Two questions...

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VitaminSea

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Ok I have 2 questions, I am sure they've been asked before on this board like a hundred times, but hey go easy on my I just joined yesterday :)

1- My right ear equalizes with no problems, left ear usually harder to equalize, no big deal just annoying, any known reasons?
...and I heard tilting the head to the shoulder opposite to the ear that wouldn't equalize would help, any more tips?

2- Bleeding nose: Again I know its quite common and it doesn't even bleed a lot, and it has only happend on my last 4 dives. But I'd like to hear about experiences/solutions.

thanks for the help :)
 
VitaminSea once bubbled...
Ok I have 2 questions, I am sure they've been asked before on this board like a hundred times, but hey go easy on my I just joined yesterday :)

1- My right ear equalizes with no problems, left ear usually harder to equalize, no big deal just annoying, any known reasons?
...and I heard tilting the head to the shoulder opposite to the ear that wouldn't equalize would help, any more tips?

2- Bleeding nose: Again I know its quite common and it doesn't even bleed a lot, and it has only happend on my last 4 dives. But I'd like to hear about experiences/solutions.

thanks for the help :)

The Doctor will have some helpful suggestions I'm sure... but you didn't tell us what technique you use to equalize... The nose bleed might be related to the work you have to do to get that errant ear fixed up... in the meanwhile, try to start equalizing on the surface and at very regular intervals (before you "think" you need it) all the way down to at least 50 or 60 feet.
 
I find it easiest to equalize by swallowing or the Valsalva maneuver. Might the problem with bleeding be that I am blowing too hard to equalize the other ear?

And yes, I do equalize early, but like I said, right ear equalizes very easily I don't even feel it, left ear still very hard and slow to equalize.

Thanks for the response :)
 
Hi VitaminSea,

I'm a dentist not a physician but I'm gonna put in my two bits worth.

No body is perfectly symmetrical. So it is possible that you have one ear that is easy to clear and for some anatomic or physiologic reason the other ear gives you a hard time.

Along the same lines of reasoning, you get a nose bleed because of trauma due to an eustatian tube or sinus ostia that doesn't open easily.

Also as the day wears on, the lining of the sinuses and the middle ear can become engorged with blood so they are even harder to clear.

If you have ever surfaced mid dive to get your bearings, you have probably noticed that it is harder to get back down to the bottom.

Instead of treating the condition, perhaps it would be easier to treat the cause. Before you dive, clear your ears on the boat...carefully. You can even puff a little air into the ears before you jump in.

Descend feet first or at least with a head up position. When your head is down, there is a column of blood pushing on the tissues within the head. When this happens it is much harder to get the air to pass.

Clear often. Don't wait till it begins to hurt. Ascend some the try again.

Occasionally, I have to use a nasal decongestant. Remember, they can wear off mid dive and overuse can cause rebound congestion.

I think doppler is right on as well.

Again, it is my experience that when I have been away from diving for any time, my ears are harder to clear. I don't know the reason but in the middle of the summer I can descend as fast as I want and the ears almost clear themselves.

Hope you clogged ear clears up soon

Regards,

Larry Stein
:doctor:

Disclaimer: (No representations are made that in any way offer a diagnosis, treatment or cure for any illness or condition, either discussed or implied. Answers to questions are offered as information only and should always be used in conjunction with advice from your personal diving physician/dentist. I take no responsibility for any conceivable consequence, which might be related to any visit to this site.)
 
Hi again.

The truth is I have never heard of the product. However my BS antenna goes up when I see words like alternative medicine or all natural.

I noticed that the partial bibliography quoted by the author of the ad contained articles and studies that were carried out mostly during the 1960's through the 1970's. There was a smattering of references from the 1980's and perhaps four within the last 10 years.

Enzymes are proteins. When swallowed, most will be broken down into their constituent amino acids. Your digestive system doesn't know the difference between proteins from a hamburger or from a plant.

When the enzymes listed are applied directly to a hematoma, they will break it down causing it to clear up faster. It is rather difficult for most materials to cross our skin barriers. In general, the smaller the molecule the easier it might be to cross this barrier. This is why we have a stomach...digestion is (in a simplified way) of breaking down large molecules of food into smaller molecules that can be absorbed by the specialized lining of the small intestines.

The mouth is covered with either a mucous membrane or a keratinized epithelium. Keratin (on the attached gingiva surrounding the teeth, the hard palate and the upper surface of the tongue) makes it very hard for anything to cross. The mucous membrane (cheeks, under the tongue and the inside of the lips) would be more permeable but the molecules have not been broken down enough to create really small molecules. I would doubt the any substantial absorption occurs here.

You are basically swishing your mouth with enzymes of papaya and pineapple. This is basically meat tenderizer. I don't know the long term effects of this product on the oral tissues but I do know that when meat tenderizer is used for jellyfish stings, it is recommended that it be rinsed away following its use to stop digesting the tissue in and around the wound.

It would NOT surprise me to find that the product breaks up mucous secreations. Under topical circumstances, a digestive enzyme should be able to react and break down something like mucous.

Some people can be allergic to meat tenderizer. So take any remarks by the manufacturer or myself, for that matter, with a grain of salt.

Since I have no first hand knowledge of the efficacy of this product, it would be unfair of me to dismiss it totally. Just because it is an extract of something we are able to eat, doesn't mean that it is safe but neither does it make it unsafe.

There are many things we eat every day that if taken in large quantity or high concentration become harmful. We need vitamins but consumption of high doses of vitamins (especially fat soluble vitamins A,E,D, and K) is toxic.

