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EQ fluctuation, eustachian tubes getting stuffed on descent?

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Scious

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Oct 30, 2016
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Hi everyone! I'm not new to freediving and I know quite a bit on the theoretical side of things, I EQ using Frenzel and I've done a lot of troubleshooting and as it stands my personal theory that I've come up with is that I probably have a bit of excess mucus or something that eventually blocks the eustachian tubes as I'm up side down. Sometimes if I EQ on land up side down one ear will feel and sound "stuffed" and it will no longer react to EQ/swallowing for say an hour.

Recently dived with a line and this time it was at around 9-10 meters one ear would get harder to EQ and start to squeak during EQ until not possible anymore. Sometimes one ear can squeak on ascent as well. A few times one ear would get stuffed and I can't even get to the bottom of a pool.

I recently visited an ENT specialist and there was no problem other than deviated septum but knowing the physiology, this shouldn't affect my tongue from pushing air up the eustachian tubes. I was also cleared of "Polyps ,chronic infection , post nasal drip caused by an over production of mucus ,due to allergy or too thick mucus . " which I personally requested(an Instructor told me to get these things checked). Did an allergy test as well and that was all clear except for a minor reaction to grass.(It's snow outside now though).

Half a year ago I did a level 1 course and the first three days I could not go below 5 meters, same problem as above. My Frenzel technique on land was indeed correct. On the fourth extra day I was told to EQ slowly instead of my usual "gentle but assertive". This method allowed me to go deeper, but with a dramaticly reduced descent speed to 17.8 meters after which the time was up and only the fun dive remained, I went down to 8 meters and got a reverse block, ruptured my left ear drum. Funnily enough no-one at the school have had a student rupture an eardrum from a reverse block before. After several months it had finally healed, I of course want to do more courses, would even want to become an instructor if I could but first I need to find the root cause of my problem and honestly, I'm running out of ideas..

Yes I have air in my mouth and I'm relaxed(don't want to lock away possible solutions but I'm almost certain my technique isn't at fault, especially at these shallow depths) and it's usually just one ear that causes problems, it has currently been the right but it's the left one I perforated. I've tried doing BTV and on land I can successfully open my left tube, never my right so that's interesting. I don't eat dairy, milk etc.(lactose intolerant). If nothing else, I'll stay away from gluten as well but it won't be fun.

I have access to around 14 meters of depth to experiment with but it's currently 7 degrees at the surface(air temp around 2) and pitch black below 6-7 meters, I have a powerful light at the bottom so it works but my wetsuit is only 3mm and it's getting colder everyday.


I hope someone has had a similar experience, this is getting as you can imagine .. quite frustrating. That said, I very much appreciate any ideas you have to throw at me!
 
Something is blocking your Eustacian tube. This could be:

1 scarring from an injury
2 mucus due to an infection
3 mucus not due to an infection

I'm not aware of anything you can do about 1. In any case, you have had this problem since you started freediving and have since equalised successfully, so this is probably not the issue (or at least it is not a critical issue).

You seem to have addressed 2 with the ENT specialist.

For 3, you can try decongestants a day or two before you dive. Also, make sure you are not cold at night or (as far as possible given that it is cold where you live) in the daytime.

NB I am not medically qualified so do not rely etc
 
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Something is blocking your Eustacian tube. This could be:

1 scarring from an injury
2 mucus due to an infection
3 mucus not due to an infection

I'm not aware of anything you can do about 1. In any case, you have had this problem since you started freediving and have since equalised successfully, so this is probably not the issue (or at least it is not a critical issue).

You seem to have addressed 2 with the ENT specialist.

For 3, you can try decongestants a day or two before you dive. Also, make sure you are not cold at night or (as far as possible given that it is cold where you live) in the daytime.

NB I am not medically qualified so do not rely etc
I can't recall having any injury related to this.

I did try a decongestant(Nasolin I believe it was) when I did the courses without much luck but it can't hurt to try once more.

I can't imagine the room temperature at night getting below 18 degrees but I'll up it a little. Interesting though, haven't heard of that one before. Any guidelines for this? Thank you so very much for your informative reply!

I have some new information. I have been diving every other day the last week and maybe it is getting a little better? I no longer get a "stuffed ear" when upside down on land, however my ability to EQ does get worse after each dive still. Earlier today I thought I'd make sure my technique is alright again and the first dive went very smoothly and all equalizations felt easy to the bottom(11 meters). Even though my technique below 7ish meters is less than perfect it is very clear when something is blocking the tubes.

Second dive I got the squeaking and had to stop at 9.4 meters.

Third dive I tried going feet first but that wasn't easier, 9.1
 
I think Nasolin is a med you spray into your nose - is that right? If so, it may not be best for dealing with mucus further up into the system. There are various decongestant pills you could try which may be more effective. I'll leave it to another forum member to suggest a decongestant pill as I can't remember what I / my buddies used in the past.

The temperature issue is something I have encountered in warmer climates where the standard advice is not to use aircon at night (as cold air can result in mucus production). I imagine 18 degrees C would be fine, as long as you don't feel any cold.

Looking at your recent dives: you seem to be able to equalise initially, but run into problems later on. This might be because you are not equalising frequently enough, which can cause stress/inflammation in your tubes. Try equalising more frequently particularly near the top - you should never feel any pressure on your ears if you are equalising often enough. Also, try not to push too hard when equalising; use the minimum force necessary to reduce stress on your tubes.

