First dive and the aftermath...

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Buvar

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Location
Stamford, CT
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New to scuba diving and probably did couple of things wrong...

During my recent vacation in DR, I had a chance to scuba dive in the Caribbean Sea. The resort had some scuba diving lessons that consisted of putting on the scuba gear and dive in the five feet deep pool. The first lesson was free without much of an instruction. The second lesson was not free and did include some basic instruction on the scuba gear, decompress the ear, clear the goggles, find and put back the mouth piece with the regulator, etc., really basic stuff. While I didn't think that the training was really great and makes me a diver, it seemed sufficient enough to dive and I did.

Out we went couple of days later to an island to dive. The first time jumping in the water made me jittery and nervous for number of reasons; lack of sufficient training that you don't realize fully until you jump in, the unknown nature of diving, and not the least, I used to have fear of deep water. Nonetheless, I jumped and it felt good that I floated up without any issue, like big lump of whatever does. We have started to descend and I did all of the things I've learned; decompress the ear frequently, clear the goggles, and control the breathing. The latter one is easier said than done at the first time diving, but I had it under control by about 15'. We went down to 40' and hang around there for awhile and it has been beautiful down there and I really enjoyed it. The first dive lasted for 35 minutes and I had no issues whatsoever, the issues came at the second dive.

The second dive was to 20-25' and was just as beautiful as the first one, maybe more since we've seen more fish, but during this dive I had some issues. It started with the goggles kept leaking water water, no matter what I did. The DM gave me his under water, but the water kept coming in. I've also started to have ear ache, no matter how many times I've tried decompressing, and a headache that was very sharp that I've never experienced previously. The headache did disappear once I've came up about five feet from where I was. This dive was for about 20 minutes and both aches disappeared once surfaced.

The ear ache came back later in the day and flying 24-hours later didn't have much of an issue; except when descending at JFK and sharp headache was back for about 30 seconds. Two days after diving the ear ache remained and I've seen a specialist; he diagnosed me having a "diver ear" and also recommended couple of things. Like don't do "resort diving" and use 50/50 alcohol/vinegar solution after diving to prevent diver ear. That's a bit late advise, but that's on me; he's also prescribed some ear drops for the ear infection.

Now five days after diving, my ear does not hurt that much, but it still feel like clogged and they pop even when I yawn and when I eat. My hearing has not been impacted and if anything, it has gotten a bit better if possible.

My question is how long this diver ear will last, is it ear infection, or there's something else could be wrong and should see the doctor again?

Despite all of the troubles with my ear, I do like diving and want to certify locally prior to my next dive. At the same time, if the trouble with ear is something that will be permanent and/or reoccurring event, I'll need to reconsider.
Thank for listening and I appreciate your comments in advance...

Buvar
 
Ear pain isn't something to disregard, especially after 5 days. I'd recommend that you go to see your family Doc and have it checked. People rupture their ear drum in a swimming pool, so extreme depth isn't a requirement.
 
Hi, Buvar! :wavey: Welcome to ScubaBoard!!!!

Sorry it was this that brought you here - hope you'll stick around.

It sounds like you went through a "Discover Scuba" session. I'm so glad you liked it! As you figured out, there is a lot more to learn.

As for your ear, it does sound like you had problems clearing them, and since your mask was leaking, I'm sure the leaking mask distracted you enough that you over-stressed your ears a bit. However, I am not a doctor, but have experienced what you describe.

As for the headache - There is this condition called "CO2 retention" that happens when (usually) a stressed diver is breathing rapidly and shallowly - quick in-and-out, and not deeply and fully exhaling. The body doesn't expel enough CO2 (carbon dioxide) and it gives you a really bad headache. That isn't fun.

However, if you don't mind, I'm going to recommend this thread be looked at for a move to the medical diving forum. There, smart medical folk can lend a way more experienced view.


In the meantime - may I recommend Doc's Diving Medicine Home Page . . . ??? With many thanks to ScubaBoard member BubbleTrouble.
 
