

Anxiety and Stress

Feeling anxious or stressed after a trip can also lead to that disorienting sensation many of us know too well. For some people, the stress of traveling itself can trigger anxiety and panic attacks, leading to symptoms such as dizziness, lightheadedness, and even nausea.

However, there are coping mechanisms and self-care strategies that can help alleviate these symptoms. Taking deep breaths, practicing mindfulness meditation or yoga, and engaging in calming activities such as reading or listening to music are just a few examples. It’s important to prioritize self-care during this time and listen to your body’s needs.

While it may take some time for the symptoms to subside completely, taking steps towards managing anxiety and stress can make a significant difference in how you feel overall.

When it comes to your health, it’s always better to err on the side of caution. If you experience prolonged dizziness or other concerning symptoms after traveling, it may be worth seeking medical attention. Your healthcare provider can help determine if there is an underlying medical condition contributing to your discomfort and provide appropriate treatment options.

When to Seek Medical Attention

I think it’s important to discuss when it’s necessary to seek medical attention if you’re experiencing dizziness after traveling.

There are certain signs that may indicate a more serious underlying medical condition, such as chest pain, shortness of breath, or confusion.

If you’re experiencing any of these symptoms along with your dizziness, it’s important to consult a doctor right away.

Signs of a Serious Medical Condition

Experiencing symptoms such as blurred vision, difficulty speaking, and loss of coordination can be indicative of a more serious medical issue. While dizziness itself isn’t usually a cause for concern, these additional symptoms could be signs of something more severe. Here are some indications that your dizziness may require medical attention:

• Severe headache
• Chest pain or pressure
• Fainting or passing out
• Weakness or numbness in the extremities
• Rapid or irregular heartbeat

If you experience any of these symptoms along with your dizziness, it’s important to seek immediate medical attention. These could be signs of a stroke, heart attack, or other serious health condition. Don’t ignore these signals from your body; act quickly to protect your health.

Moving on from this topic about the signs of a serious medical condition related to dizziness, it’s important to understand when to consult a doctor. It’s always better to err on the side of caution when it comes to our health. If you’re experiencing persistent and severe dizziness that doesn’t go away after resting for a while, you should see a doctor.

Additionally, if you’re taking medication for an unrelated condition and experiencing dizziness as a side effect, talk to your healthcare provider about adjusting your dosage or trying alternative treatments.

When to Consult a Doctor

If you’re experiencing persistent and severe dizziness, it’s important to seek medical attention as it could be a sign of a serious health condition like vestibular disorders, which affect approximately 35% of adults over the age of 40.

Your symptom severity and medical history will be taken into account by your healthcare provider, who may perform certain diagnostic tests such as imaging scans or blood work to determine the root cause of your dizziness.

When consulting with your doctor, it’s important to inform them about any medications you’re taking as some prescription drugs can cause dizziness as a side effect.

Additionally, if you have a history of migraines or have recently suffered from an injury or infection that affected your inner ear, these factors may contribute to the onset of dizziness after travelling.

By keeping track of your symptoms and seeking prompt medical attention when necessary, you can better manage and prevent potential health complications related to dizziness.

Frequently Asked Questions

How can i prevent motion sickness while travelling.

Whenever I travel, I always make sure to use breathing techniques and acupressure points to prevent motion sickness. Firstly, I take slow, deep breaths and focus on my inhalations and exhalations. This helps me calm my nerves and regulate my body’s response to the movement of the vehicle.

Additionally, I apply pressure to the P6 point on my wrist using an acupressure band or by massaging it with my fingers. This point is known for alleviating nausea and vomiting associated with motion sickness.

By combining these two methods, I’m able to enjoy a comfortable journey without feeling dizzy or sick.

Is there a specific type of food or drink that can help alleviate dizziness during travel?

When it comes to alleviating dizziness during travel, there are a few snack options and hydration techniques that can help. Drinking plenty of water throughout the trip is essential to staying hydrated, which can prevent dizziness.

Snacking on foods high in electrolytes, such as bananas or nuts, can also help regulate fluids in the body and prevent dehydration. Additionally, avoiding greasy or heavy meals before and during travel can reduce feelings of nausea and dizziness.

By incorporating these simple strategies into your travel routine, you may be able to minimize dizziness and enjoy your journey with greater ease.

What are some natural remedies for jet lag?

When it comes to coping with jet lag, there are a few natural remedies that I’ve found helpful.

First and foremost, I recommend sticking to a regular sleep schedule as much as possible, even if that means taking short naps during the day.

Staying hydrated is also crucial for combating the fatigue and headaches associated with jet lag.

In addition, I’ve tried using herbal remedies like chamomile tea or valerian root to promote relaxation and aid in sleep.

Finally, light therapy has been shown to be effective in resetting circadian rhythms and reducing symptoms of jet lag.

By incorporating these natural solutions into my travel routine, I’ve been able to adjust more quickly and enjoy my trip without feeling constantly exhausted or disoriented.

Can exercise help with inner ear imbalance and dizziness?

As soon as I began incorporating inner ear exercises into my routine, the vertigo treatment was almost immediate.

It’s amazing how something as simple as rotating your head and focusing on a fixed point can make such a difference in your balance and overall wellness.

Not only did the dizziness disappear, but my energy levels increased and I felt more grounded than ever before.

If you’re struggling with inner ear imbalance and its accompanying symptoms, don’t hesitate to try these exercises for yourself. Trust me, it’s worth it.

Are there any medications that can worsen symptoms of dizziness during travel?

When traveling, it’s important to be aware that certain medications can worsen symptoms of dizziness. Some common medications, such as antihistamines, blood pressure medications, and sedatives, can cause side effects like dizziness or lightheadedness during travel.

It’s crucial to speak with a healthcare provider before taking any medication while traveling, especially if you’re prone to experiencing dizziness. Being mindful of potential side effects and taking precautions can help prevent exacerbating symptoms of dizziness during travel.

After experiencing dizziness while traveling, I now understand the various factors that can lead to this discomfort. Motion sickness, dehydration, changes in altitude, and jet lag are all possible culprits. However, inner ear imbalances and anxiety can also contribute to feeling dizzy.

As I reflect on my own experiences, I realize how important it is to take care of oneself while on a journey. Staying hydrated and taking breaks when needed can go a long way in preventing dizziness. But even with these precautions, sometimes the excitement and stress of travel can still leave us feeling off-balance.

So next time I embark on an adventure, I’ll be sure to pack some extra water and take deep breaths along the way. After all, there’s nothing quite like exploring new places – even if it means dealing with a little bit of dizziness along the way.

Meet Veronica Williams, a spirited adventurer in her twenties, has already explored more than 15 countries, fueling her insatiable wanderlust. Her articles are a testament to her thirst for discovery and her desire to inspire others to see the world. As Veronica expands her travel repertoire, she shares her personal triumphs, challenges, and transformative experiences. Join her as she paints vivid pictures of breathtaking landscapes, vibrant cities, and awe-inspiring encounters.

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MdDS Foundation

MdDS is a neurological disorder that leaves patients feeling as if they are rocking and swaying. It can be diagnosed and managed. Treatment options are being investigated.

What is Mal de Débarquement Syndrome?

Mal de Débarquement Syndrome (MdDS) is a neurological disorder of perceived movement manifesting as a constant feeling of rocking, bobbing, or swaying which seems to be alleviated in passive motion such as riding in a car. This is an important diagnostic feature of the syndrome.

Also known as Disembarkment Syndrome, MdDS most often develops following a cruise or other type of water travel; exposure need not be sustained or lengthy. MdDS has also been reported following air, train, and automobile travel; and less commonly after repeated elevator use, walking on docks, from the use of virtual reality equipment, or practically any motion experience. MdDS occurs in both genders and in all age groups but current statistics demonstrate the highest reported incidence in females between the ages of 30–60. While MdDS most commonly presents after travel, for some onset appears to be spontaneous, without a motion event.

MdDS may persist for months to years, and there is a likelihood of recurrence after an initial onset. Many people experience the more common entity labelled “sea legs” upon alighting from travel experiences. “Sea legs” are a transient, normal response to travel which generally resolves quickly.

In addition to the rocking, bobbing, and/or swaying, there are many secondary symptoms. The sensation of motion is often associated with anxiety, fatigue, difficulty maintaining balance, unsteadiness, and difficulty concentrating (impaired cognitive function).

Symptoms usually begin shortly after the cessation of the motion stimulus, but occasionally there can be a delay between the end of travel and the onset of symptoms. The symptoms tend to be more noticeable in enclosed spaces or when attempting to be motionless (sitting, lying down, or standing in a stationary position).

Mal de Débarquement Syndrome does have a diagnosis code in the ICD-10 for billing:  2023 ICD-10-CM Diagnosis Code R42.

Download a PDF of our brochure , or request printed copies by contacting us .

New members to our support groups often ask, “For those of you who went into remission, did your MdDS symptoms decrease gradually over time, or did they disappear suddenly?”

Generally, symptoms wane gradually. Some experience relief every other day with the number of good days increasing until there are no bad days.

What is a balance disorder?

The National Institute on Deafness and Other Communication Disorders (NIDCD) defines a balance disorder as a condition that makes you feel unsteady or dizzy. If you are standing, sitting, or lying down, you might feel as if you are moving, spinning, or floating. If you are walking, you might suddenly feel as if you are tipping over. The NIDCD adds that t here are more than a dozen different balance disorders. Here are just a few common balance disorders.

• Benign paroxysmal positional vertigo (BPPV)  or positional vertigo: A brief, intense episode of vertigo triggered by a specific change in the position of the head. You might feel as if you’re spinning when you bend down to look under something, tilt your head to look up or over your shoulder, or roll over in bed. BPPV occurs when loose otoconia tumble into one of the semicircular canals and affect how the cupula works. This keeps the cupula from flexing properly, sending incorrect information about your head’s position to your brain, and causing vertigo. Read More .
• Labyrinthitis : An infection or inflammation of the inner ear that causes dizziness and loss of balance. It is often associated with an upper respiratory infection, such as the flu. Read More .
• Ménière’s disease : Episodes of vertigo, hearing loss, tinnitus (a ringing or buzzing in the ear), and a feeling of fullness in the ear. It may be associated with a change in fluid volume within parts of the labyrinth, but the cause or causes are still unknown. Read More .
• Vestibular neuronitis:  An inflammation of the vestibular nerve that can be caused by a virus, and primarily causes vertigo.  Read More .
• Perilymph fistula:  A leakage of inner ear fluid into the middle ear. It causes unsteadiness that usually increases with activity, along with dizziness and nausea. Perilymph fistula can occur after a head injury, dramatic changes in air pressure (such as when scuba diving), physical exertion, ear surgery, or chronic ear infections. Some people are born with perilymph fistula. Read More .
• Persistent Postural-Perceptual Dizziness (PPPD) : see diagnostic criteria established by the Bárany Society and International Headache Society. The document is available through the Journal of Vestibular Research .
• Vestibular Migraine : see diagnostic criteria established by the Bárany Society and International Headache Society. The document is available through the Journal of Vestibular Research .

Other balance disorders may have symptoms in common with MdDS but, of note, symptoms of these conditions do not abate when the patient is in motion. A key diagnostic indicator of MdDS is that symptoms often temporarily remit when the patient is back in motion. When discussing your symptoms with your doctor, it is best to not use the words “dizzy” or “vertigo.” Instead, explain that you feel as if you are on a boat, walking on a trampoline or mattress, elevator drop, or other descriptive language.

Diagnostic Criteria for MdDS established by the Committee for the Classification of Vestibular Disorders of the Bárány Society can be found here: http://bit.ly/mddscriteria

What is vertigo?

Vertigo may be defined as a disorder of the sense of any direction, a disturbed spatial perception of the body, but vertigo usually means dizziness with spinning, a rotational sensation. And a frequent outcome when using the words “dizzy,” “dizziness” or “vertigo” when speaking with your doctor is a misdiagnosis with one of the above common balance disorders. A standard definition is being established by the Bárany Society of Neuro-Otology.

Diagnostic Criteria for MdDS were published by the Bárány Society in 2020. The International Classification of Vestibular Disorders (ICVD) evidence-based consensus document can be found at http://bit.ly/mddscriteria .

Primarily diagnosed by an otolaryngologist or neurologist using patient history ( e.g. , recent travel or other motion experience) and by exclusion of other disorders, an MdDS diagnosis is usually not given unless a patient has experienced symptoms persisting for at least one month.

Presently there are no tests that can provide a definitive diagnosis of MdDS. Your doctor may order tests to eliminate other disorders which may have similar symptoms. A partial list of tests can be found on the Getting Diagnosed page of this website.

MdDS is a central vestibular (neurological) disorder. It is not a peripheral vestibular (inner ear) disorder or disease. In the peer-reviewed research article,  Metabolic and Functional Connectivity Changes in Mal de Debarquement Syndrome , author Yoon-Hee Cha, MD,  et al discuss the areas of the brain associated with persistent MdDS.

What does MdDS stand for?

MdDS is the acronym for Mal de Débarquement Syndrome ( Fr .), which translates to sickness upon disembarking (leaving a boat or other vehicle).

Is there an easier name than Mal de Débarquement Syndrome?

This disorder is also known as Disembarkment Syndrome, disembarkation syndrome, debarquement syndrome or colloquially as landsickness. It is less commonly known as Persistent Mal de Debarquement (PMdD), Rocking Dizziness or Rocking Vertigo.

Yes. While MdDS most often presents after a motion event (typically travel), about 20% of cases do not have a known causal event,  i.e. : lack a motion trigger. A connection between spontaneous onset and migraine, stress, or other non-motion event has been suggested but further research is required to make any correlations.

Suggested Reading

Cha YH .  Mal de Debarquement .  Semin Neurol ,  29 :520-7,  2009 . Review.

MdDS is primarily diagnosed by otolaryngologists, ENTs and neurologists but can be diagnosed by your primary care provider. Other health professionals, including physical therapists and audiologists, may recognize the features of MdDS. You may wish to bring our informative brochure to your appointment as many health care providers are unaware of MdDS.

Unfortunately, no, but there are several on-going research studies.

You may be interested in the Physician’s Perspective blog post:  Effective research requires teamwork.

At present there are no treatments or therapies proven to be universally helpful to those suffering with MdDS. Some success in managing persistent symptoms has been realized with benzodiazepines, SNRIs, SSRIs and sometimes tricyclics. Vestibular rehabilitation therapy has shown effectiveness in a small number of patients, while a regular exercise program seems to help many.

Anticholinergic medications that work for typical forms of dizziness and motion sickness, such as meclizine or scopolamine, are not effective in either treatment or prevention of MdDS. Further research is required for a greater understanding of the disorder.

Investigative treatments are available but limited, usually requiring travel. To learn about treatments that sufferers have explored, you may wish to join one of our support groups .

How long does it take for MdDS to go away?

In most individuals, the sensation of rocking, bobbing, swaying, etc. following a cruise or other passive motion experience is transient. Symptoms lasting up to two weeks is considered within the normal range. A diagnosis of MdDS is usually only given to those whose symptoms last 30 days or more.

MdDS is often self-limiting, typically resolving within 4 months (median duration according to Cha et al , 2008 ).

MdDS may be episodic.

Patients in remission may experience recurring bouts, often associated with a precipitating event, e.g. , travel or high stress. Subsequent episodes are generally more prolonged but some patients experience a quick return to baseline.

