Bloody nose, stuffy ears

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tparrent

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Both times that I dove last weekend (for the first time in years), I came up with a slightly bloody nose. No pain or anything. In fact, I didn't notice it until other people pointed it out. 20 -some years ago I also got a bloddy nose and ears(!) but that was after a VERY rapid ascent from 65 feet (also resulted in an inverted eardrum).

Do any of you have a nose problem?

Almost a week later now I still cannot equalize my right ear. Went to the Doc yesterday (his kids scuba so he knows a bit more than the average doc) and he said their is not infection, only congestion. I can actually clear my ears fine but then the right one slowly goes back to pressurized.

My question here is how does this happen? After I equalize the pressure, what causes it to build up (or down) again?

The doc just told me to take Robitussin for a couple fo days and see how that helps.
 
a
tparrent:
Both times that I dove last weekend (for the first time in years), I came up with a slightly bloody nose. No pain or anything. In fact, I didn't notice it until other people pointed it out. 20 -some years ago I also got a bloddy nose and ears(!) but that was after a VERY rapid ascent from 65 feet (also resulted in an inverted eardrum).

Do any of you have a nose problem?

Almost a week later now I still cannot equalize my right ear. Went to the Doc yesterday (his kids scuba so he knows a bit more than the average doc) and he said their is not infection, only congestion. I can actually clear my ears fine but then the right one slowly goes back to pressurized.

My question here is how does this happen? After I equalize the pressure, what causes it to build up (or down) again?

The doc just told me to take Robitussin for a couple fo days and see how that helps.

I'm not qualified to give an answer regarding the cause but I'll tell you what I do to prevents it. I'm a longtime time sinus/allergy sufferer and when dive season arrives I use Flonase nasal inhaler and take Sudafed decongestant(Pseudoephedrine) before I dive. Neither of these have side effects NOTE: It is very important that the decongestant not wear off during the dive. There is a 12 hour tablet available

Rap
 
Hi TParrent,
I'm not a medical expert...just another diver......
The explanation I was given for bleeding like you explain was that the air spaces in the sinuses are compressed the deeper you go. The "pressure drop" causes some of the soft tissues and blood vessels to "expand" to fill the airspace. The "expansion" results in damage, causing bleeding.

Here's a link to the DAN website with more details on the matter.........

http://www.diversalertnetwork.org/medical/faq/faq.asp?faqid=44

Dive safe and have fun!!
 
I'm congested all the time due to allergies so I take a decongestant before I go diving. Otherwise, I would have problems with equalizing. You might want to take a Sudafed (long acting) a few hours before your next dive and see if there's any difference.
 
If you use Flonase, it's a great product to relieve congestion but it's effects are noticed over about a week. So using it just before diving isn't really that helpful. Long acting Sudafed is the best. In fact, if you know you are diving, you can start a week ahed of time. Take long acting Sudafed during the day, Benadryl at night. Will dry you up in most instances. Even for ear infections anymore. alot of docs are getting away from antibiotics and recommending decongestants, they seem to work just as well. :)
 
OMG, a serious scuba question. :11: It's been a while.

A Vacation Diver who accompanies me on some trips is very bald headed, and in his early dive days - he'd remove his mask leaving bloody snot smeared across he high forehead. On our first trip, I thought the physician sitting across from us was going to faint, but she went into anesthesiology as she can't stand the sight of blood.

I'm in the PSE (generic Sudafed) group for preventing equalizing problems, but PSE is not for everyone. I take it every day, year 'round but - it is chemically similar to speed, and it can have similar effects on some. Here is a link to some cautions: here It's more difficult to purchase with new restrictions, as Meth cookers use it in their unlawful production. I noticed that the local Walmart has replaced most of the PSE products with others that don't work well for me. So I stand in line with my drivers license to register my purchases.

I like mine combined with the antihistamine found in today's Actifed brand. The latter part helps prevent motion sickness, btw.

Said buddy did some practice dives with me last June, after being dry for a year, forgot to take his pills, had hell equalizing. I screamed at him! "How can you - with your history - ever forget your PSE?!" And next week, his daughter is doing her first dives with us.

And from this DAN article (bold emphasis mine...
Q: I have noticed that beginning scuba divers frequently have nosebleeds. Could you please tell me what causes them?

A: New divers frequently report nosebleeds after diving primarily because they are unaware of the importance of equalizing the sinuses and middle ears (via the Valsalva method). The barotrauma that is produced when the sinuses are not cleared can cause blood vessels in the lining of the nose to burst. These vessels lie very close to the top of the mucous membrane lining in the nose and sinuses, and the blood can come from the lining in either. This type of barotrauma, generally the result of air being trapped within the sinuses, is not always painful, though the presence of blood can be disconcerting to a new diver. With this type of injury, blood can run down the back of the throat or pool in the sinus below the eye and emerge at a different time. It can also act as a growth medium for bacteria and result in sinus infections.
Individuals with a history of sinus trouble, allergies, a broken nose, or deviated septum, as well as divers who currently have colds may find the clearing procedure difficult to accomplish and may experience a problem with nosebleeds. It's always best not to dive with a cold or any condition that may block the sinus air passages.

We suggest a slow, gentle descent with frequent equalizing to help decrease the risk of sinus barotrauma. Divers who are unable to clear their sinuses or have frequent nosebleeds when scuba diving should see their personal physicians or ear-nose-and-throat specialists for evaluation.

You might ask your doc about irrigating your ears gently with warm water before diving to ensure that they are clear of wax build up, and use 1/2 alcohol 1/2 white vinegar after diving.
 
I got the exact same thing on the second of my AOW dives. I was sitting during my SI and I tasted something funny, so ( no, I'm not trying to be crude) I snorted and spit a nice bright red ball of nasty..." Uhhhh, hey guys? Is there any reason I should be spitting out blood and why is my nose bleeding?" The DM informed me that when I go down, I REALLY GO DOWN!! He suggested slowing my descent and not to equalize so hard. Never had a problem since. The DAN article Don referred is dead on the money in my case. New diver, Hard equalizing, disconcerted, etc....Good article Don, thanx!
 
I had the exact same problem on my first 4 dives. A week after the dives my left ear would keep pressurizing and I would have to hold my nose and swallow to equalize it. It finally went away and hasn't came back *knock on wood* My ears also took forever to pressurize to go down.
 
When I first started diving a few years back I had the the bloody nose, but it went away after a few dives. My guess is that small tender blood vessels break but after a few dives that condition should improve ( nasal passage gets a little tougher or conditioned?) I also take sudafed before diving to help the ear problem.
 
Hate to be an option-killer, but . . .

Don't forget that you can't take pseudoephedrine (sudafed) if you have high blood pressure. It works by constricting blood vessels, which raises blood pressure. . . .

As I understand it Flonase is a steroid, which encourages healing of raw sinus tissues, making them less sensitive to allergens. Any decongestant effect is a physical reaction to having something sprayed up your nose.

Just my 2 cents - I'm not a medical professional (or even an amateur) so go see your own doctor and don't rely on my ramblings.
 

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