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Guide Info
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Air Travel Tips for a Healthy Flight
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- Sleep well before your departure. If your place of
arrival is more than five hours away, prepare yourself in
advance to ensure your routine coincides with the
timetable of where you are going to.
- Before boarding, have lighter meal and avoid alcoholic
or fizzy drinks.
- Wear comfortable, loose clothing in natural fibres.
Shoes should be low heeled, comfortable and not too tight.
- Scuba divers should only begin travelling 12 to 48
hours after their last dive due to decompression risks.
On Board

- Arrange your hand luggage so it is not in your way
or that of the other passengers. Keep your belt fastened
whenever you are seated.
- Pay attention to the safety instructions given by
the crew.
- Drink liquids, especially water or juices. Alcoholic
or fizzy drinks are not recommended. Avoid sitting
cross-legged. And whenever possible get up and walk
around a little.
- If for any reason you don't feel well, don't
hesitate - call the cabin crew to help.
Some of us get a little nervous when we fly, but there are
relaxation techniques you can practice that are designed to
relieve stress:
- Put your seat in the recline position.
- Close your eyes.
Controlled Breathing
Breathe in steadily, in a controlled fashion, as you count
slowly to three. Hold your breath momentarily, than breath
out steadily, counting to three. Practise for 10 to 15
minutes.
Biofeedback
Alternatively, picture yourself in a relaxed situation,
perhaps on a tropical beach. You may even be flying there on
vacation! Concentrate on each part of your body in turn.
Feel it gradually relax.
Feet, legs, thighs, tummy, chest and so on. Over several
minutes, you should reduce your pulse and breathing rates
and gradually tension will drain away.
Fortunately, most modern jets fly at relatively high
altitudes and so avoid major turbulence. Which means motion
sickness is increasingly rare. But if you are especially
prone to it, there are one or two things you can do.
The evening before you fly, it is common sense to have a
quiet night in - stay off the spicy food and booze. Avoid
alcohol the day you fly.
When inflight, eat lightly and drink lots of fluids to
prevent dehydration. If you start to feel nauseous, try to
keep your head still. Simply drop your seat back and close
your eyes.
if such simple measures fail, there are a number of
anti-sickness tablets on the market. Many contain the drug
Hyoscine (such as Kwells and Joyrides). They are usually
taken half an hour before a flight and four to six hourly
thereafter, but read the label for specific instructions.
Antihistamines such as Avomine are an alternative.
Cabin Pressure Changes

Minor pressure adjustments occur within the aircraft during
take off and landing - pressure falls and rises
respectively. Customers notice changes in the form of
'blocked' ears. To avoid discomfort, you need to equalize
the pressure in your middle ear.
Try that well known measure, sucking on sweets. Simple but
often effective. Alternatively, perform the so-called
Valsalva Manoeuvre - pinch your nose and blow, which 'pops'
your ears. Incidentally, if you have a suspected ear
infection you should see a doctor before you fly as pressure
changes can make the condition worse.
Food and Drinks

Another cabin pressure effect is, to put it delicately, 'gas
production'. As cabin pressure fails, the air in the
intestine expands and causes mild bloating and discomfort.
Always eat and drink in moderation. Heavy meals can lead to
indigestion during a long flight. Keep fully hydrated at all
times with lots of clear fluids - good old 'sky juice'
cannot be bettered!
Asthma and Chest Diseases
Well controlled asthma should be no bar to flying. Make sure
you are well stocked with your usual inhalers and avoid
anything that may trigger an attack. If you are wheezy
before your flight, seek medical advice and treatment, then
a final medical OK to board.
Other chest conditions such as chronic bronchitis and
emphysema can cause inflight problems when the oxygen
pressure drops a little as the aircraft takes off. If you
are breathless at home, even at rest, you may not be fit to
fly.
Similarly, if you cannot manage a 50-meter walk without
breathing difficulty. If in doubt, get a formal medical
evaluation from a specialist chest physician.
Heart Disease