Not necessarily. However, some individuals have described a transient increase in symptoms after further motion experiences. Some physicians suggest taking benzodiazepines to suppress the vestibular system during travel. While many patient members claim this course of action helps, clinical studies are required to prove their effectiveness across the population of MdDS sufferers.

Some individuals who have had MdDS that resolved redeveloped symptoms after a subsequent cruise (or other prolonged motion experience, depending on their unique triggers). However, there are some who did not. Many describe a more prolonged period of MdDS symptoms with each episode. Therefore, the recommendation is to avoid further cruises to minimize the likelihood that MdDS will recur.

As with many chronic illnesses, many women experience increased symptoms before or during their menstrual cycle. While MdDS is more common in women than men, the role of hormones in the exacerbation/remission of MdDS symptoms is not understood.

Comprehensive information on MdDS clinical studies can be found on the National Institutes of Health ( NIH ) ClinicalTrials.gov website. Past research studies include one  conducted at the University of Minnesota by Dr. Yoon-Hee Cha , and another at Ohio University by Dr. Brian C. Clark . Both of these studies were funded, in part, by this Foundation.

Faces of MdDS

We used an online art generator to create this depiction of MdDS. What symptoms do you see? How do you feel?

Floating Away

Putting MdDS into words is sometimes so incredibly difficult. I am grateful for this opportunity to be creative and express what I feel on paper. ~Alexis Dolgoff, DPT

Join us in raising awareness & make a bigger impact!

Seasick On Land. This ink-on-paper series is one artist’s way of raising awareness of MdDS.

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Airplane ear

On this page, risk factors, complications.

Airplane ear (ear barotrauma) is the stress on your eardrum that occurs when the air pressure in your middle ear and the air pressure in the environment are out of balance. You might get airplane ear when on an airplane that's climbing after takeoff or descending for landing.

Airplane ear is also called ear barotrauma, barotitis media or aerotitis media.

Self-care steps — such as yawning, swallowing or chewing gum — usually can counter the differences in air pressure and improve airplane ear symptoms. However, for a severe case of airplane ear, you might need to see a doctor.

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Airplane ear can occur in one or both ears. Common signs and symptoms include:

• Moderate discomfort or pain in your ear
• Feeling of fullness or stuffiness in your ear
• Muffled hearing or slight to moderate hearing loss

If airplane ear is severe, you might have:

• Severe pain
• Increased ear pressure
• Moderate to severe hearing loss
• Ringing in your ear (tinnitus)
• Spinning sensation (vertigo)
• Bleeding from your ear

When to see a doctor

If discomfort, fullness or muffled hearing lasts more than a few days, or if you have severe signs or symptoms, call your doctor.

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Airplane ear occurs when the air pressure in the middle ear and the air pressure in the environment don't match, preventing your eardrum (tympanic membrane) from vibrating normally. A narrow passage called the eustachian tube, which is connected to the middle ear, regulates air pressure.

The middle ear has three small bones — the hammer, or malleus; the anvil, or incus; and the stirrup, or stapes. The eardrum keeps the bones away from the outer ear. A narrow path called the eustachian tube joins the middle ear to the back of the nose and upper part of the throat. The cochlea, a snail-shaped structure, is part of your inner ear.

When an airplane climbs or descends, the air pressure changes rapidly. The eustachian tube often can't react fast enough, which causes the symptoms of airplane ear. Swallowing or yawning opens the eustachian tube and allows the middle ear to get more air, equalizing the air pressure.

Airplane ear happens when there is an imbalance in the air pressure in your middle ear and the air pressure in the environment. This may happen when you’re in an airplane that is climbing or descending. A narrow passage called the eustachian tube regulates air pressure in your ear. When a plane climbs or descends, the air pressure changes quickly, and your eustachian tube often doesn’t react quickly enough. This can trigger airplane ear.

Ear barotrauma can also be caused by:

• Scuba diving
• Hyperbaric oxygen chambers
• Explosions nearby, such as in a war zone

You may also experience a minor case of barotrauma while riding an elevator in a tall building or driving in the mountains.

Any condition that blocks the eustachian tube or limits its function can increase the risk of airplane ear. Common risk factors include:

• A small eustachian tube, especially in infants and toddlers
• The common cold
• Sinus infection
• Hay fever (allergic rhinitis)
• Middle ear infection (otitis media)
• Sleeping on an airplane during ascent and descent because you aren't actively doing things to equalize pressure in your ears such as yawning or swallowing

Airplane ear usually isn't serious and responds to self-care. Long-term complications can rarely occur when the condition is serious or prolonged or if there's damage to middle or inner ear structures.

Rare complications may include:

• Permanent hearing loss
• Ongoing (chronic) tinnitus

Follow these tips to avoid airplane ear:

• Yawn and swallow during ascent and descent. These activate the muscles that open your eustachian tubes. You can suck on candy or chew gum to help you swallow.
• Use the Valsalva maneuver during ascent and descent. Gently blow, as if blowing your nose, while pinching your nostrils and keeping your mouth closed. Repeat several times, especially during descent, to equalize the pressure between your ears and the airplane cabin.
• Don't sleep during takeoffs and landings. If you're awake during ascents and descents, you can do the necessary self-care techniques when you feel pressure in your ears.
• Reconsider travel plans. If possible, don't fly when you have a cold, a sinus infection, nasal congestion or an ear infection. If you've recently had ear surgery, talk to your doctor about when it's safe to travel.
• Use an over-the-counter nasal spray. If you have nasal congestion, use a nasal spray about 30 minutes to an hour before takeoff and landing. Avoid overuse, however, because nasal sprays taken over three to four days can increase congestion.
• Use decongestant pills cautiously. Decongestants taken by mouth might help if taken 30 minutes to an hour before an airplane flight. However, if you have heart disease, a heart rhythm disorder or high blood pressure or you're pregnant, avoid taking an oral decongestant.
• Take allergy medication. If you have allergies, take your medication about an hour before your flight.
• Try filtered earplugs. These earplugs slowly equalize the pressure against your eardrum during ascents and descents. You can purchase these at drugstores, airport gift shops or a hearing clinic. However, you'll still need to yawn and swallow to relieve pressure.

If you're prone to severe airplane ear and must fly often or if you're having hyperbaric oxygen therapy to heal wounds, your doctor might surgically place tubes in your eardrums to aid fluid drainage, ventilate your middle ear, and equalize the pressure between your outer ear and middle ear.

Valsalva maneuver

In a Valsalva maneuver, you gently blow your nose while pinching your nostrils and keeping your mouth closed.

Helping children prevent airplane ear

To help young children:

• Encourage swallowing. Give a baby or toddler a bottle to suck on during ascents and descents to encourage frequent swallowing. A pacifier also might help. Have the child sit up while drinking. Children older than 4 can try chewing gum, drinking through a straw or blowing bubbles through a straw.
• Avoid decongestants. Decongestants aren't recommended for young children.

Aug 21, 2021

• Vernick DM. Ear barotrauma. https://www.uptodate.com/contents/search. Accessed June 18, 2019.
• Ears and altitude (barotrauma). American Academy of Otolaryngology — Head and Neck Surgery. https://www.enthealth.org/conditions/ears-and-altitude-barotrauma/. Accessed June 18, 2019.
• Papadakis MA, et al., eds. Ear, nose, and throat disorders. In: Current Medical Diagnosis & Treatment 2019. 58th ed. New York, N.Y.: McGraw-Hill Education; 2019. http://www.accessmedicine.mhmedical.com. Accessed June 18, 2019.
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11 simple travel tools to remedy airplane vertigo

Travel doesn’t have to be a dizzying experience

Updated June 23, 2023

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I travel a lot, because if I didn’t, I’d let my disability control me⁠. As attacks are unpredictable⁠, it can sometimes create the perfect storm for causing a terrible episode of severe seizure-like spinning sensation that can sometimes take more than two weeks to pass.

From the anxiety in the airport, to the long plane rides, lack of sleep, jetlag, different climates, and unfamiliar surroundings in which doctors often think I’m just a hungover tourist, some might wonder why I even bother with travel at all.

But, living a freer lifestyle helps reduce some of the generalized anxiety that impacts this medical condition. That being said, I still need to be prepared.

Let it be known that any suggestions I’m about to list aren’t a way to treat vertigo after flying and should not be considered medical advice, but these basic remedies may alleviate certain types of vertigo at certain times. When I have to fly with vertigo, this is what helps me live, so I hope it helps you.

My travel vertigo management toolkit

When I travel, I have a system (that I normally would do at home) to help me in the event I get vertigo on the road. It may not prevent it, but it helps me leave with a bit more peace of mind, which naturally can help keep it at bay. And, if you suffer from photophobia and migraines, these might help you, too!

1. Eye mask

Shielding your eyes can be a make-or-break factor during your travel journey.

My vertigo is triggered and worsened by photophobia. Sleeping with an eye mask helps keep the bright sunlight out of my eyes when I’m sleeping and waking up—both on planes and other modes of transportation, and in my accommodation.

Due to the sensory overload and need to have a relaxing night of sleep, I need an eye mask that sits comfortably on my face and isn’t a lot to fuss with. That means it has to be soft, easily adjustable, and not too heavy on my face.

2. A washcloth/rag

Applying cold water to your neck, back, and forehead is a small vertigo fix you can easily implement with a terry washcloth.

Both a cause and a symptom of vertigo is an increase in body temperature, which can make me feel worse. Therefore, it’s important to have a way to immediately cool myself down, especially if I’m staying in a hot room or I’m in a warmer country.

3. Blackout curtains

Don't let sunlight disrupt your sleep schedule.

4. Soft lighting

Harsh lighting upon wake up can be the difference between a good day and an unpleasant one.

Light sensitivity is a common cause for migraines. Regulate it with a pair of SomniLight Light Therapy glasses.

I wear glasses, and I always bring two pairs with me when I travel in case I lose one, as not having them could be triggering. They also have blue-light filters to help with my time on the screen, as I’m a freelance writer and often am on the computer while traveling.

6. A telescopic stool for vertigo exercises

This portable stool may offer you extra support if exercises are part of your anti-vertigo routine.

7. Earplugs

Block out unnecessary or overwhelming airplane noise with your Alpine MusicSafe Pro Earplug Set.

Earplugs may acerbate any hearing loss associated with your vertigo, though, so decide what works for you.

8. Easy-to-maneuver luggage

Travelling light not only helps you move faster in the airport, but it also causes less of a strain on your body.

9. Baseball cap

This baseball cap is functional and stylish, too.

10. Phone apps

Break any potential language barriers with help from Google Translate.

11. Trip-booking strategies

Make your airport experience more manageable with convenient services like TSA Pre-check and Priority Pass.

Last but not least are specific trip booking strategies/sites I use to help me do what I can to make the transition to traveling easier. First and foremost, I always try to find a flight option that allows me to get the sleep I need.

This doesn’t necessarily mean no layovers, but I do try to plan when I leave and when I arrive strategically. And, even though I’m all for “roughing it” when I travel, in the first night or two after arriving somewhere new, I always have a plan to stay in a comfortable accommodation until I recover from the journey.

While planning might help some people with medical conditions and disabilities, personally I find that the more open and flexible my trip is, the more I can lower my expectations and the stress level of making sure I’m getting to do what I planned. Instead, I make sure I feel OK first, then I plan around that.

Here are some travel tips for reducing stress and keeping your airplane vertigo in check.

• Ride-sharing apps: If I’m not up for taking public transportation after landing, a local ride-sharing app or taxi can help reduce stress.

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Vertigo After Flying: Causes, Prevention, and Treatments

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Vertigo after flying, often known as " airplane ear ," is a condition that can occur after air travel and is attributed to changes in air pressure during ascent and descent. 

Managing this condition is crucial as it can significantly impact one's daily activities and overall quality of life.

Causes of Vertigo After Flying

Vertigo after flying: how long does it last, how to treat vertigo after flying, prevention of vertigo after flying, key takeaways.

Can flying cause vertigo? Absolutely, and understanding these causes is the first step towards managing and preventing the condition effectively.

Changes in Air Pressure

One common cause of vertigo after flying stems from changes in cabin pressure . When an airplane ascends or descends, the air pressure inside the cabin alters to balance with the atmospheric pressure outside. This rapid change can affect the inner ear, where balance is regulated.

The inner ear contains small organs that help the brain understand the body's position. If the pressure changes are too abrupt, these organs can become confused, sending mixed signals to the brain and causing feelings of dizziness or vertigo.

Ear Canal Issues

The Eustachian tube, a small canal that connects the middle ear to the back of the throat, plays a crucial role in maintaining equal air pressure on both sides of the eardrum. During flights, especially during takeoff and landing, this tube can sometimes fail to open properly due to the fast changes in altitude and air pressure. This can lead to a pressure imbalance, affecting the ear's vestibular system and leading to vertigo. 

According to the Mayo Clinic , airplane ear ( ear barotrauma ) is the stress on your eardrum that occurs when the air pressure in your middle ear and the air pressure in the environment are out of balance.

You might get airplane ear when on an airplane that's climbing after takeoff or descending for landing. Individuals with existing ear canal issues are particularly susceptible to experiencing vertigo after flying due to this reason.

Dehydration

Flying can also lead to dehydration due to the low humidity levels in airplane cabins. Dehydration can thin the blood and decrease the pressure inside the vessels, which can adversely affect the inner ear and its ability to maintain balance. This condition can exacerbate or trigger vertigo in susceptible individuals.

The duration of vertigo after flying can vary significantly from one person to another.

For most, the symptoms are short-lived, lasting only a few hours to a couple of days . 

However, in cases where vertigo is triggered by more significant issues, such as a severe imbalance in ear pressure or an underlying condition , symptoms could last longer. 

It's crucial to monitor the situation and consult a healthcare professional if vertigo persists or is accompanied by more severe symptoms, such as hearing loss or extreme disorientation.

As an initial step in understanding your symptoms, the Docus Symptom Checker can provide insights, though it's essential to seek professional advice for accurate diagnosis and treatment.

Docus AI Symptom Checker

Just 3 simple steps to efficiently understand and manage your health symptoms online.

Addressing vertigo after flying involves a range of treatment options, tailored to the severity and underlying causes of the condition.

Over-the-Counter Solutions

• Antihistamines and Anticholinergics : These medications can help control nausea and motion sickness, common symptoms associated with vertigo. They work by blocking certain pathways in the brain that trigger these symptoms.
• Decongestants : If vertigo is related to pressure changes affecting the ear, decongestants may help by reducing swelling in the nasal passages and the Eustachian tubes, facilitating easier pressure equalization.

Prescription Medications

For more severe cases, prescription medications may be necessary:

• Benzodiazepines : Occasionally prescribed for their sedative effects which can help alleviate the sensation of spinning.
• Steroids : In cases where inflammation is contributing to vertigo, steroids can be prescribed to reduce swelling and improve ear function.

Physical Therapy

Vestibular rehabilitation therapy (VRT) is a specialized form of physical therapy aimed at strengthening the vestibular system, which is responsible for maintaining balance. VRT can be particularly effective for those whose vertigo is caused by issues with the inner ear.

Epley Maneuver

The Epley maneuver is a simple yet effective exercise that can be performed at home or by a healthcare professional. It's designed to move the calcium deposits that can cause vertigo from one part of the ear to another, where they can be more easily absorbed by the body.

Lifestyle Adjustments

Making certain lifestyle changes can also significantly impact the management of vertigo symptoms:

• Staying well-hydrated, especially when flying, to avoid dehydration that can worsen symptoms.
• Performing simple exercises to improve balance and reduce the likelihood of vertigo episodes.

