Traveling with children
Traveling with children presents special challenges. It disrupts familiar routines and imposes new demands. Planning ahead, and involving children in the planning, may lessen the stress of travel.
Ear pain - flying; Ear pain - airplane
Talk to your health care provider before traveling with a child. Children may have special medical concerns. The provider can also talk to you about any medicines you might need if your child becomes ill.
Know your child's dosage of common medicines for colds, allergic reactions, or flu. If your child has a long-term (chronic) illness, consider bringing a copy of recent medical reports and a list of all medicines your child is taking.
PLANES, TRAINS, BUSES
Bring snacks and familiar foods with you. This helps when travel delays meals or when the available meals do not suit the child's needs. Small crackers, unsugared cereals, and string cheese make good snacks. Some children can eat fruit without problems. Cookies and sugared cereals make for sticky children.
When flying with babies and infants:
Air travel tends to dehydrate (dry out) people. Drink plenty of water. Women who are nursing need to drink more fluids.
FLYING AND YOUR CHILD'S EARS
Children often have trouble with pressure changes at takeoff and landing. The pain and pressure will almost always go away in a few minutes. If your child has a cold or ear infection, the discomfort may be greater.
Your provider may suggest not flying if your child has an ear infection or a lot of fluid behind the eardrum. Children who have had ear tubes placed should do fine.
Some tips to prevent or treat ear pain:
Ask your doctor before using cold medicines that contain antihistamines or decongestants.
Try to maintain your normal meal schedule. Ask that your child be served first (you can also bring something for your child to munch on). If you call ahead, some airlines may be able to prepare special kid's meals.
Encourage children to eat normally, but realize that a "poor" diet won't hurt for a few days.
Be aware of food safety. For example, do not eat raw fruits or vegetables. Eat only food that is hot and has been cooked thoroughly. And, drink bottled water not tap water.
Many travel clubs and agencies offer suggestions for traveling with children. Check with them. Remember to ask airlines, train, or bus companies and hotels for guidance and assistance.
For foreign travel, check with your provider about vaccines or medicines to prevent travel-related illness. Also check with embassies or consulate offices for general information. Many guidebooks and websites list organizations that help travelers.
Centers for Disease Control and Prevention website. Travelers' health: common travel health topics. wwwnc.cdc.gov/travel/page/common-travel-health-topics. Updated August 20, 2014. Accessed November 20, 2018.
Summer AP, Fischer PR. The pediatric and adolescent traveler. In: Keystone JS, Kozarsky PE, Connor BA, Nothdurft HD, Mendelson M, Leder, K, eds. Travel Medicine. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 23.
Swanson SJ, John CC. Health advice for children traveling internationally. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 175.
Review Date: 10/11/2018
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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