Sudden Hearing Loss on Shallow Dive

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carrspaints

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Hi everyone. I desperately hope someone out there can help. About 4 weeks ago, I lost complete hearing in my right ear about 5 minutes into a shallow dive (at 12 meters).

Just a bit of history to help ...I am certified but this was only my 12th dive. I have always had problems equilising ear pressure on decending and sometimes have pushed it when I shouldn't have, i.e. lived with the pressure pain. I sometimes suffered slight hearing loss but nothing major...usually just water in the ears and hearing returned to normal within a few hours.

On this particular dive, I did not experience much of a problem with equilising. Everything seemed 0kay, just slight pressure. About 5 minutes into the dive, I had a sensation of hearing a loud "buzzing" sound (not ringing) that increased in volume and pitch and then died away. I knew something wasn't right as that sensation or sound wasn't one I have experienced before. I carried on with the dive, as there was no pain associated with this, no dizziness. I kinda thought....we'll it's probably like previous dives...nothing to worry about.

When I surfaced 30 minutes later, I was stone deaf in my right ear. I mean stone deaf, not a sound. I was also very dazed....but not dizzy. Kinda similar to a concust or semi concust feeling. That has improved, but 4 weeks later and I still feel a bit dazed. Balance is fine.

Long story short, I went immediately to an ENT specialist in Cancun (I was on holiday in Mexico). He did various test with a tuning fork, headphones, that lamp gadget they use to look in the ear, plus an ear pressure test. He concluded that I had acute hearing loss in the right ear (less than 90db) and that the "prognosis was not good". :icon10: :icon10: He suggested I may have suffered a viral infection, a spastic nerve?, or a blood clot that restricted or shut down blood flow to a vital part of the hearing system. I am almost certain that my problem is directly related to barotrauma of some description and tried explaining this to him....he seemed to doubt my thoughts. I certainly doubt his.....too much of a coincidence with the problems I have always had with equilising on dives.

I was placed on drugs that included a steriod (Prednisolone 5mg) and hyperbaric chamber treatment to increase oxygen to all parts of the body (not to treat decompression sickness). No improvement.

4 weeks later and I'm back in the UK. There has been slight improvement in hearing over the 4 weeks but as good as useless. With headphones on, I can hear heavy base and drums but distorted and increasing volume seems disproportional to the increase in volume I get in my good ear...i.e., I get about 20% volume increase total in my right as opposed to 100% in my left. I cannot hear anything above 250hz...so no voices, no nothing except for deep, deep tones and they are faint.

If anyone can share any information on probable causes, or has had a similar experience, I would be grateful to hear from you. I'm convinced that pressure has damaged something .... that this is not a neurological or viral condition. ENT specialists seem quick to diagnose sudden hearing loss as "ideopathic" (i.e. of no known cause) and that frustrates me. Hearing is important to all of us and these specialists seem reluctant to actually work on the problem. By the way, I had a MRI scan done and the ENT fella called to say "good news, all clear with the MRI"

Desperate, please help.
 
I have a question... Did you before the "accident" listen to loud music on a regular basis? Like are you a drummer or something?
 
howarde:
I have a question... Did you before the "accident" listen to loud music on a regular basis? Like are you a drummer or something?

Hi, no I wasn't listening to loud music. In fact, we had been at this hotel for 6 days...no loud music, just normal hotel sounds. Didn't even have a CD walkman with me. I'm not in a band but do like my music and like many, turn up the volume occasionally....nothing overboard though.
 
When you normally dive... How soon after you begin your descent, do you first attempt to equalize? Right away, or do you wait until you feel it?
 
howarde:
When you normally dive... How soon after you begin your descent, do you first attempt to equalize? Right away, or do you wait until you feel it?

I try equilising right away. But I find that as I start to hit 2-3 meters, equilising gets harder. I try going up a few feet...sometimes it helps, sometimes not. But bewteen the top and the bottom, I almost always have problems with ear pressure. I'm not talking about slight pressure either....in some cases it has been where I thought my head might explode. Stupid to dive like this I know....but I tried all methods to try and equilise and the only one that seemed to work (sometimes) was to hold my nose and blow....force air towards the eustatian tube. I can't recall doing thsi on this last dive but may have....memory is not clear on that.
 
How else do you equalize? I always hold my nose and blow gently. It sounds to me like you got a severe squeeze... But I am not a doctor... You mentioned you went to see an ENT Doc... Perhaps you should try to find one that understands diving as well.

From what you first said about temporary hearing loss being ideopathic... I would tend to agree. Really, all I know about hearing is from my 15 years in Live Music. I'm just glad I still have my hearing after being exposed to many loud bands (none louder than Government Mule - by far the loudest band in the world) while being on stage myself.

Anyway... I would say that the next time you dive... Hold your nose and blow right away like as soon as your head goes under, and try to clear your ears every meter or so.

Anyone else agree?
 
howarde:
How else do you equalize? I always hold my nose and blow gently. It sounds to me like you got a severe squeeze... But I am not a doctor... You mentioned you went to see an ENT Doc... Perhaps you should try to find one that understands diving as well.

From what you first said about temporary hearing loss being ideopathic... I would tend to agree. Really, all I know about hearing is from my 15 years in Live Music. I'm just glad I still have my hearing after being exposed to many loud bands (none louder than Government Mule - by far the loudest band in the world) while being on stage myself.