Taking preventive measures can significantly reduce the risk of experiencing vertigo after flying:

• Hydration : Drink plenty of fluids before, during, and after your flight to prevent dehydration.
• Ear Pressure Equalization Techniques : Chewing gum, yawning, and swallowing during ascent and descent can help balance the pressure in your ears.
• Avoid Alcohol and Caffeine : These substances can exacerbate dehydration and potentially increase the risk of vertigo.
• Select Seats Away from the Wing : These seats tend to experience less motion during the flight, which may help reduce the risk of motion sickness leading to vertigo.
• Use of Earplugs : Specially designed earplugs for flying can help moderate the changes in air pressure and reduce the likelihood of ear barotrauma.

Incorporating these practices can help manage and reduce the chances of vertigo after flying, ensuring a more comfortable and enjoyable travel experience.

Frequently Asked Questions

Can flying cause vertigo, how long does vertigo after flying last, what are the treatment options for vertigo after flying.

• Vertigo after flying can result from changes in air pressure, issues with the ear canal, and dehydration.
• The duration of vertigo after flying varies, with most cases resolving within a few hours to a couple of days. Persistent symptoms should be evaluated by a healthcare professional.
• Treatment options range from over-the-counter medications and physical therapy to specific maneuvers like the Epley maneuver and lifestyle adjustments.
• Prevention strategies include staying hydrated, using ear pressure equalization techniques, avoiding alcohol and caffeine before flights, and selecting seats with less motion.

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Please Note! This tool is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult a professional before taking any actions.

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• Travel Strategies
• How to Navigate a Relapse
• Wellness Coaches
• 8 Steps to Managing Fatigue
• Avoiding Falls
• Visually Induced Dizziness – “Supermarket Syndrome”
• Controlling Your Symptoms
• Vestibular Disorder Triggers

Motion Sickness

• Coping With Tinnitus
• How to Deal with an Acute Vertigo Episode
• Dietary Considerations
• Home Safety

Tips for Dining Out

Tips for attending events.

• Environmental Influences on Vestibular Disorders
• Stress Management
• Meditation and Mindfulness
• Managing Nausea, Vomiting & Poor Appetite
• Relaxation Techniques
• Healthy Sleep Habits
• Mitigating Triggers from Digital Devices
• Dentist’s Guide to the Dizzy Patient

Article Summary

Traveling with a vestibular illness can feel impossible and problematic. Obstacles like rapid altitude changes, visual disturbances, patterned airport carpets, and passive motion can amplify symptoms. Many people with vestibular dysfunction need accommodations or restrictions to prevent symptoms, attacks, or flare-ups. Having a vestibular disorder should not prevent someone from traveling. Here are some tips you can use to prepare for your next trip.

PLANNING FOR TRAVEL WITH A VESTIBULAR DISORDER

Planning a trip while managing a vestibular condition requires a bit of extra preparation, especially if it is your first trip post diagnosis. Here are a few questions to ask yourself while planning your trip: 

• What types of travel increase my symptoms?
• What can I do to minimize discomfort while traveling?
• Is my destination friendly to my sensitivities?
• What do I need to talk to my doctor about?

Asking yourself these questions and reflecting on the answers can help you prepare for your journey. Other issues you may want to consider include:

• Weather patterns
• Planned activities at your destination
• What to bring to manage your symptoms
• Communicating with your travel companions in advance about your needs

Does my Diagnosis Prevent Me from Certain Types of Travel?

According to the Association for Research in Otolaryngology—Head and Neck Surgery, ear problems are the most common medical complaint of air travelers. This is largely because changes in altitude and fluctuating pressure impact the middle ear, which is the pressure regulation portion of the ear. The ear ‘pops’ when one changes elevation in order to change the pressure and volume of air in the space between your eustachian tube and ear drum. For most people, this is temporary and popping your ear allows for air to flow through the eustachian tube, equalizing the pressure in your middle ear so it matches the pressure outside of your body. This change in pressure helps to keep your eardrum intact and maintains equal pressure in your inner ear. For most, this is just a mild irritation, but for those with vestibular disorders, this change in pressure can trigger other symptoms. 

Vestibular disorders with symptoms caused by pressure fluctuations may flare up during rapid ascents and descents or in other elevation changing situations. Volume and pressure are inversely proportional – both gas (air) and fluid (endolymph and perilymph fluids in your inner ear) react to changing altitudes. There is a constant change of pressure in your inner ear as you travel up and down in elevation, whether you’re on land, in the ocean, or in the air. This relationship can be thrown off and cause dizziness or vertigo in those with pressure-related vestibular disorders. Take special care with or avoid unpressurized air travel, underwater diving, and fast elevators. 

Here are a few tips to avoid rapid elevation and pressure changes:

• If staying in a high-rise hotel, ask for a room on the first few floors. 
• Avoid ‘hopper’ planes (smaller planes that typically go short distances).
• Find out ahead of time if your train or car ride will have large mountain passes with major elevation changes. 
• Avoid scuba diving, freediving, and swimming in deep water.
• Chew gum, yawn, sip water frequently, or use another way to pop your ears, especially during descents. 
• Ask your doctor if you can take a decongestant. This can help keep your nasal passages clear, which helps with pressure equalization. 

It’s important to note that those who are post-operative from Semicircular Canal Dehiscence repair surgery should not fly for a specified amount of time. This decision should be made by your surgeon. 

Additionally, those with a perilymph fistula should ask their healthcare team about if it is safe for them to travel, and about the precautions they should take if plane travel is necessary. 

Planning Around the Weather

Barometric pressure changes happen with changes in heat, humidity, storms, and other weather events. Often people with vestibular disorders report they can ‘feel a storm coming,’ as if it’s a sixth sense. While you cannot change or control the weather, you can sometimes choose a travel destination to avoid weather patterns associated with pressure changes, such as tropical storms.

Changes in atmospheric pressure can affect those with Meniere’s Disease, secondary endolymphatic hydrops, and vestibular migraine (1,2). There is not much research stating why or how this may happen. For those with Meniere’s Disease (1), however, one study found that increased pressure was problematic. For those with vestibular migraine low pressure systems were more problematic (2). 

For more information on weather and vestibular disorders, click here .  

Here are some tips to find places with fewer barometric pressure changes. 

• Accuweather has a migraine tracking feature. To find this feature:
• Go to Google.com
• Type in “Accuweather migraine forecast (+ your desired city)”
• Search and then click the top Accuweather result
• Research places that have few weather and barometric pressure changes to vacation when possible.
• Pack your “rescue kit” to help you if a weather event should arise.

Packing for Your Trip

Besides clothes, shoes, and toiletries, pack all the items you use to manage your symptoms on a daily basis, as well as anything you might need in an emergency. Your “rescue kit” may include a water bottle, medications, light-sensitivity glasses, hat with a brim, heating pad, and more (see below). 

Medications

Always keep your medications and supplements with you. Whether they’re for prevention or used to abort or rescue an attack, medications should be by your side at all times. Be sure that you have what you need in your carry-on baggage, not your checked luggage.

It is not recommended to change your medication routine when you travel. If time differences are a factor, ask your doctor what’s best for you when changing time zones. You may need to take the medication or supplement at a new time so that your body keeps on the same schedule, or you may be able to take it at another time.

Food and Water

Always pack a water bottle! It’s important to stay hydrated. Water and/or water containers are not always easily accessible. A small to medium, lightweight water bottle is best.. 

If your vestibular symptoms are triggered by food, bring your own snacks. Packs of safe seeds, crackers, and power bars are often great options to throw in your backpack or purse to make sure you have something on hand in case you need it. This is especially important during the days you’re traveling. Airports and train stations are notoriously unpredictable, and they do not always have safe food options.

Here are some resources that may help you plan your travel diet:

Pantry Staples (and Snacks) for those on a migraine diet

Check out the list of foods from the VeDA dietary considerations list! 

Accessories

Sun/light-sensitivity glasses, anti-nausea bands, ear plugs, a hat, a foldable cane, and other useful items may be on your list. Whether you are on a plane, in a bright environment, or somewhere with an uneven surface, these tools can come in handy to keep your trigger-load low. The key is to think through all the situations you may be in to predict what you may need. 

TRAVELING TO YOUR DESTINATION AND THROUGHOUT YOUR TRIP

Getting there.

If you have the time it is recommended to budget a day on either end of your trip to get acclimated to your new environment. Often people with vestibular disorders are triggered by travel, so your first day should be low-key and restful. This does not mean that you have to just sit in your hotel room for a full day, but if you’re planning on having one day to lay by the pool, go to the spa, or otherwise relax, making it the first day may help you acclimate before adventuring. 

Motion Sensitivity

Vestibular disorders cause altered processing of motion cues. When the signals aren’t firing accurately, this creates motion sickness (car-sickness or sea-sickness). Here are a few tips to help you manage motion sickness and the accompanying nausea:

• If you’re on a car trip, and you can safely drive, ask to be the driver rather than the passenger so your body knows when acceleration and deceleration are going to happen. This will help your body adjust to the motion more easily. 
• If you are the passenger on any form of transportation, make sure you can see outside when choosing your seat. Focus on the horizon because this helps stabilize your vestibular system.
• If possible, get out and walk around frequently to help decrease the length of time you are in passive motion. Take breaks at rest stops or when the train is in the station. You could also schedule a layover when flying. 
• In passenger trains with seating on two levels, sit on the lower level where there is less sway (rocking motion).
• Avoid reading, using your phone/computer, and other activities that require your head to be down throughout your journey. 
• Ask your doctor about a vestibular suppressant or other medication you can use during your journey.
• Pack a rescue kit with items to help nausea if it arises (see below).

Those with Mal de Debarquement Syndrome may feel better during passive motion and worse when the motion stops. This can also occur if a person has developed movement and postural compensation strategies in response to a chronic vestibular disorder. If passive motion helps you to feel better, you may enjoy the ride, but prepare yourself instead for when you get off the transportation.

• Bring a cane if you have trouble balancing after you deboard.
• You may need some time to rest after getting off the boat/train/plane/etc.
• Talk a short walk after you get off of your vehicle and focus on the horizon. 

Visual Vertigo & Visual Sensitivity

Vestibular dysfunction often increases our reliance on the visual system for balance. Because your visual, vestibular, and proprioceptive systems should work together to help you balance, when one has a dysfunction the other two need to work harder to compensate. For people with a vestibular disorder, this typically results in visual dependence, which can cause visual vertigo and visual motion sensitivity.

Airports, train stations, parking lots, and traffic are incredibly visually stimulating environments. When paired with travel-fatigue, they can be even more irritating to your system. Here are a few tricks you can use to help minimize these symptoms:

• Wear sunglasses or other tinted glasses to decrease irritating lights and patterns.
• Rest your eyes when you can.
• Wear a hat to decrease the amount of light and irritants in your peripheral view.
• Talk to your physical therapist about what you can do to prepare for being in visually stimulating environments.

Nausea & Vomiting 3

Motion sickness and visual vertigo can cause nausea and/or vomiting to occur during your trip. 

• Ginger is your best friend! Ginger can help reduce nausea and comes in many forms, such as chews, candies, and teas.
• Practice deep breathing – inhaling and exhaling deeply and slowly will help decrease nausea, especially if you can be outside or roll down a window for fresh air. 
• Peppermint or lavender oil can help reduce your nausea response – apply it on your temples or diffuse it into the air. 
• Peppermint gum, tea, or candies can also reduce nausea.
• Seltzer or sparkling water can settle the stomach.

If motion or visual sickness causes vomiting, it’s important to stay hydrated and try to keep something in your stomach, if possible. 

• Drink fluids slowly, approximately 1-2 oz every 10-15 minutes.
• Eat only well-tolerated foods.
• Bland foods, such as crackers, potatoes, rice, and noodles, can be helpful.
• Avoid milk products for 24-48 hours.
• Avoid fried or greasy foods.
• Bring an emesis bag in case you need it. 
• Talk to your provider about an antiemetic medication if this is a frequent symptom. 

OTHER STRATEGIES 

• If you have a balance problem and are traveling to an unfamiliar place, pack items that will help you manage uncomfortable light and sound disturbances. These might include sunglasses, a hat with a visor, a flashlight, and ear plugs.
• Standing in long lines and walking through airport terminals or train stations can be tiring for a person with a balance disorder because these large, open, echo-filled spaces are disorienting. In this circumstance, you might find it helpful to use a cane or hold onto the extended handle of a suitcase.
• Some automobiles have curved windshields that have distortion at the lower corners. This is merely annoying for most persons, but it is often disorienting for those with visual sensitivities. If your travel plans include renting a car, prior to signing the rental agreement ask to sit in the front seat of the proposed vehicle so you can test the comfort of the windshield’s optics.
• Try to arrive in the evening so you can walk around to calm your system down a little bit, then head right to bed to reset for the morning. 

Although traveling, and planning to travel, with a vestibular disorder may feel daunting at first, adequate preparation and planning can help ease your nerves so you feel more prepared, resulting in a more enjoyable experience.

By the Vestibular Disorders Association with edits by Madison Oak, PT, DPT

NO MORE GLARE

Many vestibular patients are sensitive to bright lights. The sun’s warm rays cause anguish. Fluorescent lights at work make it hard to focus. The glare from your computer screen is more than just annoying.

The good news is that you don’t have to suffer. Avulux’s specially formulated lenses block the “bad” light while letting in the “good” light, which reduces your vestibular symptoms.

Shop for light-sensitivity glasses on Avulux’s website and a portion of the proceeds support vestibular education, awareness, and advocacy (use code VEDA) .

Gürkov, Robert, et al. “Atmospheric Pressure and Onset of Episodes of Menière’s Disease-A Repeated Measures Study.” PloS one 11.4 (2016): e0152714.

 von Mackensen, Sylvia, et al. “Prevalence of weather sensitivity in Germany and Canada.” International journal of biometeorology 49.3 (2005): 156-166.

Beatty, D., & Galvin , T. (2021, May 3). Managing nausea, vomiting & poor appetite . Managing Nausea, Vomiting, & Poor Appetite . Retrieved September 22, 2021, from https://vestibular.org/article/coping-support/living-with-a-vestibular-disorder/managing-nausea/.

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Motion sickness is the most common medical problem associated with travel. Dizziness, vertigo, and motion sickness all relate to the sense of balance and equilibrium. You might also suffer from dizziness, vertigo and/or nausea due to an inner ear dysfunction. Suppose you suffer inner ear damage on only one side from a head injury or an infection. The damaged inner ear does not send the same signals as the healthy ear. This gives conflicting signals to the brain about the sensation of rotation, and you could suffer a sense of spinning or vertigo, as well as nausea.

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Flying With Vertigo: Helpful Tips

by Dr. Kim Bell, DPT | Oct 8, 2018 | Blogs , BPPV , Clinical Practice , Dizziness , FAQs , Kimberley Bell, DPT , Migraines , My Healing Journey , Physical Therapy , Preventing Falls , San Diego , The Bell Method , Travel Tips for People with Dizziness , Vertigo , Vestibular Rehabilitation , Walking Stability

Are you looking for tips to help flying with vertigo?

I have patients travel to San Diego for vertigo treatment from all over the USA and foreign countries, so I frequently offer guidance on flying with vertigo. This is the mental checklist I run through, but not all of these tips might apply to your situation and will depend on how frequently and severely you get vertigo symptoms.

Is it Safe Flying with Vertigo?