Also, when you take SCUBA training, you'll probably hear about Divers Alert Network (DAN). Their website is here: DAN | Membership


Anyone can call DAN for advice! You do not have to be a member. You can trust what they say. :)

DAN Nonemergency medical questions
1-800-446-2671 or +1-919-684-2948, Mon.-Fri., 8:30 a.m.-5 p.m. (ET)
 
You should see a specialist. Ask your doctor for a recommendation.
 
It sounds like you have some of what's called "barotrauma" to your ear. When you don't equalize early and often enough on a dive, the vacuum that is created inside of your middle ear draws fluid into the space, and sometimes even ruptures small blood vessels. This fluid gives you a sensation of fullness and muffled hearing, and as it resolves, you can get crackling and popping sounds when chewing or if you try to equalize on land. If this is improving, it's a good sign, but it is a warning that you did not equalize as often as you should have.

The history of the sharp headache that was relieved by ascending a little goes along with this, too. This may have been sinus barotrauma, which is very acutely painful, and resolves when the pressure differential is reduced. Were you at all congested before this day of diving? Because that would go along with the story, too.

As far as whether you had diver's ear or not, we can't second-guess the doctor who looked at you. But I can tell you that, even as an emergency room physician, I learned a lot from watching Dr. Kay's video (link above). I believe that most physicians are not very familiar with diving-related ear problems, and that much is misdiagnosed. I have written a short ESSAY myself, to try to help folks understand better the differences among otitis externa (which is treated with drops), otitis media (which is treated with oral antibiotics), and barotrauma (which has no specific treatment).

Hope you continue to improve, and to learn, too . . .
 
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Equalizing ears is a new skill for many a new and prospective divers. It's incredibly easy to overdo this simple task and give some trauma to your ears. Once inflamed, it's easy to inadvertently keep the inflammation going over a week or two. Mind you, I offer this advice as a Scuba Instructor and not as a physician (since I am not a doctor for people :D ).


  • Do a follow up with your doctor. If there is an infection, make sure it's gone.
  • Cease fiddling with your nasal/sinus passages. You can only make it worse at this point.
  • Equalize a bit more gently when you next dive.

Most people don't realize that the first place to try to equalize your ears for scuba diving is as you get out of bed the morning of the dive. If it's easy there, it should be just as easy as you descend. The next time should be just as you start to descend and then just as pressure develops, well before you start to feel discomfort or pain. Stretch your neck by looking up as you do this to elongate rather than collapse the Eustachian tubes and be gentle. If gentle isn't enough, then ascend a few feet until it is. This usually gets easier as you get more dives so take solace in the fact that practice can make perfect here.
 
I'm with netdoc on this one, everything you're describing to me sounds like the results of overdoing the forcefulness of your ear clearing.

Do some searching on the internet for information about how to clear your ears properly. How you do it really does matter. Divers eventually all learn their personal techniques for clearing their ears to ensure they don't over do it and create the results you had. Nothing is worse then being in the middle of your dive vacation and having to sit out diving for 2-4 days as the result of an ear problem.
 
Hey I am one with many ear problems.
most self inflicted. I'm def in my right ear and can't hear out the left.
on my OW certification I blew my right ear. with it being my def and weak ear it didn't hurt so bad. but all the same I have to be supper careful when I dive.
one thing I found better than my family Dr. I have been seeing an ENT.
and a few things that he has me use are things like Neilmed sinus reins it helps keep things like allergies, colds and trash like that from plugging things.
I also use two nasal sprays. and can clear with ease. I agree with the above practice does make perfect.
I'm now a dive master and just would not let the ears get me down.
good luck be safe and seek good help.
I would recommend an ENT ( ear, nose, throat ) Dr. they are great.
 
I had the same problem after doing Discover Scuba, I went to see an ENT specialist put in the drops and it went away. I got certified last year and haven't had a problem after 25 dives, deepest being 108 ft.
 

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