Anyway... I would say that the next time you dive... Hold your nose and blow right away like as soon as your head goes under, and try to clear your ears every meter or so.

Anyone else agree?

Hi Howard. I think you may have misinterpretted my posting, or I misled you with what I have written. Unfortunately, there appears nothing temporary about my hearing loss. I cannot hear in my right ear and the 2 ENT specialists I have seen tell me the same thing.....i.e., it is very unlikely I will recover from this. I also will not dive again...I cannot risk losing what hearing I have remaining. If I could find an ENT specialist who was experienced with diving, or diving related conditions.....believe me, he would have been the 1st I would have seen. But thanks for pointing that out.

The pupose of my post was to get some feedback from others who may have experienced the same, or similar condition. You see Howard, I do not agree with the specialists. I know this is not a viral infection. I know this is directly related to that dive and maybe previous dives, i.e. Barotrauma. I'm no doctor but given my diving history and difficulties with ear pressure, I find it remote that I can go from good hearing to losing right hearing in a matter of seconds because of a "viral infection", when the most obvious and probable cause is a consequential effect of barotrauma.

The problem with ENT specialists is that they just seem to give up trying to establish the cause of Acute hearing loss. I understand it is a diffuclt area (The ear, Nervous system & Brain) but there are many other tests that could be done to determine if this is Barotrauma related. I'm sure I'm not the 1st diver to have lost hearing in one ear during a dive. (complete and sudden hearing loss) And I'm not taking about the temporary "water in the ol ear" syndrome". Stone Deaf!

So any feedback from those who have experienced similar, or know of someone who has, your posts will be very welcome indeed. But please bear in mind that I don't intend diving again so pointers on how to do this and that on a dive, whilst appreciated, would be in vain. Thanks in advance.
 
Sorry for misunderstanding you, and I hope your condition improves.
 
Carrspaints,
I wish I had some help for you. All I have is sympathy as from diving knowledge gained after; I think I suffered a hyper-exertion incident.

I was snorkeling in a tight neoprene wetsuit and being a geek was probably paddling big time from excitement in a new situation (night and far out to see Manta’s.) I think it occurred when I snorted in some water in the surface chop (poorly fitting mask needing frequent clearing and not knowing how to do it better.)

I too was stone deaf, in my right ear, and thought it was just a sinus thing but did not improve. I did see my primary and then a good ENT and neurologist (there are no diving physicians here, at least to my knowledge) – all baffled at the circumstances and result.
I went on Prednisone for a total of 6 weeks. I did get some improvement, more with increased dose. I was not getting a lot of sympathy from physicians until I showed a recent hearing test (pre-employment physical just prior to the event) and able to document significant hearing loss. It was exceptionally good prior to the event. Post testing showing just not so great hearing. Basically a loss of hearing but didn’t really reflect how much I could not understand and was considered no big deal, I’d get used to it ant not even notice.
I also was given similar possible causes for the loss and no ‘real’ ones.

It sounds like you have suffered more trauma than I. After the initial treatment or approximately 3 months later; I could hear but not understand voices. Closing the good ear what I heard sounded like it was very far away and in a tunnel with a lot of distortion. I could not use a phone with that ear understanding nothing, and there was a persistent buzzing, hissing noise and my equilibrium noticeably affected. I could not tell the direction of any sound and had to turn my head to hear something well enough to understand what it was.

So, I really empathize that a sudden profound hearing loss is very disturbing. No one medical really did, but I persisted in complaining and was sent for a MRI. This unfortunately/fortunately showed another problem completely unrelated to my hearing loss. Any further complaints were then dismissed due to the new finding being a bigger issue.

Now 6 years later I still grieve for the loss of hearing in that ear. It is not really noticeable to other people as many at my age have hearing loss. The buzzing and hissing have gone away. I can use the phone to that ear enough to be on hold then switch. I have trouble hearing quiet speakers, certain sounds or words are not understandable and I often need several repetitions, move much closer to the speaker and turn my head for the good ear. I noticed a marked difference when my desk location changed and now my ‘bad’ ear faces my co-workers. Just yesterday someone was able to do an activity inches away from my R side I was unaware of – definitely not possible 6 years ago. My equilibrium is ok.

I learned to dive just 9 months ago and have had no problems whatsoever. I did have the expected equalization problems initially but feel I rapidly learned how to do it and equalize easily so far. Of note though, I do not hear my computer alarms unless held up to my good ear. I have only been around one diver with a loud enough one I could hear (he complained it was really annoying, it must have been for him if I could hear it clearly.)

I was thinking of asking the Dive Medicine guys about it so I’m glad you have done so and hope they may have some insight.
I sincerely hope you get more improvement.
 
carrspaints, take a look at this article:

http://www.scuba-doc.com/LTE.htm

It's not just about deafness, but it contains some good information.

Also take a look at these links:

http://www.scuba-doc.com/hbodf.html
http://www.scuba-doc.com/inearprobs.htm
http://www.scuba-doc.com/hearhbot.html

Also keep in mind that if you let water into your ear, and it stays there, as you stated it had previously, you can get an infection from that. Sea water is not very clean. If it gets into your body (ears) and stays there for an extended period of time, it can lead to infection.

I hope all this helps. Good luck!
 

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