First of all, determine if you are safe to fly. If you are actively vomiting or unable to sit up or walk on your own, you may need to cancel your trip and seek medical care at your current location.

Repeated vomiting can cause dehydration, which can be life threatening in extreme cases and may require intravenous (IV) fluids. I personally have gone to the emergency room over 20+ times in my life due to vomiting for hours to days from vertigo to get IV hydration.

If you are unable to sit up or walk on your own, then it may not be safe to try to fly and you may need to seek urgent medical care to get checked out instead of flying.

If you are not actively vomiting and you are able to sit up and walk on your own, you may decide that flying with vertigo is a reasonable option for you.

Pre-Medicate Yourself

The first step in preparing to fly with vertigo is getting any medications that you need ready to go and pre-medicating yourself.

That list may include both prescription and over-the-counter medications for nausea, dizziness, or vertigo. Be sure to discuss with your doctor the medications that are necessary for you to control your symptoms based on your individual case.

Call Ahead for Wheelchair Service

If you are easily fatigued from the vertigo or have difficulty walking long distances, you may want to call ahead and request wheelchair service from your airline. Most airlines with escort passengers in wheelchairs to their gate and allow them to pre-board onto the plane before the other passengers.

If you request wheelchair service, be sure you are patient because sometimes you might be sitting around for hours.

Add Extra Points of Touch Contact

When you touch something or someone, you get sensory information that can help you feel more stable and balanced when you have vertigo.

If you feel the vertigo when you are sitting, focus on the points of contact between your legs and back with the chair. Put your hands on the armrests to increase the points of contact. Those extra points of touch contact will help you feel more stable.

You can use your hands to hold onto the seats while you walk on the plane or hold onto a travel companion walking through the airport to give you an extra sense of balance.

You can also spread your feet wider while you stand and walk to feel more balanced.

Bring an Assistive Device

Canes and walkers work the same way, by giving you more balance through your hands. Bring any assistive device that you might need like a walker or a cane on the flight to stabilize yourself. Make sure you put a luggage tag on your cane or walker, in case it gets lost.

You can store your assistive device in the overhead bin, or the airline may allow you to check it at the gate right before you board the plane. If you check your cane or walker at the gate, the airline attendants will likely bring it back to you as soon as you get off the plane.

When you have vertigo, getting stressed out or anxious makes the symptoms feel worse and last longer. Flying can be stressful due to crowds, long lines and flight delays.

So make sure that you give yourself plenty of time, so you can avoid rushing around and keep yourself calm.

You may also want to get a chamomile tea or some other non-caffeinated beverage while you are waiting in the airport to help yourself relax.

Try to keep your breathing smooth and steady because shallow, rapid breathing can over-stimulate your nervous system and make you feel worse.

Stay Upright and Move Your Head as Little as Possible

Depending on the cause of your vertigo symptoms, lying down and moving your head around may make you feel worse. So it is usually best to avoid lying down or moving around a lot in the airport while you are waiting around.

For the most common causes of vertigo , keeping your head upright, staying still as much as possible and moving slowly will reduce the vertigo symptoms.

This means you may have to ask someone to help you with your luggage, so you can avoid repeatedly bending over to pick it up off the floor. If you have to pick up your own bags off the floor, consider kneeling down or squatting down to pick them up instead of bending forward at your hips so your head stays in the upright position.

You may want to invest in a higher quality neck pillow to hold your head upright if you fall asleep while you are flying.

Stare at a Vertical Line or Close your Eyes

Depending on the cause of vertigo, you may feel better if you stare at a vertical line or you may feel better if you close your eyes. You have to figure that out on your own. Reading and looking at a computer screen often make vertigo feel worse, so you may need to avoid those activities if you are flying with vertigo.

You may also want to try some of the vertigo home remedies that I recommend for symptoms of dizziness, vertigo and nausea to help while you are flying.

Click here for a video on How to Manage an Episode of Vertigo.

This blog is provided for informational purposes only. The content and any comments by Dr. Kim Bell, DPT are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The details of any case mentioned in this post represent a typical patient that Dr. Bell might see and do not describe the circumstances of a specific individual.

62 Comments

I’ll be traveling this summer by ✈️ and a little anxious. I experienced vertigo about 2 years ago and even with medication vertigo didn’t ease up till months later. Currently, not experience the vertigo but every now then there’s residual dizziness. I’m wondering if air travel will trigger vertigo?

Thank you for your question. I am glad you found my blog on Flying with Vertigo: Helpful Tips.

Believe it or not, I hear the question you asked ALL THE TIME, which was my motivation for writing this blog.

Some people get triggered by traveling due to the changes in cabin pressure, barometric pressure, altitude and weather.

Other people get triggered by the visual complexity of all the people walking around in the airport and the constant overhead announcements.

Sometimes dehydration from traveling can trigger vertigo.

The effect of traveling on symptoms of dizziness and vertigo is really specific to the root cause. If you were able to share with me a specific diagnosis , then I could answer your question in more detail with more specifics.

I think the challenge for you is that it sounds like you are not certain about the root cause of your symptoms and so your treatment plan was to “wait it out” while using medication to cope.

Unfortunately, the lack of root cause evaluation has limited your ability to research and learn about how to prevent or manage flare ups of your symptoms of vertigo or residual dizziness. I meet many people who are uncertain about the cause of their symptoms, which is why I specialize in that type of assessment.

My suggestion is to seek out a Root Cause Evaluation as soon as possible with a Vestibular Expert so that you can figure out what caused the initial vertigo and what is causing the occasional, residual symptoms . Then you can research that specific diagnosis and figure out how to avoid the triggers, or how to manage the symptoms .

You might want to check out my blog on How to Find a Vertigo Doctor in Your Area .

You may also want to read another blog I wrote with more tips for Traveling with Vertigo .

If you do have a diagnosis for your symptoms and you want to share it with me, then I can answer your question in more specific detail.

One other thing to remember is that people with dizziness and vertigo typically need more time to recover after travel, so be sure to schedule some down time after your flights.

I hope you have a great trip!

Dr. Kim Bell, DPT

My Brother have vertigo from last 6 to 7 year he cant sleep…when he sleeping down it get trigger We already do lots of medication But he is not recover give me some tips for him

Hi Pranali,

I am sorry to hear what your brother is going through! I understand because I had vertigo for over 25 years without knowing exactly why.

That is why I started this specialty practice to help other people like me and your brother.

The blogs I have listed below may help you learn more about what to do.

BPPV Symptoms

BPPV Symptoms (More Information)

How to Manage an Episode of Vertigo

Blog with Video on How to Manage Vertigo Symptoms

How to Track and Record symptoms for Analysis

How to find a Vertigo Doctor in Your Area

Vertigo Home Remedies

Of course, if he wants to travel to San Diego, I would be happy to help your brother!

You can learn more about my care by clicking here .

Best wishes,

Kim Bell, DPT

I have the onset of Ménière’s disease and flying brings on the vertigo. With a middle ear thing happening how do I manage flying? Any suggestions. Thank you.

Hi Elizabeth,

The best suggestion I have is to avoid flying altogether or pre-medicate before the trip to suppress your symptoms if you must fly.

You can work with your doctor to determine which medications – or combination of medications – will be best for the symptoms you get during or after a flight .

I suffered a vertigo attack for two weeks. I was hospitalized for a month. I took therapy for three weeks. The vertigo affected my eyes and hearing! The crystals I think are still embedded. My hearing is amplified. And voices sound like a computer. Some sound regular. I need help because I want to hear normally again. I think I was slipped a micky! No history of vertigo before this.

This sounds awful! I’m so sorry to hear all this!

I hope you can find a vestibular PT and a specialist doctor like otoneurologist or otologist to assess you.

You can use this blog to search for providers in your area.

Hey There My Father Is Suffered From Benign Paroxysmal Positional Vertigo (BPPV) almost a month & half ago. He is yet taking the medications that are indicated for 3 months. But he is very well now, no any episodic vertigo or nauseaous symptoms have appeared again. I wanted to ask Can he travel in flight of 1 Hour & 45 Minutes?

I am not able to advise you on whether traveling is a good idea or not, since your father is not my patient.

If he does decide to make the trip, I have a few blogs that might be helpful in addition to this one that you already found.

Traveling with Vertigo and Dizziness: Helpful Strategies

Travel Tips for People with Dizziness and Vertigo

Flying with Vertigo: Tips for Plane Travel with Vertigo

I hope those additional resources are helpful for you and your father.

Best regards,

My vertigo is from a broken ear drum will air travel cause me to have a vertigo episode???

I will redirect you to the doctor who diagnosed your broken ear drum for that answer. Please contact your doctor directly to ask that important question.

Here are three additional blogs I have published on Traveling with Dizziness:

Travel Tips for the Airplane

Traveling with Dizziness and Vertigo: Helpful Strategies

My issue was fluids in my right ear. It was due to mucus. Treaded the mucus and my ear cleared up.Also high blood pressure can trigger also. My issue was mucus. Sinus infection left untreated will trigger it also. These are my own experiences and just sharing. I hope it is helpful

Hello, I have similar situation I worry flying will trigger vertigo again. My vertigo started when I was walking on a suspension bridge and it was shaking badly. It took awhile to get over it and am still feel like it can trigger whenever I drive in a tunnel. Or narrow road with tall wall on the side. I feel bloating head while sitting sometimes. Should I fly? Thank you

I am sorry to hear what you are going through!

I cannot advise you about flying, since that can trigger dizziness and vertigo for many people. I have other articles on helpful tips for traveling on both VertigoDetective.com and BetterBalanceInLife.com .

I am also working on my first book right now, and I include a lot of travel tips in Chapter 12. When that is published, it may be helpful for you.

My suggestion is for you to get evaluated by a Vestibular physical therapist .

You can use this article to search for someone in your area.

I also suggest for you to get evaluated by a Neuro-Optometrist. You can use the Doctor Locator at COVD.org to search for someone.

I think those two specialty evaluations will be helpful.

Also, this article on home remedies may help you manage the symptoms to prevent them from escalating.

I hope that helps!

The doctor seems to think that the crystals in my ears have come out of place.

I may not have enough time to get it corrected before my flight.

Any suggestions to help??

I am miserable feeling this way. I leave 3/6/23.

Hi Suzanne,

I have four blogs with travel tips.

Two are on this website and two are on my sister website betterbalanceinlife.com.

On those two websites, you can search the term “travel” or “travel tips” and find two blogs per site sharing my travel tips.

I have a lot of information on there that may be helpful for you.

I’m also publishing my first book this year, which will have a lot of information on traveling with dizziness and vertigo.

Worst case scenario, some people have to cancel their trip.

I typically advise people to bring medications when they travel to manage any flareups.

Ultimately, I would suggest for you to find a vestibular physical therapist, or other vestibular healthcare provider to have a professional evaluation and treatment.

This article can help you search for a local provider.

I hope you feel better soon!

I’m debating whether to fly to Dallas from Chicago this week. I’ve had my first appointment for this last week. It seems to have gotten worse since then. I can walk but get dizzy and it’s hard to rest. I’m wondering if might things worse if I fly.

The trick to flying and vertogo is this…….fly without worry. If you begin to worry, you will develop anxiety and anxiety can trigger. I shoukd know because I suffer from extreme vertigo. I have been having vertigo episodes for the passed five years. Finally I take medication that has controled my vertigo. Besy of luck.

I agree that managing anxiety is key to flying comfortably!

Thank you for sharing your insight with our blog readers.

In this blog , I share some tips for alleviating anxiety related to vertigo.

I also have included more travel tips in this blog .

Sincerely yours,

What is the medication you take for vertigo? i’ve had an intense Episode of it for two weeks

I’ve been a flight attendant for 20 years. I had ear pain that didn’t resolve with antibiotics. I’m currently treating for BPPV through physical therapy with not much success. Can I work as a flight attendant with vestibular disorders??

Hi Michelle,

I am sorry to hear this! I am glad you are in physical therapy for treating BPPV .

Although BPPV does not usually cause ear pain, so I suspect you may have more than one condition occurring at the same time.

I am not able to advise you about future career plans, except to say that getting treatment for the BPPV and any other medical condition will allow the best chance of being able to maintain your job.

Many patients with dizziness or vertigo who do not find adequate care are forced to go on disability or eventually switch careers.

The healthcare providers who are treating you can offer individual medical advice for your specific situation.

What medicine are you taking to stop vertigo?

What medications did u take. I have Vertigo. It’s been going on for two months now. It’s awful.

Do u know of a Dr. in Arvada,Co who specializes in Vestibular Vertigo. I have been to a PT Specialist, my ENT Dr., and my Chiropractor.

You can find a Vertigo Doctor in your area using the links provided in this blog .

I do not know of one that I can personally recommend for you in Arvada, CO.

I have a few blogs on Medications for dizziness and vertigo that may be helpful as you explore your options. I have linked them in my reply below.

Ultimately, your primary doctor will need to determine what is best for your individual situation.

Medications for Dizziness and Vertigo

Medications for Dizziness

One thing to be aware of is that medications for vertigo can increase the risk of falling .

If possible, I hope you can find a Vertigo doctor in your area using this blog and get a resolution of the root cause .

Hi I have beeen suffering with BPPV for 3 years now. It’s starting to effect my work life. I have been told by my doctors there is nothing they can do to help. I have done some Eaply Manouvers but hasn’t helped. I want to go on a working visa over seas but I’m am so anxious about it because I won’t be able to work or do activities. It’s really frustrating.

I am sorry to hear about this!

You can use this article to look for a Vestibular physical therapist or doctor who may be able to help you.

This article is about the link between vertigo and anxiety.

Flying always triggers vertigo for me

I have vestibular migraine and very anxious I’m flying to Canada do you think this will be ok to do

Hi Patricia,

I am glad you found this blog on tips for flying with vertigo.

I have two other blogs that might be helpful for you and I have linked them below.

Alleviate Vertigo and Anxiety Symptoms

I wish you all the best and I hope you are able to enjoy your time in Canada.

I have BPPV Vertigo Is it safe to fly with a plane?

Your doctor can advise you if it is safe for you to fly.

My blog articles on flying and traveling with dizziness and vertigo are for educational purposes only.

I am not able to give you individual medical advice since I have not evaluated you in person. I suggest you ask your doctor.

I have vestibular migraine and have to travel by a train.i have taken medicine prescribed by my doctor before the journey.what additional precaution can i take to prevent vestibular attack after the journey ends

Hi Aishwarya,

I am glad that you found this article with tips on traveling ! I have three more articles that may help you.

This article

I hope that information is helpful!

This is not in regards to flying, but a simple question regarding Vertigo. It’s been 4 months since my first episode, it would happen once a week and I got a break for 6 weeks. Two weeks ago it started and now it’s every day, I don’t vomit every day. My question is this normal for it to last this long? Regards Danielle

Hi Danielle,

Vertigo can last anywhere from seconds, to minutes, to days, to weeks, months and even years.

I have met people with one episode of vertigo that never felt it again, and I have met people with vertigo everyday for over 40 years.

The key is to determine the root cause and focus on a treatment plan to resolve that root cause.

This blog discusses how to track your symptoms.

This blog discusses how to find a vertigo doctor in your area.

This blog discusses why it is important not to try to learn to live with vertigo.

This blog discusses reasons to seek professional vertigo help.

In this blog , I go over some common causes and treatments for different causes of vertigo.

This blog is about the importance of root cause analysis.

I hope those additional, free online resources are helpful!

