Continual fluid behind eardrum problem - can a ProEar2000 help?

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RubberDucky

Contributor
Messages
178
Reaction score
30
Location
ɹǝʇɐʍɹǝpun
# of dives
50 - 99
Hi all,

First I'd just like to state that I've searched these forums and Google, but have come up short handed in finding a suitable answer. I also understand that advice given here does not constitute a doctor/client relationship, etc etc etc.

In January of 2008 I became OW certified in Cozumel. This was comprised of 5 dives at relatively shallow sites: La Francesa, Columbia Shallows, and Paraiso. I mostly hung around the 30 foot (9 meters) mark.

Not long after getting certified - a few days or so perhaps - I began to have problems hearing out of my right ear. When I tilted my head, I could hear fluid moving around. Silly me, I thought it was just ocean water and would simply dry up. When that didn't happen, I went to an ENT who gave me an antibiotic, a steroid, and a nasal spray, and told me to do the valsalva throughout each day. About a week later, while doing the valsalva one morning, some yellowish warm liquid fluid started leaking out of my ear. I could suddenly hear better and knew I was on the right road to recovery. Exactly 1 week later the same exact thing happened. All the fluid was finally gone and my ear felt normal again.

Fast forward to March/April 2009. I went to Cozumel and did 37 dives, which should've been double that, but a number of minor medical issues interfered. To my disappointment, I ended up with fluid behind the eardrum again. The same ENT that I saw in 2008 said that the eardrum was so far sunk into my ear canal (due to the negative pressure) that he referred me to an ear specialist. I ended up having to get a CAT scan, which showed the specialist what the problem was - fluid behind the eardrum.

Once again I started a regimen of nasal spray and antibiotics (no steroid this time that I recall), while doing the valsalva throughout the day. Just like last time, it only took a week or so before the fluid came leaking out from behind the eardrum.

Today, things are mostly back to normal, although I can tell that my ear is definitely not 100% the way it used to be. Hearing tests showed that I can hear just as well as before, although sometimes it'll "click", and there have been brief flashes of minor discomfort (kind of hard to explain that one).

My mother also dives and has had similar issues. The both of us have small ear canals, according to the doctors we've seen. I guess this is the main cause of the problems with the fluid buildup behind the eardrum. I was never really able to get a clear, concise explanation about the *exact* cause of the problem, but it's obvious that it was caused by diving. I also had a history of ear infections when I was a baby, and have had tubes in my ears as a result. Eventually those problems went away. I was so young when that happened that I don't remember anything about it at all. In other words, I've had no problems with my ears while growing up.

I did most of my dives in March/April 2009 on Sudafed (the kind you need a prescription for, the stuff with pseudoephedrine), per my ear doctor's recommendation to help with equalization. I'll note that the only problems I really ever had with equalizing were on my first few dives back in 2008. The dives I did earlier this year went very well. I got to the point where I could equalize very quickly. I had been practicing the valsalva even before the trip, as I've heard that can help somehow. I am a strong practitioner of "equalize early and equalize often" (every few feet or so). The dives I did without Sudafed, I also had no problems equalizing.

The small hole I had in my eardrum was likely from a reverse squeeze, as explained by an ear doctor in Cozumel. However, having not had any issues with this on any of the dives, I'm more inclined to think that it was due to my excessive habit of doing the valsalva in between and after dives. I've read (somewhere) that this can be problematic. Anyway the hole cleared up within a week or so according to the ear doctor. I did go snorkeling during this time, however, and paid for it with a nice (painful) outer ear infection. Whoops :) That took a week or so to clear up.

Getting to the point here, none of the ear doctors and specialists (including one who works at one of the hyperbaric chambers / medical facilities in Cozumel) are able to recommend a solution. My mother was told she could still dive, but should not do so very often. I still want to dive. So does she. I do not, however, want to risk hearing loss. However, I'm missing the part of my brain that tells me when to officially call something quits, and against doctors' recommendations, I'd like to try beating this "fluid behind the eardrum" thing.

I've read the supposed benefits of using this mask on their website: ProEar 2000 - Benefits

I'm curious if anyone can tell me of their experiences - first hand or second hand - of using this mask to overcome the trapped eardrum fluid issue. Or, if you are aware of any other possible solutions, that would be great to hear as well. I'd be willing to try just about anything. Of course, I can live without ever diving again, but who wants to do that :D It's entirely possible I just might order the mask and head to Cozumel for a week or so and test things out on my own. I'm open for all suggestions, however. I asked the ear specialist about a surgery that can expand your ear canal(s), but he adamantly refused to have anything to do with that, stating it would be a risky procedure given the proximity of the carotid artery. Fair enough. I will defer to his judgement on that one.

Thanks for reading, and for any advice or recommendations about the ProEar2000, or anything else.
 
i'm a new diver and have the same issues it seems that you have. it feels like water in my ear i can also feel it moving around when lying down, tilting head, etc. read a few things on here about using Swim Ear or make your own which on here they call it ear beer???? i'm not one for putting something in my ear or any other place unless a doc says ok. so i went to one, he looked inside the one ear that i felt the water in and said all looks ok no infection, no water, small canals. and that the water was behind my ear drum. so i asked him about the Swim Ear stuff he told me it would not work because of where the water was and gave me a free sample of Veramyst nasal spray and said use it once a day. that did dry it up in 3 days. went into my LDS and talked to the manager about it he said it happens to him all the time and he just lays on his bed cross ways hanging his head down over the side for 10-20 minutes and it all drains out his nose??? i went diving again, 4 tanks over the weekend same thing. so i tried the bed thing last night for 5 minutes and could feel it moving around in there and just stopped and just used the spray today.
 
and that the water was behind my ear drum.

