Sinus squeeze question

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Whale Whisperer

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PA
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I'm wondering if anyone had experienced this or could help me understand what had happened to me.

Yesterday, I hopped on a charter boat and did my first dive since 2 weeks ago. I had some problems with my allergies in the past but nothing serious. I wasn't sneezing, my nose/sinuses was clear to breathe with ease, and my eyes were clear. I did have an cough every once in a while though. I might cough maybe 3 or 4 times in one day. And I had taken some non drowsy Dramamine for my motion sickness.

The first dive went without a hitch and I had a terrific time. The average depth we were at was about 70' and the temperature was 85 F. But on the second dive on initial decent I felt this pressure and then a sharp pain behind my left eye socket at 30'. First thought in my head was sinus squeeze so I decided to stay at 30' to reach equalibium (Note: I had no probelms equalizing my ears throughout both dives). I think it must have taken about 5 minutes for the pain to subside to a numb pain and it felt like my nose was filled with liquid. I wasn't sure if it was blood or mucus, and my left eye socket was still irritated from the squeeze and tears (I was afraid that it was blood instead of tears). so I decided to proceed alittle deeper, but the very sharp pain came back and so I aborted the dive.

On the way up I always perform a slow and controlled ascent at 10' per minute. Starting at 40', I could feel popping in my sinuses like I do with my ears when ever I ascend to the surface. When I reached the surface I checked, and there was no blood present and I was able to breath through my nose just fine with no conjestion and there was still a hint of irritation in my left eye socket which went away about a half hour later. I went home and my left eye was fine. I was looking to see if they were bloodshot Ha ha ha.

I have 132 dives (which is not much) under my belt and never had this happen to me in the past even when my sinus condtions were borderline. I also wondered why the squeeze didn't occur on the first dive?

curious
 
I have nothing to say about sinus sqeeze. But I love the quote in your signature line re: cowbell.

It's one of my favorite SNL skits!!!
 
Hemlon:
I have nothing to say about sinus sqeeze. But I love the quote in your signature line re: cowbell.

It's one of my favorite SNL skits!!!

Guess What!
I've gotta a fevah! And the only perscription... is Moore Cowbell!!!

Ha ha ha!
 
The openings which drain your sinuses into your nasopharynx can be swollen or shut without you having any noticeable congestion in your nose itself. And if you had a bit of barotrauma on the first dive, it might result in enough additional swelling to shut off the drainage from your frontal sinuses and cause this squeeze.

I've only had this happen to me once, and it was in Indonesia, where I caught a cold during the trip. The actual cold symptoms had resolved, and I could clear my ears fine, but on the second dive of the day, I got to depth without issues and started up. Then I saw something I wanted to have a closer look at that was about five feet deeper, and I tried to go down to look at it. I suddenly felt as though someone had driven an icepick into my skull. The pain was horrible, but luckily it resolved when I went back up. I was careful to be sure not to descend any more during that dive, and the problem never recurred on subsequent dives.
 
Thanks Lynne,
That explains alot, I always thought that if my nose is good then my sinuses would be just fine... Boy was I wrong! I guess you never know what's going to come up, and I hope that this won't increase in frequency.

I like your description of "driven an icepick into my skull" is a very good description. Lots of alarms were going off in my head when the pain hit, but I managed to stay in the game.
 
Up until about 10 years ago, I could descend underwater about as fast as I can when stepping out of an airplane. Then the allergies came.....

I still never have any ear issues. Like you, it's all sinus, frontal sinus to be exact.

I've come to learn the "feel" for a stuffy sinus - when it's there, I know I have only one good dive in me, or at best, the second one is going to have major issues. Amazingly, if I don't have the "stuffy sinus" feeling, but have all the other symptoms of allergies (sneezing, sore throat, gritty eyes), I can dive all day just fine.

If I have to medicate to dive, I have had by far the best luck with ibuprophen about 30 minutes before the first dive.

All the best, James
 
Whale Whisperer:
I'm wondering if anyone had experienced this or could help me understand what had happened to me.

Yesterday, I hopped on a charter boat and did my first dive since 2 weeks ago. I had some problems with my allergies in the past but nothing serious. I wasn't sneezing, my nose/sinuses was clear to breathe with ease, and my eyes were clear. I did have an cough every once in a while though. I might cough maybe 3 or 4 times in one day. And I had taken some non drowsy Dramamine for my motion sickness.

The first dive went without a hitch and I had a terrific time. The average depth we were at was about 70' and the temperature was 85 F. But on the second dive on initial decent I felt this pressure and then a sharp pain behind my left eye socket at 30'. First thought in my head was sinus squeeze so I decided to stay at 30' to reach equalibium (Note: I had no probelms equalizing my ears throughout both dives). I think it must have taken about 5 minutes for the pain to subside to a numb pain and it felt like my nose was filled with liquid. I wasn't sure if it was blood or mucus, and my left eye socket was still irritated from the squeeze and tears (I was afraid that it was blood instead of tears). so I decided to proceed alittle deeper, but the very sharp pain came back and so I aborted the dive.

On the way up I always perform a slow and controlled ascent at 10' per minute. Starting at 40', I could feel popping in my sinuses like I do with my ears when ever I ascend to the surface. When I reached the surface I checked, and there was no blood present and I was able to breath through my nose just fine with no conjestion and there was still a hint of irritation in my left eye socket which went away about a half hour later. I went home and my left eye was fine. I was looking to see if they were bloodshot Ha ha ha.

I have 132 dives (which is not much) under my belt and never had this happen to me in the past even when my sinus condtions were borderline. I also wondered why the squeeze didn't occur on the first dive?

curious
I had almost the same thing happen to me last week. I too, suffer from allergies, and have had occasional problems equalizing my sinuses while descending... ears were never a problem. While doing a volunteer river clean-up dive, I got the proverbial "ice pick between the eyes" pain after several very shallow decents/ascents of 10-12 ft. The following monday, my ENT sent me to have a CT-Scan of my sinuses. Turns out that I have a deviated septum shaped like and "S" and all the passageways to my sinuses are clogged and chronically inflamed. I am scheduled for corrective surgery next monday to straighten my nose ( which looks perfectly straight to me) and roto-rooter my sinuses.... The doc says I can start diving again after about 6 weeks. I am not looking forward to the surgery, but he says my life will be noticeably better afterwards. This seems to be one of those chronic conditions that people just seem to live with until it really starts to hurt. Soooo.... the moral of this story is that you probably should visit an ENT doc and get checked out.

Don
 

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