Hi Kimberley, My son has suddenly suffered from very bad vertigo after staying in USA for 1 month, he was admitted to the hospital 8 times and have had all sorts of tests & scans (CT, MRI..). The last time they decided to inject steroids into his ear. That helps but he now still has vertigo episodes where he needs to take medications and lie down for a few hours. Can he take Stemetil in advance before flying to prevent the attacks? Thank you.

I am so sorry to hear this story!

I am not able to provide individual medical advice about what medications might help him since I do not know the whole story and I have not evaluated him myself.

I suggest directing your question to his doctor to find out if that medication is right for him.

I have been suffering from BPPV for about 3 weeks now. My doctor has performed the Epley maneuver twice and I’m to go back in 2 weeks for a third try. I have a flight in 3 days and I’m concerned about vertigo while flying. I’ll take Dramamine before the flight but was wondering what your thoughts would be on managing this flight.

Thanks Vicki

Traveling with vertigo is a personal decision. I have done it many times out of necessity and I have learned a lot in the process.

In addition to this blog, I have two other blogs in which I share travel tips for people with dizziness and vertigo.

Travel Tips for People with Dizziness and Vertigo Traveling with Dizziness and Vertigo: Helpful Strategies

I also published another blog that avoiding sensory overload in the airport, so please check out this blog as well.

I published this article on 5 Reasons why Epley may not work .

I hope that additional information is helpful as you make your decision!

Hi On 9th March and 19th March, I had severe vertigo attack; I am on medication. Now I doubt whether I will be Able to live my normal life in future though I have started exercise, work at home, I am loosing my confidence.

Many people share your fears about whether they will ever be able to live a normal life again.

In this blog , I talk about strategies to alleviate fears related to vertigo that my patients use.

The prognosis for your level of recovery depends on the root cause of your two vertigo attacks.

Medication is helpful to mask the symptoms and improve quality of life. I am glad you have been able to exercise and work at home while on medication.

I highly recommend for you to consult with a Vertigo Professional. You can use this blog to find a Vertigo Doctor or Physical Therapist in your area.

You can use this blog to discover home remedies that may help.

You can use this blog to learn how to track and report your symptoms.

This blog talks about how to manage dizzy spells.

I wish you all the best for a full recovery!

My mom suffered a couple years ago with vertigo that lasted 6 weeks or so. She is with me in OK but lives in Yuma. She is preparing to go home but maybe we should come to san diego for a visit first. Do you take medicare along with a supplemental insurance? When could we get her an appointment?

I am sorry to hear about your Mom!

All my care is private pay, so I do not accept insurance. For more information about my services and prices, please check out this page .

To search for other providers who may take her insurance, check out this page .

Best wishes!

Hi Doc. I have a flight in 4 days and im terrified about it, though it wasnt my first time of flying by air its just that i experienced twice that during flight, there is a moment that i feel like i am losing my self and im gonna pass out, i feel heat/cold flashes on my body and seems like the noise on my ear is getting smaller and smaller, luckily, when i am on the edge of that feeling, i started to feel my body again and the noise comes back to my hearing. This past few days im stress about personal things and i started to feel the dizziness and everything is moving. But it is just for few seconds only. I have a history of Vertigo and i know what im feeling is vertigo again. Just want some advice on my upcoming flight. Thank you

Hi Kristine,

I have shared the tips on traveling and flying as general helpful information.

I am not able to advise you or respond to your specific concerns about flying, since I have evaluated you in person.

Please talk with your doctor about your symptoms and concerns.

So I am not yet diagnosed. But my specialist is leaning towards vestibular migraine and meniere’s disease. I’m in my 20s and just passed the third month since my first Vertigo attack. I’m not the same anymore! Lighting, certain foods, smoking, heavy exercise and crowd movement can throw me into an attack. I still can’t drive. I have to travel a pretty long distance and so I got a wheel chair service because of the large airports. My husband also said we should make a medical card to hand an employee in case something happens. Is there seating that is easier while during the flight? Just the landing and take off will suck but I won’t vomit. Is there anything else that might help my situation while traveling?

I am sorry to hear what you are going through.

This blog on Meniere’s and this blog on Vestibular Migraine may be helpful.

Also, you can read my definitions of migraine , vestibular migraine , Meniere’s disease , and Meniere’s syndrome in my glossary .

This blog , this blog and this blog are the three other blogs I have written on traveling with dizziness.

This blog has home remedies .

I hope that is helpful!

I encourage you to dig further until you find the root cause(s) that explain all your symptoms.

Hi Dr. Bell,

This is a wonderful website with many helpful blogs — thank you for all you do! I’m wondering if there are any blogs in particular you can point me to re: flying with dizziness. Specifically, when a plane takes off and especially when it banks, I get very dizzy and things start to spin. When I can see the plane is level, these feelings usually subside. This has been happening for the last ten years but I’ve always written it off as general anxiety. Usually, I can keep calm if I’m in a window seat and am able to focus on the horizon, but I think craning my neck to look out the window for long stretches might also be escalating things. Also, flying at night or with the window shades shut also sends my mind into barrel rolls. Thoughts? OTC medications? Hope I can discover the root cause of this someday or at least control the anxiety. My dream would be to able to actually sleep on a flight again!

Hi Michael,

I am so happy that the blog was helpful to you!

I have three other blogs on traveling with dizziness and vertigo that might be useful to you.

I hope that was valuable information!

If you are able to find a vestibular provider in your area – using this blog – I think that would be very beneficial to get individual medical advice and answers to your great questions, after a thorough exam is conducted.

Since I have not examined you in person, I am not able to speculate on the answers to your questions. There are too many variables to consider, which is why having an evaluation by a trained vestibular provider is the key.

Hi I had a brief vertigo episodes from BPPV last month. It lasted to 48 hours and I was all fine, I again has come back now and its different from last time. Its more when I lie down now v/s issues with getting up last time.

I need to take flight 2 circuits of 7 hours each in about 2 weeks. Confused if I cancel the trip or go ahear. Any advise would be great.

Flying can trigger a new episode of BPPV for some people due to the pressure changes.

However, many patients with BPPV do not have much trouble flying since they never recline below 45 degrees.

I have three more blogs with travel tips that may help you as well:

Flying – article 2 Travel tips – article 1 Travel tips – article 2

Hi I found out last month that I got vertigo and am going on holiday to Turkey in 10 days what do I do on the plane to stop me feeling dizzy and everything

I have offered suggestions for traveling with vertigo in four blog articles. I will link them up here:

Travel tips 1

Travel tips 2

Travel tips 3

I have had two episodes of vertigo requiring 3 months each of physical therapy. Because of this, I have been reluctant to fly which has limited my travel. Is air travel more likely to trigger vertigo symptoms than other forms of transportation?

Traveling in general can be a trigger for vertigo, due to changes in altitude, barometric pressure, humidity, and temperature etc.

Different types of pollens or other environmental factors, along unusual foods and stress can also trigger vertigo while traveling.

Certainly flying is a common vertigo trigger for people with migraines and BPPV, but some people with vertigo don’t notice any issue with flying.

It depends on the root cause of the vertigo.

I suggest you talk to your doctor about any medications you might need and ask your physical therapist about precautions for traveling.

In July 22, I had a vertigo episode.

It was very bad. I couldn’t go to the toilet by myself in the first week.

It started to recover slowly, but still now I’m suffering with the symptoms.

I’m out of balance. I can’t turn my head from one side to the other.

Lying down in my bed is very bad.

I have a lack of focus.

I don’t know the root cause and my question is how long can the symptoms last?

That sounds terrible! I’m sorry to hear it.

I hope you have notified your general doctor by now. That’s always important.

Vertigo can last for quite awhile so I suggest you seek professional help .

You can use this blog to find a vestibular physical therapist or Otoneurologist in your area to see asap.

You can use this blog to write up your case before you see that provider, to help them understand what you are dealing with.

I hope you find proper care and get relief soon.

I have vestibular migraine, and I’ve only been on a preventative for a little over two weeks. It took 6 months to find a solution. I still have residual side effects. I’m about to go on a trip, and a little anxious about flying with these feelings. The main issues I have right now, is nystagmus, slight unbalance and nausea.

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Can You Fly With Vertigo? Is Air Travel Possible When You Struggle with Vertigo?

Table of Contents

Frequently Asked Questions

With travel restrictions slowly easing in various parts of the world, old FAQs on vertigo have also resurfaced. These questions focus on whether people with frequent vertigo attacks can travel via plane. Is it possible, or should patients shift to a more vertigo-friendly travel option? What natural remedies for vertigo can help a traveler cope during an episode? Find out more about these questions so you can begin planning your flight to your upcoming destination.

Why Vertigo Happens When You Travel By Plane

Thousands of people who experience vertigo episodes dread flying. That’s because they fear that their attacks will only get worse when they are 30,000 to 42,000 feet above the ground or when the plane experiences mild turbulence. Unfortunately, studies show that vertigo episodes can indeed occur or worsen during a flight because of the following:  

Ear Barotrauma 

Increased water or air pressure can cause tissue injury that eventually leads to ear congestion. Some would refer to it as airplane ear, while doctors call it ear barotrauma . 

It’s normal to experience mild discomfort inside the ears when the air pressure changes during a flight. Once the inner ear stabilizes, the pressure buildup gradually eases, and you hear a popping sound.  However, if you have ear barotrauma, the pain lingers a bit longer and triggers severe vertigo episodes, ear pain, and muffled earing.  

Mal de Debarquement Syndrome

Mal de Debarquement syndrome is a rare but highly debilitating condition that triggers vertigo attacks. The episodes happen shortly after disembarking a ship or an aircraft. Unlike typical causes of vertigo episodes, Mal de Debarquement syndrome causes worse symptoms when you stay still. 

Benign paroxysmal positional vertigo accounts for most of the reported vertigo cases in the USA. It is a vestibular system problem that stems from dislodged calcium crystals. It gets worse with head movements, which may happen because of plane turbulence. 

Meniere’s Disease

The Hearing Health Foundation estimates up to 750,000 cases of Meniere’s disease in the USA . It’s another type of vestibular system disorder that causes various symptoms ranging from vertigo episodes to tinnitus. While studies explain that Meniere’s disease rarely causes problems during a flight, it still pays to know a few natural remedies for vertigo to cope.  

Perilymph Fistula

Perilymph fistula or PLF is a rare inner ear disorder that usually develops after head or neck injury. It causes miscommunication between your brain and inner ear and triggers symptoms similar to Meniere’s. However, unlike Meniere’s, it can go away after a week or so with the help of medication or a surgical procedure. 

Central Vertigo

Central vertigo is a type of vertigo attack that stems from a nervous system problem. Patients with vascular diseases, stroke, multiple sclerosis, and brainstem lesions often experience central vertigo symptoms.

Can You Fly With Vertigo?

Flying with vertigo is possible unless you get diagnosed with perilymph fistula or Mal de Debarquement syndrome. Doctors and other healthcare professionals discourage flying among patients with perilymph fistula because it can increase the risk for permanent hearing loss. 

Meanwhile, if you have Mal de Debarquement syndrome, we recommend opting for short connecting flights to lessen the impact of your vertigo episodes and get to know about the tips for flying with vertigo.

If you have other vertigo-causing health conditions such as those listed above, we suggest trying natural remedies for vertigo . Many studies back the claims of patients who use natural relief options such as upper cervical care, acupuncture, canalith repositioning exercises, and aromatherapy. Let’s deep dive into each vertigo relief option below:

Acupuncture

A 2015 study shares that acupuncture works well in relieving dizziness after flying and vertigo. Essentially, it is a traditional medicine technique that aims to activate pressure points using thin needles. Many patients with Meniere’s, vestibular neuritis, and other vestibular disorders try acupuncture to relieve their symptoms. However, on average, it takes five sessions for a patient to start seeing improvements.

Aromatherapy

Aromatherapy is one of the most popular relaxation techniques. It requires the use of essential oils extracted from herbs and flowers, and sometimes, wood. You can either use a diffuser to inhale your chosen essential oil or combine a few drops with a carrier solution and massage on your temples, forehead, and neck.  

Although there are few scientific studies to establish why aromatherapy works for vertigo relief, thousands of patients swear by it. Some popular aromatherapy oils used to reduce the impact of spinning sensations and other vertigo symptoms include ginger, lemon balm, and peppermint oil.

Canalith Repositioning Exercise

Canalith repositioning exercises like the Epley Maneuver make an excellent option for vertigo relief. Patients with BPPV or benign paroxysmal positional vertigo benefit from this approach to restoring displaced calcium crystals inside the correct chamber. 

Upper Cervical Care

Many patients have cervical spine misalignments because of previous injuries. Unknown to them, their cervical subluxation causes miscommunication between their brain and vestibular system. This leads to confusion and a false perception of movement. 

The bones can also stop the normal flow of fluids from your head, aggravating conditions like Meniere’s disease, ear barotrauma, and perilymph fistula. So naturally, if you can correct the bone misalignment, you can gradually eliminate risk factors such as fluid buildup in your ears and brain signal interference. 

Thankfully, with upper cervical care, you can do just that. The gentle and precise adjustments can restore your cervical spine to its original curvature, allowing your body to heal and recover. 

Without a doubt, upper cervical care is among the leading natural remedies for vertigo . If you want to explore this option and start your healing journey, you can call a local upper cervical chiropractic doctor from your city .

 Additional Self-Care Tips for a Worry Free Travel

If your vertigo is stopping you from traveling and finally you've mustered enough courage to overcome your fear, it's still natural that there are deep seated worries at the back of your mind. So it won't hurt to know additional tips and tricks that can allow you to reduce the frequency and severity of your vertigo without the need of rushing to the emergency room. Below are some of them:

1. Stop Smoking

You have a hundred reasons to stop smoking (or not start). Now you can add vertigo to the list. One thing that comes up over and over again with vertigo is a link to the neck and blood flow. Smoking constricts the blood vessels. This reduces blood flow, inhibits natural healing, and can lead to premature degenerations of the discs in the neck that separate the vertebrae. Smoking can, therefore, make a vertigo issue worse and inhibit your efforts to reduce the frequency and severity of attacks.

2. Improve Your Posture

Good posture is important for a lot of health conditions. If you are dealing with a chronic ailment that causes vertigo, this is especially true. Proper posture can help to ensure that your neck stays in alignment and that your brain is getting proper blood flow. It can also affect the ability of your ears to drain properly. These are all important factors when it comes to defeating vertigo once and for all.

If you have to sit at a desk all day for work. Try to make your setup as ergonomic as possible. That means your monitors should be at eye level so that you are not looking down all day long. A forward head position can put pressure on the brainstem and spinal cord, and it increases the amount of work that the spine has to do in order to protect the central nervous system.

3. Increase Your Water Intake

One of the few underlying causes of vertigo that isn’t linked to the neck is dehydration. You may want to download an app to track how much water you drink per day. Actually, keeping track may help you to realize that you are not regularly getting 8 full glasses of water each day. Since vertigo is an early dehydration symptom, you may not have any other indicators that your water intake is low.

4. Get a Fitness Tracker

A sedentary lifestyle affects blood flow and can be as harmful to your vertigo as smoking. A fitness tracker can help you to see just how much activity you are performing each day. If you work in an office building, can you take the steps instead of the elevator? How about parking at the end of the lot instead of getting as close to the door as possible? The more activity you get in each day, the more stress relieving hormones will be released as you exercise. So you get two-fold benefits. First, you are improving blood flow as you exercise. Second, you are combating one of the primary triggers of vertigo.