It might also be that you are pushing mucus into your tubes during the course of your session, hindering your equalisation as the session goes on (so then the solution would be reducing mucus production).
 
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I think Nasolin is a med you spray into your nose - is that right? If so, it may not be best for dealing with mucus further up into the system. There are various decongestant pills you could try which may be more effective. I'll leave it to another forum member to suggest a decongestant pill as I can't remember what I / my buddies used in the past.

The temperature issue is something I have encountered in warmer climates where the standard advice is not to use aircon at night (as cold air can result in mucus production). I imagine 18 degrees C would be fine, as long as you don't feel any cold.

Looking at your recent dives: you seem to be able to equalise initially, but run into problems later on. This might be because you are not equalising frequently enough, which can cause stress/inflammation in your tubes. Try equalising more frequently particularly near the top - you should never feel any pressure on your ears if you are equalising often enough. Also, try not to push too hard when equalising; use the minimum force necessary to reduce stress on your tubes.

It might also be that you are pushing mucus into your tubes during the course of your session, hindering your equalisation as the session goes on (so then the solution would be reducing mucus production).
Just woke up, my nose air passages don't feel completely unobstructed(don't know whether that's normal or not), but that will clear after a shower. Lowest temperature tonight was 19 C.

I believe there's different variants, the one I had was a pill(Recommended by an instructor).

The course was in Thailand so we did have aircon then but it was used sparingly set to 27 degrees C(31 outside if I remember correctly). Though there might have been fluctuations during the night.

I never wait for any discomfort, usually just enough to feel that the equalizations have worked. I keep my hand on the nose during the whole descent. I've even modified the duckdive technique to EQ with one hand and do a partial downward stroke with the other hand, Of course always equalizing before on the surface.

I'm glad I finally have some new things to experiment with!

By the way a buddy has gotten sinus pain(No blood though) the last like 5 out of 8 times we've been doing just pool training. Never happened before but now it seems to not go away, any thoughts on this? I've personally only experienced this once and that was over a year ago after being in the water for 3+ hours.
 
Update: Did once again try to equalize upside down(to simulate diving). This time it didn't work as well, squeaking and now my left(opposite) ear got "stuffed"(Won't react to EQ, swallowing, impairs hearing). Took an hour for it to clear by itself.
 
I'm not too familiar with sinus issues, but often people forget to equalise properly in pool training - obviously, it is important to equalise carefully even if one is only going down one or two meters. Sinus problems often relate to inflammation from a minor infection so it could be related to that.

A magic bullet for ear equalisation problems is often mouthfill equalisation. If you do it right, with mouth fill equalisation, your eustacian tubes should be open the whole way down (as opposed to periodic equalisation with Valsalva/frensel). It is a tricky technique to learn, but if you can master it, it may be the key to your problems.

I often find with aircon that the machines are inaccurate (i.e. too cold) at the upper temperature ranges. For example, 30 degrees C tends to be the max temperature you can set the machine to, but this is usually quite clearly colder than 30 degrees. Also, you often have the air con unit blowing cold air over your face which means you are exposed to cold air even if the average room temp is reasonable - for this reason, freedivers often switch off the air con unit completely.

Btw where did you go in Thailand? I started freediving at Blue Immersion on Koh Tao, which was awesome. I also know Monica from Apnea Total, which sounds like a great school.
 
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Just seen your second post. Maybe it would be a good idea to give yourself a break from equalisation for a couple of weeks. If you have some inflammation in your tubes (which is likely given you are having equalisation problems), a rest may give it a chance to calm down.
 
That is very helpful, thank you!

I've read up on mouthfill, Aharon solomons has a great explanation on Youtube, will definitely start going more in depth(pun not intended) with that technique.

Was not aware of that, I just don't know how I'll be able to get any sleep when it's upwards of 30 degrees, might be a thing to just get used to I guess.

Yeah, Blue Immersion on Koh Tao is exactly where I was. Had a lot of fun despite the equalization issues, they had to tell me to start breathing during the initial breath-holds haha. Beautiful place and water, quite shocking considering that I'm used to murky water. The plan was to go back and do something like a "Zero to Hero" course but I'm afraid to get there and not being able to do much.
 
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Just seen your second post. Maybe it would be a good idea to give yourself a break from equalisation for a couple of weeks. If you have some inflammation in your tubes (which is likely given you are having equalisation problems), a rest may give it a chance to calm down.
Wouldn't an inflammation have been seen by the ENT? This never happen if I EQ normally on land, only when upside down.
 
It sure sounds like something is getting into your e tubes when you are upside down. If you have tight tubes, it doesn't take much.

Its also pretty strange, maybe time for wierd solutions.

Some of my buddies have had success with papaya tablets. Put a couple in your cheeks before starting the dive session, let'em melt slowly. It appears to soften the valves, making them easier to open. You have to give them some time to work. Also one guy had a problem with the papaya begining to eat a hole in his cheek. The stuff is meat tenderiser. Be a bit careful.
 
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It sure sounds like something is getting into your e tubes when you are upside down. If you have tight tubes, it doesn't take much.

Its also pretty strange, maybe time for wierd solutions.

Some of my buddies have had success with papaya tablets. Put a couple in your cheeks before starting the dive session, let'em melt slowly. It appears to soften the valves, making them easier to open. You have to give them some time to work. Also one guy had a problem with the papaya begining to eat a hole in his cheek. The stuff is meat tenderiser. Be a bit careful.
Added to the list of potential solutions to try out, thanks!
 
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