Hi Scuba_HI,

Just to be clear, the fluid that I've had behind my eardrum is not water. I don't recall exactly what the specialist said it was composed of, but as I recall, he said it was a naturally occurring fluid within the body that was not able to drain properly. Initially I thought it was water from the ocean, but it was not. Laying down does not help. I could just contact the ProEar people, but I was hoping for responses from the medical staff on these forums (since the doctors I've been to recommend I give up diving completely), and/or from those who've had the same problem and tried those types of masks (not necessarily THE ProEar) as a solution and what the results were.
 
Hi RubberDucky,

Water cannot pass from the outer ear canal into the middle ear space unless the eardrum is ruptured/perforated. It is correct that accumulated fluid (e.g., serous fluid) within the middle ear most likely was produced there. In this situation, the ProEar2000 and other devices that stop or slow the flow of water into the outer ear (e.g., vented ear plugs such as Doc's Proplugs) would be expected to be of little or no benefit.

Of course in diver's with narrower than normal Eustachian tubes the drainage of fluid is impeded. These individuals often have to take a decongestant medication (e.g., Sudafed) or nasal corticosteroid (e.g., Flonase) in order to dive safely and comfortably.

BTW, equalizing too roughly can promote the accumulation of fluids within the middle ear, so equalize early, often and GENTLY. This video (~45 min) may prove informative --> The Diver's Ear - Under Pressure (Doc's Diving Medicine Home Page)

Regards,

DocVikingo

This is educational only and does not constitute or imply a doctor-patient relationship. It is not medical advice to you or any other individual, and should not be construed as such.
 
Hi DocVikingo,

Thanks very much for your reply - it is appreciated. I do understand that the fluid buildup behind the eardrum that I have experienced is not water from the ocean, and that devices like the ProEar and ProPlugs are designed to prevent or impede the flow of water to the outer ear. I'm not concerned much with blocking water from my ears, just because I don't believe that's the cause of the issues I've experienced.

I've seen the video by Dr. Kay previously, and indeed it is a must-see for divers of any experience level. In fact I'm going to watch it again later today, as I'm sure there are things I've since forgotten. Thanks for posting the link to it again.

I've used Sudafed in the past when diving, but still ended up with fluid behind the eardrum, which resulted in a number of visits to medical professionals (of which the solution was basically the same as the first time: antibiotics + nasal spray + valsalva until the fluid drains out of my ear).

It is to my understanding that the combination of my narrow Eustachian tubes plus the naturally occurring pressure exerted on the ears when underwater is what causes the fluid buildup. While there doesn't seem to be anything that can safely be done about narrow Eustachian tubes (as far as I know), the only other major issue would be the ambient pressure on the ears. I do understand the value and importance of proper equalization and that it also plays an important role, as you mentioned.

Mainly what I was wondering is if the ProEar mask could - somehow - help prevent the problem of the fluid buildup behind the eardrum. I'm leaning towards "no" since the pressure outside of the ears is still the same, regardless of using the ProEar or not. However, their site mentions a benefit of using the mask as: "Lack of tympanic membrane stimulation may obviate problems with drainage of middle-ear secretions." That can be found here. I am unclear if that would benefit myself based on the specific cause(s) of the fluid buildup that happens to me.

Thanks again, DocVikingo. It is nice to hear feedback from within the diving community about a problem that I can't seem to find any recommended solutions for. Perhaps even if proper equalization techniques are utilized, along with Sudafed (or Flonase, which I have not tried), and if the fluid buildup issue still occurs, that there are no solutions at this time. Take it easy.
 
Hey RubberDucky,

Admittedly this is a tough one for you. Few of us relish the thought of giving up SCUBA.

As for the claim by ProEar2000 that you linked, it sounds like ho-ha to me and I am aware of no research that supports it.

The Eustachian Tube Institute in Geneva, Switzerland (EUSTACHIAN TUBE SURGERY - ENT SWITZERLAND :: OTO RHINO LARYNGOLOGIE GENEVE - ORL GENEVE :: EUSTACHIAN TUBE SWITZERLAND - INSTITUTE. ENT GENEVA) was experimenting with a technique to widen excessively narrow Eustachian tubes. You could write them at info@eustachian-tube.net to ask if they know of any specialists within the USA who are applying this procedure.

Best of luck.

DocVikingo

This is educational only and does not constitute or imply a doctor-patient relationship. It is not medical advice to you or any other individual, and should not be construed as such.
 
Thanks again very very much for your replies, DocVikingo. I appreciate the time you've taken to read the thread and post your replies. They've been both helpful and informative. Contacting the Eustachian Tube Institute sounds like a new path to explore, which is exactly what I was looking for. At some point in the future I will update this thread with what remedies I have tried, and their results, so that others who are experiencing the same problems can learn too.
 
https://www.shearwater.com/products/peregrine/

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