5. Limit Stress and Anxiety

Stress and anxiety are the main triggers of vertigo. While you can’t eliminate these completely from your life, you can work to reduce the level of stress hormones that are released by finding positive stress coping mechanisms. Exercise is a good way to deal with stress. Smoking is a bad way to deal with it that can make vertigo worse. Here are a few other tips for coping with stress and anxiety:

• Focus on positive things – Mark Twain is often quoted as having said: “I’ve had a lot of worries in my life, most of which never happened.” Isn’t it true that we often find ourselves worrying about things that work out well in the end? So why not try setting a period of time each day to focus on positive things. You may find that this retrains your mind to think about the good in your life rather than the concerns.
• Talk with someone – Just getting your anxieties out can bring a great deal of relief. Whether you have a friend or family member who is always willing to lend an ear or you decide to pay a professional therapist, the key is to find what works for you.
• Take a break – Whether it is a short vacation, a relaxing hobby, or going for a massage, find ways to give yourself a break when you really need it.

For some patients, a combination of these self-care tips and Upper Cervical Care has decreased the frequency and severity of vertigo episodes or even ended them altogether. Make sure you reach out to an Upper Cervical Chiropractor near you to learn more.  

Can A Plane Flight Trigger Vertigo?

Yes, you can potentially trigger vertigo from flying, especially those individuals who are prone to this condition. The changes in air pressure, motion, and altitude during flight can disrupt the inner ear's balance system, leading to vertigo symptoms in some passengers.

Can You Fly With Vertigo? 

Flying and vertigo can be challenging for those who experience severe or frequent vertigo episodes. Therefore, it is essential to consult with a healthcare professional before flying with vertigo to discuss potential treatments or preventive measures.

Can Flying Cause Vertigo?

Flying itself does not directly cause vertigo. However, some individuals who are prone to vertigo or have underlying inner ear issues may experience vertigo symptoms during or after a flight. The motion, changes in air pressure, and altitude variations during air travel can potentially disrupt the balance system in the inner ear, leading to vertigo-like sensations. It's important to note that not everyone will experience vertigo when flying, and the likelihood of it occurring varies from person to person

 Does Flying Affect Vertigo?

Yes, flying can affect vertigo, particularly if you already have a history of vertigo or balance issues. The motion and changes in pressure during flight can trigger or worsen vertigo symptoms. It's advisable to take precautions and consult with a healthcare provider if you plan to fly with vertigo.

How To Prevent Vertigo When Flying?

To prevent vertigo when flying, consider these measures: Consult with a healthcare professional before your flight to discuss medications or strategies to manage vertigo. Stay hydrated during the flight. Avoid alcohol and caffeine before and during the flight. Choose seats with a stable view, such as near the wing. Use earplugs or noise-canceling headphones to minimize noise-related discomfort. Practice deep breathing and relaxation techniques to reduce anxiety, which can exacerbate vertigo symptoms.

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Flying with Vertigo: Tips and Precautions

If you suffer from vertigo, it can certainly be an uncomfortable experience, that could potentially become worse when flying.

However, flying with vertigo is still possible, though you will want to take steps to minimize discomfort during the flight.

Table of Contents

• 1 How to Fly With Vertigo
• 2 Does Flying Make Vertigo Worse?
• 3 Vertigo May Last a Short or Long Time
• 4 Can You Become a Pilot With Vertigo?

How to Fly With Vertigo

• Bring Your Medication: If you’ve been prescribed drugs to provide relief from vertigo, make sure you bring them on-board. If you haven’t been prescribed these drugs, make sure you visit your doctor to obtain them before you fly.
• Bring water pills: If you suffer from Meniere’s disease, make sure that you bring water pills on the plane.
• Take anti-anxiety medication: Even people who don’t suffer from vertigo get anxious about flying, and take anti-anxiety medication before their flight. But if you have vertigo, it’s even more important that you take medication like diazepam (Valium) and alprazolam (Xanax) before your flight.
• Avoid caffeine, alcohol, salt and tobacco: Use of these substances can all make vertigo worse , so make sure you avoid them on the days leading up to your flight, as well as on the day of the flight itself.
• Use an OTC antihistamine: An over-the-counter antihistamine, such as meclizine or dimenhydrinate (Dramamine), can help if your vertigo also involves nausea.
• Stay hydrated: Due to the changes in air pressure and humidity on a plane, it’s easier to become dehydrated, so make sure that you bring a water bottle on the plane and drink lots of water.
• Be prepared for the drowsiness: Effective medications for vertigo will often cause drowsiness, so make sure that you are prepared for this, such as having transport pre-arranged once you land.
• Add points of touch contact: If you have vertigo, you may have realized that touching something or someone can help, as it gives you sensory information that can result in a feeling of stability and balance. So focus on holding the seat or the feel of the contact of the seat on your body.
• Move your head as little as possible: Staying upright and moving your head as little as possible can help reduce vertigo symptoms when they strike.
• Travel short-haul: If it’s your first time flying with vertigo, it’s better to take a short-haul flight, as it’s hard to predict what will happen in the air if you’ve never flown with vertigo before.

Does Flying Make Vertigo Worse?

As the most common cause of vertigo involves the inner ear (peripheral vertigo), which is affected during flying, there’s a good possibility that vertigo symptoms will become worse when you’re in the air.

Additionally, as vertigo can become worse with sensory overload, traveling within the airport, and hearing overhead announcements at the airport and on the plane can worsen symptoms.

Vertigo May Last a Short or Long Time

It can be hard to estimate how long vertigo will last at the airport, on the plane, and after your flight, as everyone will respond differently.

A vertigo attack can last from a few seconds to hours, to even days or months if you have severe vertigo.

Generally, while episodes of peripheral vertigo can pass quickly, central vertigo that is caused by a disease or injury to the brain can last for much longer periods of time, and are more intense.

Can You Become a Pilot With Vertigo?

If you have vertigo, it’s still possible to become a pilot, though the likelihood is reduced.

In most instances, a further neurological evaluation is required to determine whether an aspiring pilot can qualify for a medical certificate necessary for flying or not.

Ella Dunham

Ella Dunham, a Freelance Travel Journalist and Marketing Manager, boasts an impressive career spanning eight years in the travel and tourism sectors.

Honored as one of "30 Under 30" by TTG Media (the world’s very first weekly travel trade newspaper), a "Tour Operator Travel Guru" and "Legend Award" winner, Ella is also a Fellow of the Institute of Travel, a Member of the Association of Women Travel Executives, has completed over 250 travel modules, and hosts travel-focused segments on national radio shows where she provides insights on travel regulations and destinations.

Ella has visited over 40 countries (with 10 more planned this year).

Related Posts:

Air Travel and Dizziness 

Timothy C. Hain, MD • Last update: December 1, 2022

• For information about motion sensitivity in general, see the motion sickness page .
• For information about boat travel, see this page .

(image from https://www.vecteezy.com/free-vector/airplane-silhouette)

Many people are concerned about airplane travel when they are dizzy. They are worried both that they may become even more dizzy when they fly, as well as that their underlying condition causing dizziness may be affected by flying. In most cases, these fears are unjustified. Flying does two things that are relevant to dizziness-- it may induce motion sickness, and it may stimulate the ear through pressure changes. There is a small literature about "alternobaric vertigo". In small planes, dizziness may come from either or both mechanisms. In larger planes, the main risk from flying to the ear is from pressure fluctuations in the cabins. Large airplanes generally have less of these, and small unpressurized airplanes have the most.

Management of pressure fluctuations:

If you can reasonably avoid flying, don't when you have a cold or your nose is stuffed up. If you have to fly, try to keep your Eustachian tube open at times when the pressure in the cabin is changing -- usually for 30 min just after going up and for 30 minutes just prior to landing. We suggest avoiding riding in unpressurized aircraft. Simple methods of opening the Eustachian tube are swallowing or chewing gum. You may wish to carry a bottle of water with you. We do not reccomend more forceful maneuvers in which air is forced into the middle ear as there is some risk of injuring the ear drum. Sade et al (2003) recently advanced the hypothesis that ear vulnerability to pressure fluctuation (barotrauma) is correlated with the amount of mastoid pneumatization -- how well aerated the bone is behind the ear. It is uncertain whether this idea is indeed correct.

Medications:

Decongestants such as decongestant nose drops (available over the counter) may help by opening up the nasal passages. These preparations are not recommended in persons with hypertension however. Antihistamines such as Dramamine (Tm) can also be taken before getting on the airplane may help manage pressure fluctuations by keeping the Eustachian tube open. There are many other antihistamines (such as meclizine) that can also be used in this situation. Use of nasal steroids for several days before flying may help quiet down an allergy.

There is a commercial product branded "Ear Planes", which is an ear plug that slowly lets air into and out of the ear canal. Many people say that they think that this simple device helps. They are sold in most pharmacies, and in convenience stores in the airport.

Pressure fluctuation problems can be avoided by having a tube or grommet placed in the ear drum. One can also have a small hole made in the ear drum with a laser -- these usually close very quickly but might get you through an unavoidable plane flight. This is a "last resort" procedure as it requires minor surgery and may make the person more prone to getting infections.

Return to Otoneurology index

References:

• Sade J, Ar A, Fuchs C. Barotrauma vis-a-vis the "chronic otitis media syndrome": two conditions with middle ear gas deficiency Is secretory otitis media a contraindication to air travel? Ann Otol Rhinol Laryngol 2003 Mar;112(3):230-5

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What's to know about motion sickness?

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Motion sickness is a disturbance of the inner ear. It is the result of repeated motion from a vehicle or other movements that disturb the inner ear.

Some people experience nausea and even vomiting when riding in an airplane, automobile, or amusement park ride. One study, published in PloS one in 2013, suggested that 3-D movies can also cause nausea.

This condition is generally called motion sickness. When riding on a boat or ship, it is commonly referred to as sea sickness – but it is the same disorder.

Fast facts on motion sickness:

• There is no difference between motion sickness and sea sickness.
• Individuals and animals without a functional vestibular (balance) system are immune to motion sickness.
• Without the motion-sensing organs of the inner ear, motion sickness does not occur, suggesting that the inner ear is important in motion sickness.
• The symptoms of motion sickness include nausea, vomiting, and dizziness.

Motion is sensed by the brain through different pathways of the nervous system including the inner ear, the eyes, and the tissues of the body surface.

When the body is moved intentionally, for example when walking, the input from all of the pathways are coordinated by our brain.

The symptoms of motion sickness appear when the central nervous system receives conflicting messages from the sensory systems: the inner ear, eyes, skin pressure receptors, and the muscle and joint sensory receptors.

As an example, if someone is sat on a boat or in a car (not looking out of a window), their inner ears sense movement up and down, left and right, but their eyes see a static view, as if they are not moving at all. It is hypothesized that the conflict among the inputs is responsible for motion sickness.

Serious symptoms include:

• short breath

Other common signs are:

• a general feeling of discomfort
• not feeling well (malaise)

Mild symptoms are categorized as:

• mild unease

Most cases of motion sickness are mild and self-treatable.

Very severe cases, and those that become progressively worse, deserve the attention and care of a physician with special skill in diseases of the ear, balance (equilibrium), and nervous system.

To help diagnose motion sickness, a doctor will ask about symptoms and find out what usually causes the problem (such as riding in a boat, flying in a plane, or driving in a car). Laboratory tests are generally not necessary to diagnose motion sickness.

The distressing symptoms of motion sickness usually stop when the motion causing it ceases. But this is not always true. There are people who suffer symptoms for even a few days after the trip is over. Most people who have had motion sickness in the past ask their doctor how to prevent it next time. The following remedies may help:

Looking at the horizon

One common suggestion is to simply look out of the window of the moving vehicle and to gaze toward the horizon in the direction of travel. This helps to re-orient the inner sense of balance by providing a visual reaffirmation of motion.

Keeping eyes closed and napping

In the night, or in a ship without windows, it is helpful to simply close one’s eyes, or if possible, take a nap. This resolves the input conflict between the eyes and the inner ear.

A simple method for relieving common and mild car sickness is chewing. Chewing gum has an uncanny effectiveness for reducing car sickness in those affected. A variety of chewing gum is available for purchase online .

Chewing gum, however, is not the only thing one may chew to relieve mild effects of car sickness, snacking on sweets, or just chewing in general seems to reduce adverse effects of the conflict between vision and balance.

Fresh, cool air can also relieve motion sickness slightly, although it is likely this is related to avoiding foul odors, which can worsen nausea.

Ginger has been found to reduce motion sickness. This is available in tablet form, or a fresh stem of ginger can be chewed to relieve symptoms. There is some debate over whether it is the chewing or the ginger that helps. Ginger products for motion sickness are available for purchase online .

Acupressure

An acupressure practitioner works with the same points used in acupuncture , but stimulates these healing sites with finger pressure, rather than inserting fine needles. Some studies suggest that acupressure may help reduce symptoms of motion sickness in the same way as acupuncture, although the evidence is not clear.

Here are some important tips for preventing motion sickness:

• Always sit in a position so that the eyes can see the same motion that the body and inner ear feels.
• In a car, sit in the front seat and look at the distant scenery.
• On a boat, go up on the deck and watch the motion of the horizon.
• In an airplane, sit by the window and look outside. Also, in a plane, choose a seat over the wings where the motion is minimized.
• Do not read while traveling if experiencing motion sickness, and do not sit in a seat facing backward.
• Do not watch or talk to another traveler who is having motion sickness.
• Avoid strong odors and spicy or greasy foods immediately before and during travel.

Medical research has not yet investigated the effectiveness of popular folk remedies such as “soda crackers and 7 Up,” “cola syrup over ice,” or ginger products.

Medications

While home remedies are effective, medications are also a good way to prevent motion sickness and are best taken before travelling.

• Scopolamine – the most commonly prescribed medication for motion sickness. It must be taken before symptoms start. It is available as a patch that is placed behind the ear 6-8 hours before travel.
• Promethazine – should be taken 2 hours before travel. The effects last 6-8 hours. Side effects may include drowsiness and dry mouth .
• Cyclizine – is most effective when taken at least 30 minutes before travel. It is not recommended for children younger than 6, and side effects are similar to scopolamine.
• Dimenhydrinate – taken every 4-8 hours. Side effects are similar to scopolamine.
• Dimenhydrinate chewing gum – a team of experts spoke at the American Association of Pharmaceutical Scientists Annual Meeting and Exposition in 2012 on a study that showed patients can absorb the medication through the cheek.
• Meclizine (Bonine) – is most effective when taken 1 hour before travel. It is not recommended for children under 12, and side effects may include drowsiness and dry mouth.

