Flying with Breathing Problems: How to Travel Safely and Comfortably

Travelling with a lung condition? In this guide, SkyCare shares expert medical advice on flying safely with a lung condition.

Air travel opens up the world, but for individuals flying with breathing conditions, it requires extra preparation. Changes in cabin pressure, reduced oxygen levels, and long periods of immobility can present challenges, making it essential to plan ahead for a smooth journey.

Are You Fit to Fly? Key Considerations

Before booking your ticket, take a moment to assess your health:

• Can you walk a short distance without excessive breathlessness? If walking even 100 metres is difficult, you may need in-flight oxygen.
• Have you had a recent hospital stay for a lung or heart condition? If so, consult your doctor before travelling.
• Do you have a history of blood clots? Long-haul flights can increase the risk of deep vein thrombosis (DVT), so precautions may be necessary.
• Have you experienced breathing problems on previous flights? If so, discuss your options with a healthcare professional before you travel.

Your doctor may recommend oxygen therapy or other measures to ensure your safety while flying. Most airlines require medical clearance for passengers needing in-flight oxygen.

Getting Help at the Airport

If you need mobility or medical assistance at the airport, services are available:

• Contact your airline at least 48 hours in advance to arrange any support.
• On arrival, look for the Special Assistance Area to check in for help.
• If required, request priority boarding to allow extra time to settle in.

Many airports provide wheelchairs and assistance through security, boarding, and disembarkation. Policies vary, so it’s best to confirm details with your airline and airport in advance.

Travelling with Oxygen: What You Need to Know

If you rely on supplemental oxygen:

• Inform your airline well in advance—policies vary widely.
• If using a portable oxygen concentrator (POC), check whether it’s approved for in-flight use, and you must carry enough batteries (and spare) for the duration of the flight, you will not be able to plug into the aircrafts electrical supply.
• Some airlines provide onboard oxygen, but this requires medical clearance and may come with additional charges.
• Remember that airline-supplied oxygen usually does not cover layovers or airport transit, so plan accordingly.

For seamless travel, medical repatriation services like SkyCare can provide oxygen equipment with medical escorts, ensuring you receive the care you need throughout your journey.

Preparing for a Stress-Free Flight

Once your airline approves your medical needs, take these additional steps:

• Get written confirmation of all approved medical arrangements.
• Pack medications in your hand luggage, along with a doctor’s letter listing your condition and prescriptions.
• Check battery policies for nebulisers, CPAP machines, or other medical devices.
• Stay hydrated to prevent dehydration, which can worsen symptoms.
• Limit alcohol intake and move around regularly to reduce DVT risk.
• Discuss blood-thinning medication with your doctor if you’re taking a long-haul flight.

Travel Insurance: Essential for Peace of Mind

Choosing the right travel insurance is critical for anyone with a lung condition. When selecting a policy:

• Disclose your full medical history, including recent treatments and medications. Many self-funded patients we assist had travel insurance, but their claims were invalidated due to undisclosed pre-existing conditions.
• Confirm whether medical repatriation is included, as this is often the most expensive part of emergency healthcare abroad.
• Carry an EHIC (or GHIC) card if travelling in Europe, but be aware that this does not replace full medical insurance.

Final Travel Checklist

✅ Notify your airline of any medical needs well in advance
✅ Arrange oxygen supplies if required
✅ Arrange enough batteries for the flight (and spare)
✅ Book airport assistance if necessary
✅ Carry essential medications and a doctor’s letter in your hand luggage
✅ Stay hydrated and keep moving during the flight
✅ Make sure your travel insurance fully covers your condition

With careful preparation, flying with a lung condition can be a manageable and enjoyable experience. If in doubt, consult your doctor before travelling to ensure you’re fully prepared for a safe and comfortable journey.

Flying with a lung condition requires proper planning and advice. Always follow professional medical guidelines to ensure a safe and healthy journey.

Reviewed by Dr Lee Collier – SkyCare Repatriation on 16/02/2025 | next review due 16/02/2027 | published on 16/02/2025