Why vertigo happens when people fly

Maintaining balance is a remarkable symphony between our inner ear, eyes, and nervous system
airport vertigo
Photo credit: Shutterstock.com / David-Prado-Perucha

Vertigo, that unpleasant spinning sensation or dizziness, can transform a smooth flight into a disorienting ordeal. While turbulence might be the first culprit we point fingers at; air travel disrupts our delicate balance system in several ways. This article delves into the science behind why we feel dizzy up in the air and equips you with strategies to minimize vertigo’s impact on your next flight.

The Inner Ear: Your Body’s Balance Conductor

Maintaining balance is a remarkable symphony between our inner ear, eyes, and nervous system. The inner ear, particularly the vestibular system, plays the role of conductor. This intricate network houses tiny fluid-filled canals and otoliths (sacs containing crystals) that act as motion detectors.


When we move our head, the fluid in these canals sloshes around, sending signals to the brain about our orientation. The brain integrates this information with visual cues from our eyes and sensory input from muscles and joints to create a seamless sense of balance and spatial awareness.

Why Air Travel Disrupts the Inner Ear’s Harmony

Several aspects of air travel can disrupt this finely-tuned balance system:


  • Cabin Pressure Fluctuations: A Pressure Imbalance Act: As a plane ascends and descends, the air pressure in the cabin fluctuates. This can cause pressure imbalances in your middle ear, leading to a feeling of fullness or congestion. Sometimes, these pressure changes can also affect the inner ear fluids, triggering vertigo.

  • Dehydration on Autopilot: Airplane cabins tend to have low humidity, which can quickly dehydrate you. Dehydration can alter the composition of the inner ear fluid, further contributing to vertigo.

  • Turbulence: The Uninvited Guest: Bumpy Air Unexpectedly throws the plane around. This sudden and unpredictable movement confuses the signals the inner ear sends to the brain. This mismatch between what the inner ear senses and what the body feels can lead to dizziness and disorientation.

  • Visual Mismatches: Conflicting Cues: During the flight, especially when looking out the window, you might see the ground rushing by while feeling relatively still inside the airplane. This conflicting visual information can contribute to vertigo, especially for people prone to motion sickness.

Strategies for a Smooth Takeoff: Minimizing Vertigo Discomfort

If you’re susceptible to vertigo while flying, there are steps you can take to minimize the discomfort:

  • Hydration is Key: Drink plenty of water before, during, and after your flight to stay hydrated. Avoid dehydrating beverages like alcohol and excessive caffeine, which can worsen symptoms.
  • Equalize the Pressure: The Valsalva maneuver (pinching your nose and gently blowing air out while holding your nostrils closed) can help equalize pressure in your ears during takeoff and landing.
  • Strategic Seating: Opt for a window seat where you can focus on a fixed point outside the plane, providing a stable visual reference for your brain.
  • Tame Turbulence Triggers: If turbulence is a significant concern, consult your doctor about medication to prevent motion sickness.
  • Talk to Your Doctor: Some medications can help manage vertigo symptoms. Discuss options with your doctor before your flight to see if they’re right for you.
  • Relaxation Techniques: Practice relaxation techniques like deep breathing or meditation to manage anxiety, which can worsen vertigo symptoms. Visualize calming scenes or listen to soothing music to distract yourself from dizziness.

Underlying Conditions and When to Seek Medical Advice

While occasional vertigo during flights is relatively common, persistent or severe episodes require medical evaluation. If you experience vertigo frequently, even outside of flying, consult your doctor to rule out underlying conditions like:

  • Benign Paroxysmal Positional Vertigo (BPPV) is an inner ear disorder that causes brief episodes of vertigo triggered by specific head movements.
  • Meniere’s Disease: This condition affects the inner ear and can cause vertigo, tinnitus (ringing in the ears), and hearing loss.
  • Migraines: Migraines can sometimes cause vertigo as a symptom.

Understanding the causes of vertigo and implementing preventive measures can significantly improve your flying experience. So, the next time you take off, you can focus on the excitement of your destination rather than the queasiness of the journey. Remember, with a little preparation and these helpful strategies, you can conquer cabin vertigo and soar smoothly toward your next adventure.

This story was created using AI technology.

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