Last medically reviewed on June 21, 2017

• Public Health

How we reviewed this article:

• Golding, J. F. (1998, November 15). Motion sickness susceptibility questionnaire revised and its relationship to other forms of sickness. Brain research bulletin, 47 (5), 507-516 http://www.sciencedirect.com/science/article/pii/S0361923098000914
• Golding, J. F., & Gresty, M. A. (2015). Pathophysiology and treatment of motion sickness. Current opinion in neurology, 28 (1), 83-88 http://journals.lww.com/co-neurology/Abstract/2015/02000/Pathophysiology_and_treatment_of_motion_sickness.15.aspx
• Novel chewing gum formulation helps prevent motion sickness. (2012, October 17) https://www.aaps.org/News/Press_Room/Press_Releases/2012/Novel_Chewing_Gum_Formulation_Helps_Prevent_Motion_Sickness/
• Solimini, A. G. (2013, February 13). Are there side effects to watching 3D movies? A prospective crossover observational study on visually induced motion sickness. PloS one, 8 (2), e56160 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0056160

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Dizzy and exhausted 4 days after a short flight. anyone else ever had this.

mawbroon · 20/02/2011 20:24

Thread title says it all really. I flew on a 1hr flight on fri 11th and then returned home on wed 16th. When I got home, I could still feel the motion of the plane a few hours later. I have had this before and it normally disappears, but this time, it is 4 days on and now I feel dizzy (but not sick at least) and am very, very tired. I had this once before years ago after a particularly rough overnight ferry crossing to Holland. I still felt dizzy a week later when it was time come home again, and after I got home, I was so dizzy that I often had to hang on because I thought I would fall over. But here's the thing, I can't even remember if I went to the doctor about it that time. I am going to the doc tomorrow and am wondering if it is likely to be a problem with my ears, but just wondered if anyone else has had this?

As a sufferer of car/plane/sea sickness, you have my sympathies! The only time I experienced the same thing was after a 10-day boating holiday. I used to "sway" sitting down on the sofa ...took me about a week to readjust. Have a look at this: Mal de Debarquement Syndrome (Mdds) It is very, very rare though. Perhaps you have a milder version of it (without nausea)? Hope you feel much better soon.

OMG Stillchuckingit, I have googled MDDS and it describes it to a tee! I've never heard of it before. Funny thing is that the actual travelling is fine, I don't feel anything at all whilst on the boat/plane. It starts afterwards, and I have noticed that if I am busy then I am fine, but as soon as I stop and sit down then it all starts. There is mention of a floating sensation too which is exactly it. Wonder if the doc will have heard of it? I am sure they hate patients that go and and say "I read this on google and I think it's what I've got!" LOL

Didn't mean to alarm you Mawbroon - I've no medical training whatsoever !!- it might not be Mdds. Just thought you might want to consider it as a possibility... You could approach your doctor asking if you could have some tests on your inner ear (which dictates balance) and then just casually mention Mdds at the end!! Actually, it could just be a problem with your inner ear. Sometimes the fluid can dry and form particles which get lodged in the tiny passages with the result that you still feel as if you are on a boat. This can be treated either with some quite "active" physiotherapy (they lie you on a sort of bed which spins around) which dislodges the particles, or with medication. It must be awful for you though - so hope you can get it sorted quickly.

Hi Mawbroon, I'm suffering exactly the same thing after a long haul flight. Got home on Sunday night / Monday morning and still feel as though I'm on a boat. I put it down to tiredness and dehydration, but it feels a bit odd. Are you still suffering?

sounds like poss labyrinthitis or vestibular neuritis.

oh also, you can buy ear plugs that prevent pressure build up when flying.

you could possibly just catch a bug on the flight which would explain the tiredness. But see what your doc says

Did your doctor say what it was? It hadn't occurred to me that everyone didn't suffer until I read your OP. I used to get it when I wentto Egypt, but I put it down to dehydration. Now wondering if it's somethingI've always had ... Bit grim - hate the feeling of everything not being quite still. Hope you're starting to recover.

He was very vague. Got a tuning fork out and did a couple of tests and pronounced it "nothing serious" which is good. Said it could be viral. it's happened too many times though I think. Huge coincidence getting a virus after every time I fly or go on the boat. blinks, it happens on boats too, so I don't think it's connected to the pressure tbh, but I will look up those earplugs. Come to think of it, it also happens if I go on a very long car journey, but calms much more quickly after a car journey. It's the boat and plane that are the killers... and the roundabout and swings. bleugh

I got home from a long flight (9 hours) on Thursday. It is now Tuesday and it seems my dizziness is getting worse. I never had it before the flight and didn’t get it on the flight over, just on the way back. I was sitting at the very back of the plane, had a few alcoholic drinks and coffee. Didn’t feel too bad In the hours after the plane landed, but the next several days have been weird. It’s not really a dizziness per se, but a weird head feeling of extreme waves of lightheadedness that come and go frequently, with tinges of anxiety. Fresh air and being outside seems to help, but that’s about it. I’m hoping it goes away, because it’s going to be difficult to work, although I think I’ll be able to eventually get use to it. Still it’s no fun.

Hey @TPpipe I was googling some of the symptoms I've been having since I got home from a short flight about 2 weeks ago. I came across your reply to this thread on this site and your symptoms sound exactly like what's going on with me. I was wondering if you ever found out what it was or if it went away on its own? It's pretty scary because, like you said, it's not really a dizzy feeling like vertigo but more of a really strange wavey pressure/lightheadedness which causes some anxiety. Anyway I hope you're doing well and hope to hear back from you!

Hi @QuantumFlux I know this is a zombie thread you tried to resurrect, I’m here doing exactly the same. I’m suffering from this too - it’s been going on weeks now and it’s causing a lot of anxiety. Don’t feel nauseous, just feel like I’m not still. Head pressure, floaty feeling, like on a boat. More noticeable when still, so I’m forever agitated and moving about to try to combat the feeling. How are you now?

Have a look at vestibular rehabilitation therapy on YouTube.

Hi there, I just wandered if your symptoms went? I am experiencing the same and terrible anxiety. 7 days into this now!

Did you find any answers. I flew 4 hours Wednesday night. Started really dizzy Thursday. Woke up Thursday night with the room spinning crazy. Now Friday and still dizzy.

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• Travel Fatigue Explained: Signs, Symptoms & Causes

You know that feeling when you’ve been traveling and you just feel exhausted? Even if you were traveling for fun, and enjoyed every moment of your trip, you somehow crave stability, routine, and rest. 

This could be a sign of travel fatigue . 

Although travel fatigue doesn’t get as much press as jet lag, this temporary exhaustion drains your energy and can feel like burnout. Travel fatigue, unlike jet-lag, doesn’t even have to involve air travel. 

In fact, it can be caused by any form of transport: planes, trains, boats, and road trips.

Article Guide

Travel fatigue on road-trips, travel fatigue on flights.

• WHAT CAUSES TRAVEL FATIGUE
• SYMPTOMS OF TRAVEL FATIGUE
• COPING WITH TRAVEL FATIGUE
• TRAVEL FATIGUE IS NOT JET LAG
• RESTORE THE EXCITEMENT OF YOUR TRIP WITH THESE TIPS

What Causes Travel Fatigue?

There are a few main causes of traveler’s fatigue. We’ll get into the details, but before we move on to the causes, symptoms, and remedies of travel fatigue, let’s break it down to the different types of travel.

You’re more likely to feel travel fatigue on a road trip compared to, for example, a train. Not that many of us travel by train these days (perhaps that’s a bad thing!). 

This is because when you are traveling on a road, your car or bus accelerates and decelerates frequently, because of the natural flow of traffic. The vehicle also takes various turns that sway your body from one side to another, causing bodily stress. 

That’s why you feel so sore and stiff after a long day in the car! 

The condition of your vehicle, its seats, and even the quality of the roads also determine the level of comfort that you experience. 

You might not realize but all these factors can provide exhaustion not only to your body but also your mind. Your brain stays active and keeps the concerned muscles engaged to account for these movements and to maintain your posture properly. All these movements make your muscles work continuously and leave you tired. 

Flights do not provide relief when it comes to experiencing fatigue. You might argue that since airplanes do not change their speeds and directions as frequently as cars do, they shouldn’t impact you quite as much.

This is far from reality. 

Flights have different factors that make you feel tired. Altitude is one such factor. Your body needs to adjust to altitudes that are unnatural for humans. Although the cabin pressure helps you in adjusting to the altitude changes, the environment inside an aircraft doesn’t mimic your “ normal”. 

Aside from altitude, there are many health effects that happen to your body when you fly . These contribute to travel fatigue. 

For example, the following things are almost inevitable on flights:

• Dehydration. To maintain the required temperature inside the cabin, most airlines regulate the air pressure inside by changing the composition of the air. Did you know that the air inside the cabin is 15% drier than ground air? This is why you feel dehydrated and your skin dries up while flying.  Read more here:  Does Flying Dehydrate You? Your Guide to Air Travel Hydration
• Impaired circulation . Sitting for long periods and the altitude of the plane impairs your circulation which fatigues the body and causes other unfavorable effects. Learn more:  Swelling When Traveling? Here’s Why It Happens + What to Do
• Bloating and indigestion . Your body has to work hard to keep the blood circulating throughout your limbs, deal with dehydration and fight off airborne viruses and the excess of bacteria that compromises your immune system when you’re flying. It re-routes many of those resources from digestion, causing bloating and gas. Read more:  Bloating After Flying: What Causes Jet Belly & How to Prevent it

Let’s not forget the plane movements which further add to the fatigue. Turbulence, noise, rolling, and shuddering that you experience during a flight are not normal. 

Your body understands this and tries hard to stabilize itself which reflects in the form of exhaustion.

What Causes Travel Fatigue

In addition to the mode of transport, there could be various causes that you might be feeling travel fatigue:

#1. Hectic Travel Schedules

When you’re eager to make the most of your trip, you might over schedule yourself. Monasteries, climb mountains, sampling local foods, hitting the beaches, enjoying the nightlife and visiting important landmarks tend to make it onto most travel schedules… sometimes all in one day.

If you’re guilty of this, you may experience travel fatigue. Rightly so! You’re not letting your body relax.

Try to slow down, take proper breaks, and plan things in line with your body’s needs. 

#2. Jet Lag & Sleep Deprivation 

If you fly to your destination, you may be experiencing jet lag . This could be the case even if you landed in a place just a couple of hours ahead or behind the time zone you’re used to. . 

If you took a red-eye flight , this will almost certainly be the case. 

Jet lag comes with a host of health impacts, and if you experience jet lag enough, travel fatigue could be one of them. It is essential to listen to your body and determine what it needs. Even if you’re excited to explore, take a nap, get plenty of rest and try to mitigate the impacts of jet lag.

If you start your day at 4 am in the timezone you came from, make sure that you hit the hay by 9 pm to catch up on sleep. If you’re busy exploring the nightlife, try to sleep in. If needed, take a day off and give yourself time to adjust!

#3. Disorganization 

When it comes to traveling, there are two kinds of people: 

•  The ones who do everything at the last minute
• The ones who keep it well-organized and stick to a well laid-out plan.

If you belong to the first category, it is likely that you will experience travel fatigue sooner. Packing your bags at the last minute, stressing about missing your flight or train, and making travel arrangements in the nick of the time are only going to give you unwanted stress. This will later reflect itself in the form of travel fatigue. 

The Symptoms of Travel Fatigue

If you experience any of these symptoms, the chances are high that you are suffering from travel fatigue:

#1. Exhaustion 

That fatigue that you feel when you want to collapse in bed after a long travel day… even if you’ve been sitting in a car or on a plane all day? 

That’s exhaustion. 

Sometimes, the exhaustion doesn’t go away after a long sleep. If it sticks around for weeks after your trip (if you even have that much time between trips!) then it’s probably travel fatigue. 

To help with this symptom, try to exercise and get your blood moving. Eat healthfully and, of course, get plenty of REM sleep. 

#2. A Suppressed Immune System

Travel in itself can compromise your immune system. Have you ever noticed that you’re far more likely to get sick after traveling than you are if you had just stayed home? 100x more likely, in fact . 

That’s a function of jet lag, the physical act of travel, and exposure to bacteria and viruses your body has not been exposed to (and therefore hasn’t built antibodies to fight). 

A suppressed immune system is a common symptom of travel fatigue. Do what you can to boost your immune system. Take a travel supplement high in immune-boosting vitamins and minerals, like Flight Elixir , before and during your trip.

We added vitamin C, glutathione, Pycnogenol, elderberry and astragalus into Flight Elixir to help support your immune system. 

Rest up, drink plenty of fluids, and wash your hands to reduce the duration and likelihood of contracting an illness. 

#3. Feelings of Stress or Burnout

Back-to-back flights, early morning wake ups, and traveling too often can catch up to you. 

If you’ve been traveling a lot and are experiencing stress, anxiety, insomnia, or difficulty focusing, you may be experiencing travel fatigue. 

The best way to deal is to take a break. If you’re traveling, consider extending your trip to an extra day or two. If not, try to slip back into your normal routine. Whether you’re at home or away, exercise! It releases endorphins in the body which act as mood-lifter. 

#4. Poor Nutrition & Excessive Alcohol Consumption

Exploring the local food of a place you are traveling to is important. After all, it helps you connect to the place and culture at a deeper level. Plus, food is one of life’s pleasures! 

But if you find yourself overeating, you may be experiencing travel fatigue. 

Excessive alcohol consumption is another common symptom of travel fatigue. This one could be a bit tough to recognize as traveling and drinking can go hand in hand. But if you find yourself drinking to excess, you may be attempting to self-soothe your travel fatigue. 

Coping with Travel Fatigue

#1. be prepared to meet your body’s needs.

During your trip, make sure that you are listening to your body’s needs. Eat healthy by packing healthy snacks like carrots, apples, and nuts. Keep your body hydrated by drinking lots of water and avoiding alcohol and coffee. 

If you are flying, make sure that you adjust your body’s internal clock by sleeping in accordance to the time zone of your destination. However, if you are really fatigued, having short naps of 15-20 minutes are fine.

#2. Feel ‘Back Home’

Often, traveling could be all about socializing. You meet new friends, network, and share thoughts with like-minded people. 

However, if you are not liking being on top of your social game and are feeling tired, the best way out here will be to talk with your best friend, mother, partner or dog – whoever tends to relax you. 

Watch some cooking videos, or listen to the voices of your favorite people on the earth – either way, remember that traveling could be fun and all, but oftentimes, it is best to disconnect and experience life at slow. 

#3. Disconnect

Waking up at the crack of dawn, catching flights and trains, exploring your destination – all this takes a toll on your energy and makes you feel empty. 

While running could be a great way to de-stress yourself, travel fatigue sucks the inspiration out of you. If you feel like this, all you need to do is stay in your bed, watch movies, sleep – whatever works for you. Don’t feel guilty for taking some down time. Your body needs it. 

#4. Plan in Advance

You can avoid travel fatigue to a large extent by planning your travel well in advance. Book your hotel in advance and ask them about food availability. Research local food and shops online. You can also have a look at TripAdvisor and ask your friends and family for references. 

To further lessen your fatigue, make sure that you have packed all the travel sleep essentials with you including eye mask, earplugs, immune-boosting travel supplements , protein shake sachets, snacks, The Travel Water Bottle , and so on. 

Also, have a closer look at your itinerary and see what all you are going to cover. This will help you in planning your days properly, and will also help you remember your goals.

Travel Fatigue is Not Jet Lag

Often used interchangeably, there is a significant difference between travel fatigue and jet lag. While travel fatigue could be caused by any mode of transport, jet lag is related to aircraft and timezones. 

Also known as time zone change syndrome, jet lag is when people travel across different time zones and end up disrupting their sleep cycle. This condition is seen related to circadian rhythm disorder and can lead to irritability, insomnia, and headaches. 

Restore the Excitement of Your Trip With These Tips

Traveling soon? Make it comfortable and enjoyable with these strategies. Follow the tricks we discussed above, and have a comfortable trip.

Sarah Peterson

Sarah Peterson is the co-founder and head of marketing at FLIGHTFŪD. She's a travel health expert and after having visited 20+ countries as a digital nomad and flying every 4-6 weeks for business, she became passionate about empowering others to protect their bodies on the go.

I feel better knowing this is probably not COVID.

