DivingDoc
Contributor
detroit diver once bubbled...
BigT touched on the Nitrogen perfusing issue.
CO2- When your body uses the air that you inhale, you exhale carbon dioxide, or CO2 as a byproduct. Working (and breathing) harder produces higher levels of CO2. When you are out of shape, you must work harder to accomplish the same tasks as someone who is in good shape. This might occur during a strong current, or stressful situations. When you build up high levels of CO2, your risk of dizziness and passing out greatly increases. And that's not good while diving!
Actually, this is not quite right -- mostly right, but not all right. The body generates CO2 during the normal coarse of metabolism and also with exercise. More CO2 is generated with exercise. That is why we normally breathe faster when we exercise in order to "blow off" the extra CO2 that is generated. If we are generating CO2 faster than we can blow it off, the body retains CO2 and therefore the blood becomes more acidic. At some point we switch to anerobic metabolism as opposed to aerobic metabolism, which can also cause increased acidity due to the generation of lactic acid.
Increased CO2 levels do not cause dizzyness. It is the opposite. If you breathe faster than you need to for the amount of CO2 your body is generating, then you are said to be "hyperventilating." This can happen during a panic attack or if you are at the doctor's office and the doctor tells you to breathe in and out deeply while he/she is examining you. People get dizzy from this because they are "blowing off" more CO2 than their body is generating, therefore the pH of the blood rises (becomes more alkaline). Alkaline pH causes the blood vessels in the brain to constrict. Therfore there is less blood going to the brain and the subject becomes dizzy.
When diving, some people retain CO2 i.e. they under-ventilate. This (Dr. Deco please correct me) relates more to the increased resistance of having to move denser air in and out of your lungs than you did while on the surface. I am not sure if this phenomenon tracks with being overweight or not.
As I understand it (Dr. Deco, again, correct me if I am wrong), people who carry a higher body fat percentage absorb more nitrogen at depth because nitrogen dissolves very well in fatty tissue. Therefore, theoretically, people with a higher body fat percentage could be more prone to DCS because of the greater volume of nitrogen that would need to be eliminated during ascent. Not sure if this is only theory or if it has been borne out in emirical observations.
ET:doctor: