Narrative:

On approach, while descending from 2300' to pattern altitude as directed by ATC, one of my passenger became agitated, holding his head and pointing up. My inquiry gained me the reply, 'emergency, go up,' shrieked into the intercom. I declared an emergency, we as directed off the approach and climbed 200'. The passenger was then able to talk and he advised he was ok, I so advised ATC and was directed back to the airport. Later investigation revealed the passenger was suffering from a blocked sinus which caused pain as the ambient air pressure increased.

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Original NASA ASRS Text

Title: DECLARED AN EMERGENCY ACCOUNT PASSENGER BEHAVIOR PHYSICAL DISCOMFORT.

Narrative: ON APCH, WHILE DSNDING FROM 2300' TO PATTERN ALT AS DIRECTED BY ATC, ONE OF MY PAX BECAME AGITATED, HOLDING HIS HEAD AND POINTING UP. MY INQUIRY GAINED ME THE REPLY, 'EMER, GO UP,' SHRIEKED INTO THE INTERCOM. I DECLARED AN EMER, WE AS DIRECTED OFF THE APCH AND CLBED 200'. THE PAX WAS THEN ABLE TO TALK AND HE ADVISED HE WAS OK, I SO ADVISED ATC AND WAS DIRECTED BACK TO THE ARPT. LATER INVESTIGATION REVEALED THE PAX WAS SUFFERING FROM A BLOCKED SINUS WHICH CAUSED PAIN AS THE AMBIENT AIR PRESSURE INCREASED.

Data retrieved from NASA's ASRS site as of August 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.