Trouble with ears after diving

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kentiler

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Hi,

I've had my PADI certification for 20 years, but I'm an infrequent diver. I grew up snorkeling in a lake, and I love the water and snorkeling/diving. I've noticed that my right ear takes a while to clear, so my decent is slower than other divers. Once I'm down, I'm fine. However, the last couple of years, I've found that my right ear tends to feel funny for several days if not weeks after I'm done. Last year I went diving in Mexico, and I felt that I had a hard time hearing after the trip. I went to an ear specialist, and all the tests came back with my hearing fine. I just got back from Jamaica, and we only went snorkeling/free diving - nothing over 15 feet deep. It's been two weeks and I still feel like my hearing in my right ear isn't normal.

Has anyone else had a similar experience? I've heard that taking Sudafed an hour before a dive can help with the ear clearing. I just read, too, that an audiogram can help diagnose issues:

If you're having lingering hearing loss, ringing in the ears or dizziness after a dive, see a doctor, and insist on an audiogram, a special hearing test to determine the root cause of the problem. "Too often, someone will see a doctor because they are having trouble hearing, and the physician sees that their eardrum is intact, meaning it's not ruptured, or that it's red, so they assume that nothing is really wrong or there's a simple infection," says ear, nose and throat specialist Murray Grossan, M.D. "That's dangerous because those symptoms may indicate perilymph fistula (PLF) or a blowout of the round window of the inner ear, one of the most serious complications of diving," says Grossan. "It's important that any PLF be diagnosed and treated in a timely manner because it can lead to permanent hearing damage."

I just called and scheduled an audiogram, so maybe they can tell me something! Hope I can still dive in Mexico in a couple of weeks!

--Kent
 
I have difficult equalizing my right ear--always have. If I'm not very careful about equalizing early and often, I can get minor symptoms like you describe. My ENT, who used to dive, recommended I take a dose of liquid pseudoephedrine just prior to diving. It seems to help a bit. I've been diving for over 40 years and have always had this issue. I haven't blown out an eardrum yet, and any mild problems I've experienced have resolved in a day or two at most. Since yours are lasting longer, I think you're on the right track with seeing an ENT. Good luck.
 
I have similar issues with my ears, mostly the right one. A couple of things that I do (my ENT directed me to do this, check with your Dr first) - 1) the day or two prior to a dive I take Sudafed 2) 20 minutes before I dive I do 3 sprays of Afrin in each nostril and then 5 minutes before I do 1 to 2 more 3) equalize/pressurize your ears just prior to jumping in to get positive pressure in the middle ear as well as open the E-tubes 4) equalize about every foot or two for the first 20 feet

After a dive it is not uncommon for me to have a slight pain in my right ear. I take Advil for that and it usually goes away fairly quickly. Last year my ENT noticed that my right eardrum is thinner than my left which he thinks may be causing the slight pain after I dive. The pressure changes on the eardrum are giving it a good workout.

You may have a middle ear barotrauma from the sounds of your symptoms... get it checked.
 
I have the same issues. I was told long ago by a physician (after a really bad cold when I lost about 80% of my hearing for about 2 weeks) that I have narrow E-tubes that just take a while to drain (longer than most). I also get a weird sensation in my left ear on a weekly basis or so - as if there is a bony growth in there or something .. but no doctor has ever seen it. I have to "clear" my left ear all the time to get rid of that weird sensation in the middle ear. (And no, it's not wax because I feel it even after a good wax cleaning at the doc.)

When I first started diving in 2001 I was able to clear fairly easily and keep up with the other divers.. and I got as deep as 80 feet. On one trip to Belize in 03 I logged 10+ dives and all was fine with my ears. Then in about 2004-05, I got a reverse squeeze from descending too fast on a dive in Coz. If you've ever had a reverse squeeze, you know NEVER to descend too quickly again.. it's THAT painful.

Now, I descend very slowly (and when i say slow... I am talking about 5-10 minutes to reach 15-20 feet).. I'm so slow that I have to swim above the other divers and descend while swimming - this is fine on fairly shallow dives when there is no current and good viz.. I always get a private DM if I think it's going to be a problem for a group of divers.

In 07 I dove in Coz again and returned home to a week of muffled hearing. You can see I wrote on SB about it and learned I was not the only one to experience this. I got my ears checked for damage and was told I was fine.. and one day they just opened up and all was fine. Phew.

Fast forward to 2015: Hubby and I went to Roatan last week and I had a LOT of trouble clearing and descending. I probably pushed too hard, but my god that place is so beautiful I got lost in the beauty of it and the thought of not diving brought me to tears. I did manage to do 5 dives and each one was a difficult descent, but once i reached 15 feet I could comfortably go deeper... I dove to 50 feet on all dives.

Now I am suffering with muffled hearing again... and thanks to Google I have learned that it's Middle Ear Barotrauma (as opposed to the more serious inner ear Barotrauma which sounds REALLY bad.. with vertigo, vomiting, etc). Here's a great article about both types of Barotrauma. http://www.divingmedicine.info/Ch 09 SM10c.pdf

This time, I called DAN and the referred me to a local physician who specializes in Dive/Hyperbaric Medicine. While I wanted an ENT, this doc insists that he treats any/all diving related injuries and has been doing so for 30 years, including ear injuries. He told me to start using Afrin to open up the E-tubes and take Sudafed.. after a day I started noticing about a 50% reduction in the muffled hearing. He says that with ME Barotrauma there's actually blood behind your ear drums that need to drain/dissolve and that when it starts to resolve i will here crackling in my ears. I cannot wait for that because I am also hoping the tinnitus (ringing in my left ear) will resolve. I am PRAYING this is not permanent because it's wrecking my sleep. I've read that other divers have had permanent tinnitus as a result of ME Barotrauma. Fingers crossed that's not me.

Anyway, I hope that helped!
 
This time, I called DAN and the referred me to a local physician who specializes in Dive/Hyperbaric Medicine. While I wanted an ENT, this doc insists that he treats any/all diving related injuries and has been doing so for 30 years, including ear injuries. He told me to start using Afrin to open up the E-tubes and take Sudafed.. after a day I started noticing about a 50% reduction in the muffled hearing. He says that with ME Barotrauma there's actually blood behind your ear drums that need to drain/dissolve and that when it starts to resolve i will here crackling in my ears. I cannot wait for that because I am also hoping the tinnitus (ringing in my left ear) will resolve. I am PRAYING this is not permanent because it's wrecking my sleep. I've read that other divers have had permanent tinnitus as a result of ME Barotrauma. Fingers crossed that's not me.

Just curious if your Dr said anything about taking Prednisone (Medral Dose Pack) to reduce any inflammation that you currently have. On rare occasion my ENT has prescribed that for me when I have had a ME Barotrauma or sinus infection.
 
Just curious if your Dr said anything about taking Prednisone (Medral Dose Pack) to reduce any inflammation that you currently have. On rare occasion my ENT has prescribed that for me when I have had a ME Barotrauma or sinus infection.

Mike126, not yet but I will see him on Monday so he might. Predisone really scares me after recently putting my dog on it and seeing her side effects - and it didn't really help her in the long term. But if there is any chance it could help with the inflammation and maybe the tinnitus, I would probably try it. This is really impacting my sleep... even with white noise and all the stuff you're supposed to do to counteract the constant ringing.

Also, for the OP, I found this great article by Scuba Board's own Dr. Mike today... thought I'd share. It's very detailed. Thank you, Dr. Mike!

http://www.rothschilddesign.com/ear_scuba/
 

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