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Author: admin | 10.06.2015 | Category: One Ear Ringing

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. Otitis media is diagnosed by your doctor by taking a history and doing an examination of the ear canal.
Chronic otitis media with effusion interferes with the hearing of approximately 5% of 5 year olds. In children, the pain can be difficult to locate, so it is important to take your child to the doctor to be checked for otitis media whenever they have a fever. Examination of your childs ear using an otoscope: This is usually performed with your child on your lap, especially if they are young. The severity of the symptoms and the age of the patient determines the likelihood of success of antibiotic treatment. Acute otitis media in older age groups usually resolves on its own without antibiotic treatment. Most people with otitis media respond well to general measures such as pain relief and increased fluid intake.
Antibiotics have been shown to have little effect on the course of acute otitis media, and they are not used in all circumstances.
In children without fever and vomiting, antibiotics are not given unless the child’s symptoms have not resolved within 2 days, or unless the child is less than 2 years of age. In otitis media with effusion, a longer course of antibiotics is generally needed. Children should be referred to specialists if they experience learning difficulties or structural damage to the ear drum.
About myVMCVirtual Medical Centre is Australia’s leading source for trustworthy medical information written by health professionals based on Australian guidelines. Please be aware that we do not give advice on your individual medical condition, if you want advice please see your treating physician. Commonly called as swimmer’s ear, ear canal infection or external otitis is an inflammatory process affecting the skin of the outer ear canal, which moves along the eardrum to the outside. In the early course of the disease process, the symptoms are typically mild but may worsen if the infection spreads or if it is left untreated.
In individuals with mild infection, they may experience signs and symptoms including ear canal itching with minor redness, mild discomfort which worsens when the auricle is pulled and the appearance of a clear, odorless drainage. If the infection is in its moderate progression, the patient may predominantly complain of having a more intense itching with increasing ear pain and more extensive ear redness, extreme fluid drainage, foul smelling yellowish pus and diminished and muffled hearing. When the condition becomes advanced, there is severe pain radiating to the face, neck and sides of the face.
Possible causative bacteria are Pseudomonas aeruginosa and Staphylococcus aureus while the Candida albicans and Aspergillus are the most common fungi to blame for this medical condition. Normally, the outer ear canal has a natural defense which helps prevent infection from occurring. If a patient develops ear canal infection, then, the natural defenses in the ear have been overwhelmed.
Scratches and abrasions in the ear can be due to cleaning the ear with cotton swab or hair pin, scratching with finger and using headphones and hearing aids. If otitis externa is in chronic form, the cause might not only because of bacteria but is more likely to be attributed by chronic dermatitis of the ear canal. It is important to learn the approaches for preventing a person from developing acute external otitis. The treatment is aimed at ending the disease process and permitting the ear canal to undergo healing process.


To begin with, the outer ear canal is cleaned to assist the eardrops to run along the infected areas.
Generally, acute ear canal infection resolves in just a few days after a therapeutic combination of topical wash and antibiotics, however, absolute convalescence of hearing and gland function may take place a little longer. Whatever the reason for this infection, avoid factors such as moisture and irritation as these extend the course of the disease. This website is for informational purposes only and Is not a substitute for medical advice, diagnosis or treatment.
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. The air comes through a narrow channel called the Eustachian tube which connects the middle ear to the back of the throat and noseThe Eustachian tube is closed but you can open them briefly when you swallow or yawn (or pinch your nose and blow air in it, like you do on an airplane).
The earache can be caused by a disorder in a close by part of you body, this is called referred pain or radiationThe original cause may be dental problems like caries or tooth decay or teething in babies. Sometimes it resolves abruptly when the ear drum perforates and the fluid drains out of the ear canal.
They are classified as those that occur outside of the brain (extracranial) and those that occur within the brain (intracranial).
This is a very important part of the visit because examination of the ear canal is essential for making an accurate diagnosis. It is associated with an increased number of recurrences of acute otitis media, as well as the development of otitis media with effusion 6 months later in 35% of children. Consistency of diagnostic criteria for acute otitis media: A review of the recent literature.
There is a temporary conductive hearing loss that will be experienced by a patient who displays enough swelling and ear pus to obstruct the opening of the ear. Other symptoms include complete obstruction of the ear canal, redness and swelling, hyperthermia and swelling in the lymph nodes in the neck making it painful to open the jaw. Factors which can cause weakening of the ears’ protective mechanism and encourage growth of bacteria include excess ear moisture, abrasions in the ear canal and sensitivity reactions from various sources. Individuals with persistent dermatological conditions, including eczema and psoriasis are more predisposed to developing infections involving the outer auditory canal. But self-cleaning efforts must be avoided as these usually cause additional injury to the traumatized skin area, making the condition worse.
The physician may then remove the discharge, ear wax and other materials and debris periodically and frequently with suction apparatus or ear curette. The medications may include an acidic solution which re-establishes the normal environment of the ear canal, corticosteroids which lessen inflammation, antibiotic to treat the infection and antifungal drugs if the condition is fungal in origin.
Before it has healed fully, the patient is still more susceptible to develop recurrent infection. 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 cold can cause the tubes to swell enough to become blocked trapping fluids inside your ear.
Perforation of the ear drum is not a catastrophic event since the drum can repair itself quickly and easily. These complications are extremely rare and usually occur in very young children, or those with serious medical conditions. At the same time, your doctor may need to remove some wax from your child’s ear to help see the ear drum. In older children, regular intake of water and not juices or sweetened drinks is important.


The causative agent is commonly the bacteria, such as streptococcus, staphylococcus and pseudomonas. This slightly acidic substance creates a slim, water-repellant coating on the skin and discourages bacterial growth. When sweating becomes heavy, or when humid weather is prolonged or when water remains in the ear after swimming, a favorable setting for bacterial growth is created. If an individual is likely to develop the disease, earplugs and bathing caps can be given to them before swimming or taking a bath.
If necessary, place an earplug or cotton wool soaked in Vaseline on the outside when swimming or while taking a shower.
For larger insects, the ear is flushed with mineral oil to suffocate the organism and go to see a doctor for removal.
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. This makes it an ideal place for viruses, germs and bacteria to grow and cause an infectionBecause in children these tubes are obviously smaller they get blocked more easily so they suffer more from middle ear infections than adultsA lot of the times in young children this ear infection often accompanies a cold, sore throat and cough. If your child is severely dehydrated, your doctor may give your child an oral rehydration solution which contains all the essential minerals needed to maintain your child’s body fluids.
Oftentimes, the cause is due to water that stays in the ear after showering or swimming, or insertion of foreign implements, thus, creating a suitable and inviting culture media for bacterial growth and proliferation. Additionally, this material accumulates dirt, dead cells and other debris and helps move these elements out of the ear.
Ears can be dried using towel corners or by placing a blow dryer several centimeters away from the ear set at its lowest setting. Removing an object trapped in the ear must not be attempted by anyone, as this can be hard.
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.
These are not symptoms but can be a sign that your child may also be developing an ear infectionAllergiesAllergies like hay fever or nutritional allergies, can also cause inflammation and the build up of fluids in the middle ear. Another useful factor is the downward slope of the ear canal which helps water and other materials to drain out of the canal.
Soap and shampoo residues must be cleared immediately as these cause irritation and itching. 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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