As a general guide, people with heart disease who are able
to walk up a dozen stairs without problems, should be fit to
fly. But patients with frequent chest pains (angina attacks)
should be very cautious - they are twice as likely to suffer
an attack in the air as on the ground.
If you recently had a heart attack (myocardial infarction),
you are usually advised not to fly. Well-controlled blood
pressure (hypertension) should create no problems for the
air traveller.
Diabetes

People with diabetes are often confused by long-haul travel
across time zones - when should they eat, when should they
take their diabetic medication or insulin?
The standard advice is to stay on home time throughout the
journey. Eat breakfast and take an insulin shot in the
middle of the night if necessary - meals should be arranged
with the airline before departure.
Only when they have landed, should they readjust to local
times. They should make sure they have their medication in
their hand
(not locked in the hold!) and have a letter on hand
outlining their condition and medication, in case they get
into difficulties.
Pregnancy

Pregnancy in itself is no bar to lying. Most airlines do not
allow flight after 35 weeks. And pregnant women should
always check with the immigration authorities at their
destination, to make sure they are allowed to enter the
country.
Miscellaneous Conditions

A minimum of three weeks is recommended for anyone intending
to fly after a recent stroke. People with epilepsy are
perfectly able to fly.
But if prone to regular fits, they should increase their
medication on the advice of their doctor and tail it down
upon landing at their destination.. People with severe
anaemia (blood count or haemoglobin less than 7.5g/dl) are
usually advised not to fly.
Deep Vein Thrombosis (DVT)

DVT is a blood clot that forms in the deep veins within the
calf and leg muscles. It is usually a spontaneous condition
that occurs in people especially at risk, such as those with
heart disease or the elderly. However, periods of prolonged
leg immobility can trigger it very occasionally.
Warning signs are pain and tenderness in the leg muscles,
redness and swelling of the skin. If the blood clot moves to
the lung (a pulmonary embolus), breathing difficulties can
occur.
If you experience any of these symptoms, let one of our
cabin staff know immediately or, if you have already left
the aircraft, seek medical attention right away. While
flying it is adviced that you keep exercising those leg
muscles.
If practical, take regular walks about the cabin, except
when the fasten seat belt sign is displayed. While seated,
perform a few simple exercises as shown in the Healthy Air
Travel chart.
Alcohol also increases the risk of developing such a
condition. We would advise you to drink more water, which
not only keeps you hydrated, but also maintains your
physical well-being.
Jet Lag and Time Zones

Insomnia at night, drowsiness during the day, difficulty in
concentrating and physical tiredness, stomach trouble, and
generally feeling unwell; these are the most common signs of
jet-lag.
This happens because the brain is not prepared for crossing
several time zones in a few hours, which is what happens on
long flights.
When you arrive at your destination, your biological clock
is still regulated, for a while, by your time of origin,
whilst the sun and all the rest is on a different time
scale.
In certain cases even with jetlag precautions, it can take
up to 4 or 5 days to get back to normal. Full recuperation -
meaning that your body has overcome all the deregulation -
can take up to 15 days after an eastward journey and up to
12 days after a westward trip.
According to some experts, jet lag effects last the same
number of days as the number of time zones crossed on the
flight.
Advice

- Sleep well before the trip.
- Alcohol, upsets sleep patterns, so try not
to drink too much.
- Try to sleep at night during the flight. On
a westward flight daylight lasts longer but even
so do your best to sleep. At least, dim the
lights and drop your seat back.
- As soon as you arrive, even if it is hard,
try to get used to the local rhythm of sleeping
times and mealtimes.
- Avoid intense light, because daylight plays
a part in the confusion which occurs in your
organism.
- After an eastward flight, avoid morning
light as long as you can.
- After a long flight, either eastward or
westward, avoid intense light at the end of the
day.
- If you are travelling on business, when you
arrive, try to reserve two or three days for
resting. If possible, avoid any commitments in
the first couple of days - admittedly not always
easy if you are on a business trip.
Air
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