NWGratefulDiver:
I'm thinking it's an ear thing. Last night's dive I didn't get vertigo ... but I did realize I was having difficulty maintaining my directional sense (unusual for me). I kept swimming "arcs" and nudging into my dive buddy ... and wouldn't realize I'd changed course till I looked at the compass.
Time to call the doc ...
... Bob (Grateful Diver)
Hi Bob.
Contrary to what other may have posted, I don't think that CO2 retention has anything to do with your vertigo. Reverse squeeze, yes, possible and possibly painless...the air got trapped for a second than then squirted out suddenly causing an imbalance in pressure between the two ears.
Vertigo and dizziness caused by CO2 are not the same. Vertigo is a result of mixed signals sent to the vestibular apparatus of each ear. CO2 creates a chemical change that affects the body and the brain. Superficially, both may make you dizzy but they are not both vertigo.
Since what you describe is vertigo, my first inclination is to think that something, somehow affected your ears. Unequal pressure...alternobaric vertigo is possible and a reverse sqeeze is one of several ways this can happen.
You didn't notice any unusual pressure changes before the onset of the vertigo and while this doesn't prove anything, I don't think unequal pressures is the cause. You certainly have enough experience to be aware that you have pressure building up in your ears.
Another cause of vertigo is caloric vertigo...differential temperatures in each ear. This can easily happen and if the water is cold even more likely. Were you wearing a hood? If so, it is possible that there was a sudden inrush of colder water into the external ear canal that contained warm water. It is also possible that the external ear canal did not have any water deep inside...a bubble is often trapped there.
If this bubble (of warmed air) is suddenly dislodged by a change in head attitude, then cold water can rush in to one ear and BINGO...vertigo.
I've had this happen to me....especially when lobstering under rocks. I'm busy minding the bugs, the current and the rocks and then I stick my head in a hole...upside down and I can feel the trapped air in my ear suddenly become exchanged for water. If that water would be cold then I'm sure it could trigger vertigo....except I dive in FLORIDA!
and WE DON"T GET NO STINKING COLD WATER HERE! Well, not very cold.
The crackling in the ear?...probably something unrelated to your vertigo...unless you had just enough fluid in the middle ear to trap and then release some air...reverse block...alternobaric vertigo...But here we go again.
Why the headache following the dive...donno. May be unrelated to your other problems. You may also have altered the way your were breating when stressed...short shallow breaths that didn't remove the CO2 properly...eventhough you were breathing more volume of air.
You might still want to see the ENT to check on the middle ear. Perhaps you do have some fluid in one ear affecting balance and orientation. Hey! What's wrong with swimming in arcs (circles)?
Glad everything turned out OK.
Larry Stein