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03.09.2013
Latest research indicates that common ear infection drugs trigger bacteria to build defences, meaning that for some children and adults what does kill the bacteria, instead makes them stronger.  Antibiotics used to treat ear infections can stimulate certain biofilms, which protect the bacteria, which may explain why infections return repeatedly.
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I created this section to share all the little things I've picked up along the way, to make your dive holiday more comfortable.
Having suffered a nasty ear infection after (and yes only after) a series of dives (which thankfully didn't spoil the dive but didn't take MC either when I got back), I decided enough is enough.


I never thought it would happen to me (DENIAL), even though I had spoken personally to many experienced divers and dive guides who had an infection at one time or another. In our ear, the important thing to know is that we have normal bacteria in the ear like Staphylococcus, Streptococcus and the one associated with acne (Propionibacterium acnes).
Basically the EAR infection that we get in diving is Otitis Externa, infection of the external auditory canal (External Ear Infection). Acute infections would be caused by bacteria rather then fungus, so let's leave Mr Fungus out of the equation. After endless sifting through mulitple papers, websites and forums, two main ingredients are needed. The DiveWithSus formulation is 50 % White Vinegar (which brings the acid concentration to 2.5%).
As with all medicinal solutions, it is best to discard your brew a month after preparation.
The above points are based on the assumption that your ear canal gets exposed to the sea water and its associated contents. The ligament, retrodiscal tissue, has nerves, blood vessels and other small ligaments which can cause ear pain or tinnitus. In the absence of an ear or sinus infection, ear stuffiness or fullness can be caused by trauma or inflammation of the tensor veli palatine muscle. Tinnitus can be the result of a TMJ disorder or compression of the ligament between the jaw joint and the ear canal.
In the absence of an infection, ear symptoms can be treated if it is caused by a TMJ or a TMD disorder.
If you are suffering from ear symptoms and your physician has ruled out an infection OR you have taken medications and ear symptoms persist, call Bay Area TMJ & Sleep Center.
If the infection does not get better in a few weeks then the doctor will treat it. Research indicates that doctors should be careful about what antibiotics are used. If you decide to visit the Hospital or have your test conducted by the Chalfont Hearing Centre then you will be seen by a qualified Audiologist registered with the Health Care Professions Council (HCPC).
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To customize it, please navigate to Admin Panel -> Appearance -> Widgets and add widgets to Footer Column #3. You might notice that some tips are copied from my destination pages, and this is because a lot of the situations can be applicable in other places too. So to make all the abovementioned points less relevant is to keep your ears dry while diving. I Brook, J C Coolbaugh, and R G Williscroft,Effect of diving and diving hoods on the bacterial flora of the external ear canal and skin. Ear pain comes from the ligament being pinched or compressed between the jaw joint and the ear canal. Ear pain can also be caused by myalgia (muscle pain) of the jaw.   This tissue is often a major contributor to the pain of Temporomandibular Disfunction (TMD), particularly when there is inflammation or compression within the jaw joint. This muscle is attached to the soft palate and to the eustachian tube and controls the opening and closing of the eustachian tube. There are two smaller ligaments called the discomalleolar ligament and the anterior malleolar ligament. Depending on the diagnosis and the severity of the disorder, one or more orthotic appliances will be needed to treat ear symptoms.
If you have suspicion that you are suffering from an ear infection you should visit your G.P.


Pain on moving the jaw, pain on pulling the pinna of the ear, pain on touching the tragus (see diagram below).
The middle ear is sealed off from the external ear by an intact tympamic membrane (ear drum).
This was practiced by a dive instructor in Lembeh and dive guides from Shakti whom we met recently. But a good practice which we follow is to rinse our ears with clean water immediately after the dive. The Acetic acid also functions as an astringent as the low PH is bactericidal (though some sources regard it more as a growth retarder and hence aluminum and sodium acetate may be added).
The other 50% comprises 40% isopropyl alcohol and 10% sterile water (available in vials of 10 or 20 mls).
It is important to tilt the head, gently fill the ear canal with the solution and leave in place for not more than five minutes (just lie down).
The ligaments are attached to the malleus (one of three bones of the middle ear) and to the ligament of the jaw joint and to the jaw.
Ear symptoms can also be associated with other symptoms such as headaches, migraines, jaw and facial pain. You should not dive with a perforated(leaking) ear drum - let it heal or get it patched by an ENT surgeon. Although the most common recommendation is 50% vinegar and 50% isopropyl alcohol, I find 50% alcohol a bit too drying. We at Dive with Sus have not used such as product but a fellow diver whom we have dived with swears by it. Trauma, inflammation or stretching of these ligaments can cause tinnitus, dizziness and ear pain.
Or you can develop Necrotizing or Malignant Otitis Externa which is a life-threatening extension of external otitis into the mastoid or temporal bone and then to the brain.
The best way is to apply drops with isopropyl alcohol to help dry the ear (more on the solution later). So the dilution by an alkaline medium will affect the growth of bacteria and the normal protective mechanism of the ear.
If you're not sure how to soak up the water, then don't risk putting anything in your ears. Moisture from perspiration, high humidity and high environmental temperatures in a non-diving setting can also trigger an ear infection. Personally, I don't fill the entire ear canal as I found it too strong and biting, but I do observe the duration closely. It's a simple and effective concept, but will probably take some getting used to, not just in terms of wearing it but also to the differences in sounds underwater.
It just depends how susceptible you are to infections and how sensitive you are to the solution. Some people are prone to getting a hard build up of wax which appears black and hard and dry.
It was also during the rainy season and the room was by the beach without much seabreeze and no air con! With exposure, these anhydrous black nuggets will work like a sponge - swell up and block the egress of water from your ear!
So, do check your ears and clear the large hard black lumps of coal in your ear before you dive!



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Comments Tinnitus ear infection

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