Struck with terrible vertigo while on vacation

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DiverGirl1972

Contributor
Messages
397
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235
Location
South Central, PA
# of dives
200 - 499
After 12 nights at Mike's Dauin Beach resort, including 26 dives over 9 days, we spent what was to be our final day in the Philippines resting and relaxing while our gear dried out. We were a little tired, but felt great and enjoyed some cocktails in the evening with some fellow guests. We turned in at 1030pm, as it was time to make the grueling trip back to Pennsylvania.

A few hours after turning in, I went to turn over in my sleep and suddenly experienced a terrible bout of vertigo. I tried to sit up, but that caused an intense feeling of nausea. I layed back down which lessened the symptoms and managed to fall back to sleep. I thought, "wow, I guess I had a couple too many beers".

Unfortunately, when I woke in the morning, I knew something was terribly wrong. Just sitting upright caused me to vomit and it felt like the world was spinning. Our flight was scheduled to leave later in the afternoon. I decided there was no way I could travel without medical intervention, so at approx 8am, I made the 30+ minute drive to Dumaguete where the ER was located.

Before leaving, I called Francis at DAN and after sharing my last dive profiles, she felt it was highly unlikey to be DCS. I did share with her that I had some ear discomfort on my last day. My left ear was popping a bit and was a bit sore, but of course, I was determined to complete our last 4 scheduled dives. She suggested I may have experienced some middle ear barotrauma, which could explain the vertigo.

Off to the ER I went. The doc looked at my ears and stated he saw no issues, just a little redness. I begged for antivert and something for nausea. I was desperate for some relief. The doc said that an ENT would see me shortly and he disappeared. Over an hour later, he brought me a prescription for mecclazine ( which I had already taken in the form of Bonine before leaving the hotel) and 4 pills called Stugeron (sp?).

We had to hit 4 pharmacies, as no one had the meds. During this time, I was vomiting and feeling horrible.

We made it back to the hotel finally and realized we missed our flights. I slept the entire day with no improvement. I googled vertigo and I've tried the Epley Maneuver twice. There has been some minor improvement but I still feel very dizzy.

Philippines Airlines refused to extend us any consideration for the medical emergency. They told us we wouldn't even be able to get flights for 8 more days and they would be at full fare. My travel companions spent all day yesterday on the phone and online. We ended up having to buy 3 new tickets home and we start our trip home tomorrow afternoon.

I am worried about my ability to fly, but we need to get home so I can see a knowledgeable doctor. I'm so discouraged. I have no idea what caused this, have no real meds that are helping, no idea if/when the vertigo and dizziness will resolve and if there is anything else I can do myself to help and no idea how flying will affect my condition. Its pretty scary being 8900 miles from home when something like this happens. I have no ear pain, no discernable hearing loss, no full feeling in my ears, and no medical history of heart or BP issues.

Any thoughts that might help would be appreciated.I am hoping this doesn't somehow mean I won't be able to dive again, but getting home to competent medical attention is my first priority.
 
Unfortunately, this sounds very much like it might be inner ear barotrauma. I'd get home and get in to see an otologist ASAP.
 
TSandM, might over-the-counter decongestants and antihistamines help?
 
FWIW, I'm currently taking bonine and sudafed, as that's all I have and at this point, I have little else to lose until I can get home to my primary care physician/specialist. I read that it may help in some cases of barotrauma...TS&M, seeing as I'll be getting home around 700pm on a Saturday night, would you suggest I go right to the ER or after hours urgent care that night or just shoot to get a referral to a specialist first thing Monday? Not sure if any further delay of treatment could affect my chance of a full recovery...
 
It sounds like a horrible experience. Inner ear barotrauma is a relatively minor injury from which you can probably expect fast and complete recovery, but the vertigo sounds like a very unpleasant end to a otherwise great trip.

I do hope you had DAN dive insurance and a good trip insurance plan as well. The two can possibly reimburse you for medical and extra travel expenses, and to some extent those of a companion. DAN's site is not fully available at the moment, but save all of your receipts and file your claims. :wink:
 
Thanks, Don. I have the highest level of DAN insurance, but we stupidly neglected to get trip insurance. My medical bills have been negligible ( probably under $20 USD) but three new tickets home ran us $1900 x 3 plus 4 extra nights in a hotel.

A painful lesson on so many levels...
 
Thanks, Don. I have the highest level of DAN insurance, but we stupidly neglected to get trip insurance. My medical bills have been negligible ( probably under $20 USD) but three new tickets home ran us $1900 x 3 plus 4 extra nights in a hotel.

A painful lesson on so many levels...
Bummer. Hope you can get some tax benefits or something off of that. It might have helped if you'd called the airline before you no-showed, but done is done. I did find a DAN page with some basic info. Since you have top level DAN dive insurance, you are eligible for up to $2,000 in extra travel expense and $3,000 extra accommodations. Details on how to qualify for those are still not available, other than a couple of notes...
If an insured person is prevented from using their purchased ticket to return home based on the written advice of the attending Physician because of a Covered Diving Accident, the coverage pays for the cost of transportation for the return trip home.

If an insured person is delayed from returning home based on the written advice of the attending Physician because of a Covered Diving Accident, the coverage pays the cost of extra accommodations for the duration of the delay.

Don't tell them that you forgot to go to the airport or anything similar. Hope you can get a doctor's statement advising not to fly that day. I think there is some coverage for one companion, but will have to check on that later.

More info available soon at: Scuba Diving Accident Insurance ? About Scuba Insurance Programs ? DAN | Divers Alert Network

Plan basics: http://www.diversalertnetwork.org/insurance/compare.asp
 
Inner ear barotrauma is a relatively minor injury from which you can probably expect fast and complete recovery, but the vertigo sounds like a very unpleasant end to a otherwise great trip.

Don, I wonder if you're thinking of middle ear barotrauma when you say this. Even then, I would not necessarily classify it as a minor injury since severe middle ear barotrauma can cause permanent damage. Inner ear barotrauma is a serious injury that requires immediate medical intervention. Treatment consists of strict bed rest with the head of the bed upright, stool softeners to prevent straining, and possible surgical intervention if the symptoms do not resolve within 24 hours.

DiverGirl, I concur with TSandM in that from your description, inner ear barotrauma is very high on the differential here. If you read this before you leave, I recommend you behave very conservatively while you're travelling. Do not carry your own luggage and get a wheelchair for transport if possible. While in the airplane, use passive equalization during climb and descent - if you need to actively equalize, use the Toynbee (pinch and swallow) maneuver. Do not perform the valsalva maneuver. UPenn is the nearest facility to Lititz that can evaluate divers. I recommend you go straight from the airport to the ED there.

Best regards,
DDM
 
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Don, I wonder if you're thinking of middle ear barotrauma when you say this.
Actually, I shouldn't have even posted about the possible injury. :blush: Thanks for the corrections, cautions, and advice.

As I mentioned otherwise, what's done is done with regard to the travel changes and expenses - but this really underscores the value of good Trip Insurance for international trips. I didn't bother in my younger years, but I was lucky - won't leave the country without now.

D-girl, if you haven't left yet, DAN's Travel Assist is another resource you qualify for now - under member benefits rather than dive insurance. I don't know what they can do, but they might offer suggestions. Hope you make out okay with the dive insurance claims, that should also cover stateside medical expenses.
 
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