Ear ascent problems

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scubachas

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Hi

Have posted this on a UK forum but no one could identify the problem so now taking it on a world tour with the hope that at least one other person can identify the problem.

For the last 2 years I have been having problems with my right ear. Unusually this happens on ASCENT not descent. I can equalise on descent but now have reverse blocks or, a deep instant pain, on nearly every ascent which, clearly is not good. Other symptoms include, within the 1st dives, of a diving week, my ear becomes squishy ie. as if there is some water in it. The pain lies roughly in line with the ear lobe ie behind, in the head. I am not sure where this relates to, with respect to inner & mid ears?

To date I have been referred to the local NHS ENT department who wisked me through and having done basic tests, ie hearing, suggested that I give up diving!! I then visited two separate 'specialists' who advertise in the dive mags. They both suggested a narrow eustation tube and to do certain softening techniques before diving as well as early and anticipated equalisation. This didn't help and seemed to have missed the most important aspect of my problem....I can easily equalise on descent!!
Finally, at my wits end, I visited a highly recommended consultant in Bournemouth's Nufield Hospital. He is famous for dealing with diving problems especially among The Royal Navy. He did a very thorough examination with cameras being stuck up my nose all the way through. He then showed this back to me (nice!) explaining that I had a severely deviated septum on the right hand side. He was quite sure that an operation (2700) would sort this out but he wouldn't guarantee this. Upon receiving his report, my GP, with a lot of ENT experience, wasn't so sure.

Has anyone else had this problem and how was it sorted?
I would be very grateful for any advice and, ultimately, hear from someone who can positively identify this problem.

Many thanks for any advice anyone might be able to give.

Charlie
 
He did a very thorough examination with cameras being stuck up my nose all the way through. He then showed this back to me (nice!) explaining that I had a severely deviated septum on the right hand side. He was quite sure that an operation (2700) would sort this out but he wouldn't guarantee this. Upon receiving his report, my GP, with a lot of ENT experience, wasn't so sure.

I would be very grateful for any advice

Consider taking up bowling or golf?
 
I really doubt that anyone on an internet forum can give you better advice than the ENT guy who actually scoped you, but here is my best wild-assed guess from the information you provide. I think your pain is probably related to your sinuses and not to your ear, and the deviated septum is contributing to making it difficult to vent one of your sinuses on ascent, and that's why the ENT guy thought surgery would be helpful. I do know there are people here on SB who have undergone sinus drainage surgery and have been greatly helped by it with respect to diving symptoms.

Of course, I haven't seen or examined you, and certainly didn't do your endoscopy, so what I wrote is worth what you paid for it.
 
Search the board for "septoplasty".

I had similar problems, and had the surgery; worked great for me. Only you and your doctors can determine if appropriate for you.
 
Thank you to the two sensible replies to my problem.

I will have a rethink about having the operation on my nose.


Thanks again.

Charlie
 

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