Great article, best piece on the subject. Prior to Covid I travelled on business too much and experienced all of the above. The distincion of travel fatigue vs jetlag is very insightful. Interestingly short flights take a greater toll vs America-Asia flight. Spoke to an airline CEO once, he explained that older planes are harder on passengers (pressurize less effectively, dryer environment and oxigen levels lower)

I am so pleased to have found your piece. About 2x a month, I make a 4-6 road trip and I find every time after the drive, I am completely exhausted for at least a day and sometimes 2 days after the driving and now I know why!! Thank you!!!

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Is It Safe in Moscow?

Stanislav Solntsev / Getty Images

When you visit Moscow , Russia, you’re seeing one of the world’s largest, and most expensive, capital cities . While there is a history of violent crime against foreign journalists and aid personnel in Russia, a trip to Moscow is usually safe for mainstream travelers. Most tourists in Moscow only face potential issues with petty crime, though terrorism is also a concern. Visitors should stick to the principal tourist areas and abide by the local security advice.

Travel Advisories

• The U.S. Department of State urges travelers to avoid travel to Russia because of COVID-19 and to "exercise increased caution due to terrorism, harassment, and the arbitrary enforcement of local laws."  
• Anyone exploring more of Russia should avoid "The North Caucasus, including Chechnya and Mount Elbrus, due to terrorism, kidnapping,   and   risk of civil unrest." Also, travelers should stay away from "Crimea due to Russia’s occupation of the Ukrainian territory   and   abuses by its occupying authorities."  
• Canada states travelers should use a high degree of caution in Russia due to the threat of terrorism and crime.  

Is Moscow Dangerous?

The Moscow city center is typically safe. In general, the closer you are to the Kremlin , the better. Travelers mainly need to be aware of their surroundings and look out for petty crime. Be especially careful in tourist areas such as Arbat Street and crowded places like the Moscow Metro transit system. The suburbs are also generally fine, though it is advised to stay away from Maryino and Perovo districts.

Terrorism has occurred in the Moscow area, leading authorities to increase security measures. Be more careful at tourist and transportation hubs, places of worship, government buildings, schools, airports, crowds, open markets, and additional tourist sites.

Pickpockets and purse snatching happen often in Russia, perpetrated by groups of children and teenagers who distract tourists to get their wallets and credit cards. Beware of people asking you for help, who then trick you into their scheme. Don’t expect a backpack to be a safe bag bet; instead, invest in something that you can clutch close to your body or purchase a money belt . Always diversify, storing some money in a separate location so that if you are pickpocketed, you'll have cash elsewhere. Keep an eye out for thieves in public transportation, underground walkways, tourist spots, restaurants, hotel rooms and homes, restaurants, and markets.

Is Moscow Safe for Solo Travelers?

Large cities like Moscow in Russia are overall fairly safe if you are traveling alone, and the Moscow Metro public transit is a secure and easy way to get around. But it is still a good idea to follow basic precautions as in any destination. Avoid exploring alone at night, especially in bad areas. You may want to learn some basic Russian phrases or bring a dictionary, as many locals don't speak English. However, in case you need any help, there are tourist police that speak English. Also, exploring with other trusted travelers and locals or on professional tours is often a good way to feel safe.

Is Moscow Safe for Female Travelers?

Catcalling and street harassment are infrequent in Moscow and the rest of Russia and females traveling alone don't usually have problems. There are plenty of police officers on the streets as well. Still, it serves to stick to Moscow's well-lit, public areas, avoid solo night walks, and use your instincts. Women frequenting bars may take receive some friendly attention. Females can wear whatever they want, but those entering Orthodox churches will be required to cover up. Though women in Russia are independent, domestic violence and other inequality issues take place regularly.

Safety Tips for LGBTQ+ Travelers

Russia is not known as a gay-friendly country. However, Moscow is one of the more welcoming cities with a blooming LGBTQ+ community and many friendly restaurants, bars, clubs, and other venues. Hate crimes in Russia have increased since the 2013 anti-gay propaganda law. Openly LGBTQ+ tourists in this conservative country may experience homophobic remarks, discrimination, or even violence, especially if traveling with a partner. Also, while women hold hands or hug publicly—whether romantically involved or not—men should avoid public displays of affection to prevent being insulted or other issues.

Safety Tips for BIPOC Travelers

Moscow  and other big cities in Russia have sizable populations of various cultures, so discrimination against BIPOC travelers is rarer than in other parts of the country where it can become dangerous. Some people living in Russia who are Black, Asian, Jewish, and from other backgrounds have experienced racial discrimination and violence. Tourists won't usually experience overt racism but may be the recipients of some stares. If anyone should bother you, be polite and resist being taunted into physically defending yourself.

Safety Tips for Travelers

Travelers should consider the following general tips when visiting:

• It's best not to drink the tap water. If you do, boil it before drinking, though showering is safe and the amount used to brush teeth is generally not harmful. Mineral water is widely drunk, especially at restaurants, and if you prefer not to have it carbonated ask for “ voda byez gaz” (water without gas).
• If you need emergency assistance in case of fire, terrorism, medical issues, or more, dial 112 in Russia for bilingual operators.
• Be judicious about taking photographs, especially of police or officials. This can potentially bring unwanted attention to yourself by members of law enforcement who won’t mind asking to see your passport. Also avoid snapping photos of official-looking buildings, such as embassies and government headquarters.
• Carry your passport in as secure a manner as possible. If you get stopped for any reason by the police, they can fine or arrest you if you don't have the document with you. Also, keep photocopies of your passport, the page on which your travel visa appears, and any other documents that relate to your stay in Russia.
• Use official taxis only and steer clear of illegal taxi companies, especially at night. Ask your hotel to call a reputable taxi company.

U.S. Department of State. " Russia Travel Advisory ." August 6, 2020.

Government of Canada. " Official Global Travel Advisories ." November 19, 2020.

Is It Safe in Peru?

Is It Safe in Guatemala?

Is It Safe in Rio de Janeiro?

Is It Safe in Barbados?

Is It Safe in Egypt?

Is It Safe in Jamaica?

Is It Safe in Colombia?

Is It Safe in Sweden?

Is It Safe in Germany?

Is It Safe in Iceland?

Is It Safe in Mexico?

Is It Safe in Amsterdam?

Is It Safe in Russia?

2020 Travel Warnings for Countries in Africa

Is It Safe in Thailand?

Is It Safe in Trujillo, Peru?

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Explosions rock Moscow, drone claimed downed, Vnukovo airport closed — video

Explosions jolted the residents of Moscow and its suburbs in the early hours of Aug. 18 as the Moskva-City complex, a financial district adorned with skyscrapers in the western part of the Russian capital, was once again damaged by what appears to be a drone attack.

News channels on Russian Telegram reported on the explosion at Moskva-City, and videos of the attack and its aftermath began circulating on social media.

Read also: Moscow airports in chaos after multiple reports of drone attacks

The airspace above Moscow's Vnukovo Airport was closed, according to a report from the Kremlin-controlled TASS state news agency. The Kovyor (“Carpet” in Russian) security protocol was initiated to address an unidentified flying object.

Visual evidence of the damage to the Moskva-City complex was presented in a video posted by the Mash Telegram Channel.

Another video captures the moment of the explosion from a vantage point overlooking the financial district, a massive fireball suddenly erupts, accompanied by a deafening explosion, and a mushroom cloud forms over the Moscow Expocenter.

A subsequent video showcases the extent of the damage to the expo building. Baza reported an approximate 30-square-meter area impacted. They also shared a video featuring the sound of a drone flying over Moskva-City.

Russia's Defense Ministry asserted that an attack by a Ukrainian drone targeted sites in Moscow. They reported that the drone was intercepted and crashed near the Krasnopresnenskaya embankment.

Meanwhile, Moscow Mayor Sergei Sobyanin stated that air defenses intercepted a drone that was approaching the capital, and its wreckage fell near Moscow's expo building.

Read also: Electricity substation on fire in Russia’s Kaluga, drones downed over Kursk Oblast

Various Telegram channels mentioned that explosions were also heard in Odintsovo and Krasnogorsk, located in Moscow Oblast.

The Shot Telegram channel uploaded a video from a tower within the Moskva-City complex, where individuals heard the drone and discussed its impact location.

The Ateo Breaking channel released a video capturing the damage, recorded by a resident of Moscow.

The overnight drone attack on Moscow on August 18 is the most recent in a series of such attacks on the Russian capital. Russia attributes these attacks to Ukraine, asserting that it usually shoots down or disrupts attacking drones using electronic means.

Ukraine typically denies responsibility for such attacks, although some of the drones are known to be of Ukrainian origin.

In a prior incident in the same district of the Russian capital on July 30, a drone collided with the IQ tower within Moskva-City, resulting in damage to an office of the Russian Ministry of Digital Development situated in the building.

Read also: Damaged plant near Moscow was developing next-generation bomber aircraft – report

Moscow faced another drone attack overnight on August 1. The same tower within the city's financial district suffered damage again, as reported by Sobyanin.

Flight restrictions were imposed on August 11 at Vnukovo airport due to a drone flying over Moscow that triggered an explosion, either by self-detonation or being shot down. This incident led to numerous flight delays.

Sobyanin mentioned that the drone was downed over the western part of Moscow, with its debris landing in the vicinity of the Karamyshevskaya embankment.

Moscow's air defense downed two drones heading towards the capital in the early hours of August 10, as claimed by Sobyanin. One of these drones was reportedly shot down in Kaluga Oblast, while the other was downed over Moscow's Central Ring.

Read also: Satellite imagery contradicts Moscow's ‘pyrotechnics’ explanation for Sergiyev Posad explosion

Subsequent to this incident, flight restrictions were enforced at two of Moscow's airports—Vnukovo and Domodedovo. Explosions were also reportedly heard near the settlement of Domodedovo.

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Read the original article on The New Voice of Ukraine

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Ukraine again reported bringing war deep into Russia with attacks on Moscow and border region

Investigators examine a damaged skyscraper in the “Moscow City” business district after a reported drone attack in Moscow, Russia, early Sunday, July 30, 2023. (AP Photo)

A view of the damaged building in the “Moscow City” business district after a reported drone attack in Moscow, Russia, early Sunday, July 30, 2023. (AP Photo)

Investigators examine an area next to the damaged skyscraper in the “Moscow City” business district after a reported drone attack in Moscow, Russia, early Sunday, July 30, 2023. (AP Photo)

A view of the damaged skyscraper is shown in the “Moscow City” business district after a reported drone attack in Moscow, Russia, early Sunday, July 30, 2023. (AP Photo)

A view of the damaged skyscraper in the “Moscow City” business district after a reported drone attack in Moscow, Russia, early Sunday, July 30, 2023. (AP Photo)

An investigator examines an area next to the damaged skyscraper in the “Moscow City” business district after a reported drone attack in Moscow, Russia, early Sunday, July 30, 2023. (AP Photo)

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Ukraine brought the war far from the front line into the heart of Russia again Sunday in drone penetrations that Russian authorities said damaged two office buildings a few miles (kilometers) from the Kremlin and a pig breeding complex on the countries’ border.

The attacks, which Ukraine didn’t acknowledge in keeping with its security policy, reflected a pattern of more frequent and deeper cross-border strikes the Kyiv government has launched since starting a counteroffensive against Russian forces in June. A precursor and the most dramatic of the strikes happenned in May on the Kremlin itself, the seat of power in the capital, Moscow.

Sunday’s was the fourth such strike on the capital region this month and the third this week, showing Moscow’s vulnerability as Russia’s war in Ukraine drags into its 18th month.

The Russian Defense Ministry said three drones targeted the city in an “attempted terrorist attack by the Kyiv regime.” Air defenses shot down one drone in Odintsovo in the surrounding Moscow region, while two others were jammed and crashed into the Moscow City business district.

Photos and video showed that a drone had ripped off part of the facade of a modern skyscraper, IQ-Quarter, located 7.2 kms (4.5 miles) from the Kremlin. When the drone hit, sparks, flames and smoke spewed from the building, with debris falling on the sidewalk and street. Windows were blown out, and metal window frames were mangled. A security guard was injured, Russia’s state news agency Tass reported, citing emergency officials. Russia’s Ria-Novosti news agency reported the building’s tenants included several government agencies.

Flights were temporarily suspended at Moscow’s Vnukovo airport, and the airspace over Moscow and the outlying regions was temporarily closed.

President Vladimir Putin, who was in his hometown of St. Petersburg at the time of the attempted attacks for meetings with African leaders and a naval celebration, was briefed, his spokesman said.

Ukrainian officials didn’t acknowledge the attacks but President Volodymyr Zelenskyy said in his nightly video address: “Gradually, the war is returning to the territory of Russia — to its symbolic centers and military bases, and this is an inevitable, natural and absolutely fair process.”

A Ukrainian air force spokesman also didn’t claim responsibility but said the Russian people were seeing the consequences of Russia’s war in Ukraine.

“All of the people who think the war ‘doesn’t concern them’ — it’s already touching them,” spokesperson Yurii Ihnat told journalists Sunday.

“There’s already a certain mood in Russia: that something is flying in, and loudly,” he said. “There’s no discussion of peace or calm in the Russian interior any more. They got what they wanted.”

Ihnat also referenced an early Sunday drone attack on Crimea, Ukrainian territory which Russia occupied and illegally annexed in 2014. The Russian Defense Ministry announced it had shot down 16 Ukrainian drones and neutralized eight others through electronic jamming. No casualties were reported.

Zelenskyy has vowed to take back all land Russian forces have occupied, including Crimea, and his efforts have been strengthened by the receipt and deployment of increasingly advanced Western weapons.

In the earlier attacks on Moscow, Russia’s Defense Ministry reported shooting down a Ukrainian drone outside the city on Friday. Four days earlier, two drones struck the Russian capital , one of them falling in the center of the city near the Defense Ministry’s headquarters along the Moscow River about 3 kilometers (2 miles) from the Kremlin. The other drone hit an office building in southern Moscow, gutting several upper floors.

In another attack on July 4, the Russian military said air defenses downed four drones on Moscow’s outskirts and jammed a fifth that was forced down.

Russia has also blamed Ukrainian forces for attacking border areas, and on Sunday, the governor of one such region, Bryansk, said a Ukrainian strike damaged a pig breeding complex and injured three people.

In Ukraine, the air force reported Sunday it had destroyed four Russian drones above the Kherson and Dnipropetrovsk regions. Information on the attacks could not be independently verified.

Meanwhile, a Russian missile strike late Saturday killed two people and wounded 20 in the city of Sumy in northeast Ukraine. A four-story vocational college building was hit, the Ukrainian Interior Ministry said. Local authorities said that dormitories and teaching buildings were damaged in the blast and a fire that followed.

While the attacks continued on the war front, so did the war of words. Dmitry Medvedev, the deputy secretary of Russia’s Security Council, issued his latest nuclear war threat in a Telegram post Sunday. In it, he claimed Russian forces were preventing a nuclear war. He contended that if Ukraine, with NATO countries’ support, succeeded in its counteroffensive, including if “they seized part of our land,” then Russia would “go for the use of nuclear weapons.” Western leaders have repeatedly warned of the dangers of making such statements.

Associated Press writer Andrew Katell in New York contributed to this report.

Follow AP’s coverage of the war in Ukraine: https://apnews.com/hub/russia-ukraine

Moscow mayor says hostile drone destroyed by air defences

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Reporting by Reuters; Editing by Alex Richardson and Hugh Lawson

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