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I tried to ask about that...OK - I do not disagree with the diagnosis of alternobaric vertigo caused by the congestion as being very likely but I also think it is worth considering one other possibility as well that could cause vertigo and motion sickness. The OP says there was a heavy sea swell and surf, the dive was within 50 metres of shore and less than 10 metres.
I often find that if the dive is shallow with a lot of water movement both underwater and at the surface I suffer from motion sickness. I do a lot of night time shore dives and I know if I have done a long shallow dive where there has been a lot of swell, I have had the feeling of still moving for some hours after the dives, and it sometimes makes me feel sick.
Does the OP get same symptons on a deeper dive or when there is no surf to contend with? - P
Does no one else think that he might have just gotten seasick on surfacing...?
I don't get seasick, so I don't know if it can continue that long after climbing out...?
Still, getting & keeping the sinuses & ear tubes clear will help - either way.
If you have imbalanced pressure on your ears leading to vertigo, I think that descending will just increase pressure - but still imbalanced. You could try it and see.Open question to all: if the vertigo is caused by a reverse block or pressure imbalance between the ears during ascent, will descending a little help relieve the problem? I experienced the same today and felt as if I'm turning round in circles although I was stationary. What I did is take deep relaxed breaths and wait till the "dizziness" was gone.
The best approach for either, motion sickness or imbalanced block, is to open up the sinuses and ear tubes well, equalize early & often thru the dive, and try to prevent the problems. May still happen, but take as much preventative action as possible.