I hope some of the other docs will see this. Perhaps they have some first hand knowledge.
Right now I would be suspicious of any claims made that this product will help to clear your ears.

You should also keep in mind that if this product is marketed as a food product, it does not have to meet the same standards of the FDA as a drug must.

Bottom line is I don't know if this product is effective but I am suspicious about the claims made. It was a long list so this must be some sort of miracle material. But then we have aspirin doing all sorts of wonderful things.

Be careful.

Larry Stein

No disclaimer this time cause I really don't know what the heck I'm talking about. :)
 
Thank you again for the very informative reply :)
I myself prefer not to take any type of unnecessary medication, was wondering about the effectiveness of the product and if anyone has tried it.
 
I can only support Dr. Stein's most impresssive discussion of the likely ineffectiveness of Clear Ease for your complaints.

There is little or no reason to believe that it can accomplish much of what it claims.

Best regards.

DocVikingo
 
Thought I'd chip in a couple of quick comments about self-treatment to aid equalization and sinus issues. I freedive much more than I dive on scuba, and gummy tissues inside the head are definitely a big issue. (Due to the more frequent up-and-down in freediving, sinuses and eustachian tubes get much more stressed.)

I happen to have gone in for a consultation by the ENT who owns the company that markets Clear-Ease, Murray Grossan M.D. I was referred to him by DAN. He's written a book called "The Sinus Cure" and markets several sinus self-treatment products. In addition to Clear-Ease, he recommends regularly running saltwater through your sinuses with an attachment on a Water Pik.

I've tried all sorts of combinations of self-treatments during the past year or so (saltwater lavage as noted above, steroid sprays like Flonase (requires a prescription), decongestant sprays like Afrin, antihistamine sprays like Astelin (prescription), the expectorant guaifenesin, and anti-inflammatories ranging from Clear-Ease (fruit-enzyme-based) to conventional ones like aspirin, Celebrex (prescription), ibuprofen, Relafen, etc. For me personally the only treatments that I can unreservedly say have helped are saltwater rinses and Afrin (the latter used very sparingly, as with continued use it causes a rebound effect that leads to habituation, and a number of people in other threads here will describe themselves as having gotten addicted to it at one time).

Many freedivers also follow other non-medicinal practices to avoid sinus/clearing problems. These include avoidance of milk products, boat fumes and cold drinks during diving. Some also swear by avoiding sugar, but speaking for myself, I have to draw the line somewhere. ;-)

I'd also make the comment that everyone is different, so a consultation with an ear-nose-throat doctor really helps to sort out what's worth trying. One general practitioner recommended that I get my nasal septum straightened, for example, but two ENTs told me it wouldn't help the particular sinus blocks I was experiencing.

Good luck, especially on the bleeding nose. I thought that thanks to a variety of self-treatments my last maskful of blood was long in the past, but I had a rude shock a few weeks ago when I blew my nose after a series of freedives that resulted in tingling by my eyebrows (frontal sinuses). I guess this is an issue that some of us will just have to deal with for the rest of our lives.
 
Hi BBG, when I responded to the original post, I think I made it evident that I had no experience with Clear Ease and I was hoping that one of the MD's on the board would add their knowledge to anthing I had said both right or wrong.

DocVikingo also replied and basically said nothing differing from what I had said.

My biggest concerns about the subject was the lack of current research on the product and the fact that this product is quite similar to meat tenderizer. It's just not something I would want to be swishing in my mouth on a day to day basis.

Further, when this stuff is subjected to the digestive process in the stomach and gut, I don't see how it is possible for it to retain it's active quality to affect distant sites.

This was all conjecture on my part but I believe it was at least "reasonable"

I find it interesting that a physician is also the owner of a company that markets this product. It always makes me uncomfortable to see a miracle cure or product that is kept from the general medical establishment unless
money is exchanged for the cure.

This not the same as a phamaceutical company developing a new drug and then selling it to the public. You rarely see a physician inventing a new surgical procedure and then only selling the knowledge to other surgeons so that they can then perform the same procedure.

The truth of the matter is that new medical procedures are exchanged amoung practicioners. Yes, they may have to charge for products associated with the providing of the procedure service but you rarely see anyone held hostage to the cost of the products.

For example, you are not "charged" for an appendectomy. Yes, you are charged a fee by the hospital and the physician to provide the service to do the surgical procedure. The surgeon learned this procedure by practicing with other surgeons on the same procedure. As improvements to a procedure occur, there may be some additional costs for that service. There are not however "secret" procecures or formulas that or only available to special persons willing to pay for it.

As you have discovered, practice, "tincture of time" and a judicious use of a limited amount of medicines turned out to solve most of your problems. From time to time you may have an occasional problem. When it happens, you will probably wait and extra week before trying again.

Finally, on the subject of a waterpic as an nasal irrigator. I have some serious problems with this. Salt water lavage may well liquify and rinse out nasal discharge.

No where on the product is the instruction for sticking the irrigator up you nose and blasting away. The WaterPic is NOT marketed for nasal use. In fact, the instructions state that the lowest pressure necessary to clean should be used. There IS NOT PRESSURE GAUGE on the product. The closest they come to a safety device is the irrigator end will pop off at too high a pressure. Oral irrigators are capable of peeling gingival tissues away from teeth. To aim one blindly up a nose--even with some sort of pressure reducer is both a misuse of a dental product and might result in serious injury.

This is the instructions from an MD who markets Clear-Ease?

I would LOVE to see the literature on this procedure!!!

Stay well, you have used your head.

Regards.

Larry Stein:doctor:
 

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