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Thread: Why does blood come out of my nose after diving?

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    RBW Member Icejon is an unknown quantity at this point Icejon's Avatar
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    Angry Why does blood come out of my nose after diving?

    Dumb question I guess,

    Everytime I go diving, during my surface intervals blood comes out of my nose. Like blood vessels. I use the standard method of pinching my nose hard and blowing hard into my sinuses/ear. Are there any methods that will make the bloody goo stop coming out of my nose, or is this just normal? This happens every time I dive and sometimes I notice it in the water but usually during surface intervals.

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    Re: Why does blood come out of my nose after diving?

    First I would stop "blowing hard" into your nose. If you can't clear your ears with a gentle blow then something is wrong. Forceful valsalva has been known to cause your ear drum to rupture if you are not careful. You may have a sinus infection/allergies or some other problem. If your ears clear, then you must have all of the plumbing in the right place so I would look at a sinus blockage. The blood coming out at the end of the dive would tell me that you were experiencing a reverse sinus squeeze. Do you feel pressure/pain during your assent? Try clearing your ears prior to diving to ensure that everything is moving the way it should. The air should go in as easy as it comes out.:)

    Rob

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    Re: Why does blood come out of my nose after diving?

    Quote Originally Posted by diverrob  View Original Post
    First I would stop "blowing hard" into your nose. If you can't clear your ears with a gentle blow then something is wrong. Forceful valsalva has been known to cause your ear drum to rupture if you are not careful. You may have a sinus infection/allergies or some other problem. If your ears clear, then you must have all of the plumbing in the right place so I would look at a sinus blockage. The blood coming out at the end of the dive would tell me that you were experiencing a reverse sinus squeeze. Do you feel pressure/pain during your assent? Try clearing your ears prior to diving to ensure that everything is moving the way it should. The air should go in as easy as it comes out.:)

    Rob
    One these listed here would probable be the most common cause. Are you taking any anticoagulation med's (Things that thin your blood). If your are, it could be adding fuel to the above causes.

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    RBW Member Icejon is an unknown quantity at this point Icejon's Avatar
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    Re: Why does blood come out of my nose after diving?

    Quote Originally Posted by diverrob  View Original Post
    First I would stop "blowing hard" into your nose. If you can't clear your ears with a gentle blow then something is wrong. Forceful valsalva has been known to cause your ear drum to rupture if you are not careful. You may have a sinus infection/allergies or some other problem. If your ears clear, then you must have all of the plumbing in the right place so I would look at a sinus blockage. The blood coming out at the end of the dive would tell me that you were experiencing a reverse sinus squeeze. Do you feel pressure/pain during your assent? Try clearing your ears prior to diving to ensure that everything is moving the way it should. The air should go in as easy as it comes out.:)

    Rob
    Well now that you mention it, my rig ear had some issues. I could equalize but it wouldnt offgas right and still felt some pressuring when I surfaced. My last dive I had some ringing in my right ear and muffled hearing for at least a week. I've heard a good method to equalize uses your tongue to compress air up into your head? What is that called? I dont take any meds.

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    Re: Why does blood come out of my nose after diving?

    Hi

    Some good info above. Try this link from Scubab Doc's website - very useful.

    Other ENT Disorders

    Hope it helps.

    Peter

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    Re: Why does blood come out of my nose after diving?

    Quote Originally Posted by Icejon  View Original Post
    Well now that you mention it, my rig ear had some issues. I could equalize but it wouldnt offgas right and still felt some pressuring when I surfaced. My last dive I had some ringing in my right ear and muffled hearing for at least a week. I've heard a good method to equalize uses your tongue to compress air up into your head? What is that called? I dont take any meds.
    Sound like you was/are blowing way to hard and got a little hole in your ear drum, happend to me once when I was diving and couldnt really equalize and just blowed a little to hard.

    Blood coming out of your nose is NOT normal, do oyu have the ability to go and see a doctor who is specialized in diving? Then do so. You can also try and google for "Eric Fatah" and "frenzel", he is the guy who invented/spread the Frenzel technique commonly used by freedivers as it enables equalizing at larger depths than the valsalva. I personaly use it on both freediving and scuba diving when I remember to do it.

    You could also be one of the persons who got very narrow Eustachian tubes whch is the tubes who leads between your mouth and your ears, if they are very narrow it is possibly the widen them and thus make it alot easier to equalize.

    An unfunny point here, humans are almost the only animal which have their eustachian tubes closed al the time, cats and dogs and other animal dont have to equalize at all. Remebmer the scuba catsand dog videos, no problem there...

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    Re: Why does blood come out of my nose after diving?

    I used to have this problem too, but not anymore.
    A few years ago I was dabbling with freediving, and found pretty quickly that when using the Valsalva technique as I always had while on SCUBA, I could not equalize with my head horizontal or down from horizontal... apparently common.
    I had to learn a new technique to equalize, and since learning that method, when I dive scuba equalizing is almost effortless in any position, is quicker and more effective - I actually dive when I'm still stuffed up after a cold, with no decongestants (yes I know about reverse squeeze -I'm talking about equalizing here!)
    The technique is called 'Frensell', which you can look up on the interweb-thingy. It took quite a while to master, but once I did, it was like a Eureka! moment, and seemed so obvious! I still have to pinch my nose, but I do not blow - Basically it involves using the back part of your tongue to compress the little bit of air in your throat and sinuses - POP! I can repeat the motion more than twice every second, which is handy when freediving down to 45m head down. Also handy for a quick EQ@ when managing descent, suit squeeze, finning off the wall and signalling buddies, all at the same time.
    Look it up and try it - it's much less strain than Valsalva. Good luck, keep trying!

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    Re: Why does blood come out of my nose after diving?

    [quote=Edvin M;160837]

    You can also try and google for "Eric Fatah" and "frenzel", he is the guy who invented/spread the Frenzel technique commonly used by freedivers as it enables equalizing at larger depths than the valsalva. I personaly use it on both freediving and scuba diving when I remember to do it.

    quote]

    Whoa -
    All due respect to Eric Fattah, a talented and knowlegable freediver who I've met and occasionally freedived with, but he did not invent the technique. It does make equalizing easier for freediving, as it requires very little air or effort to make it work.
    I first heard and learned about the technique from Kirk Kraak, of Performance Freediving, who has also worked with Mr. Fattah. It is very common among freedivers.

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    Re: Why does blood come out of my nose after diving?

    Quote Originally Posted by Icejon  View Original Post
    Well now that you mention it, my rig ear had some issues. I could equalize but it wouldnt offgas right and still felt some pressuring when I surfaced. My last dive I had some ringing in my right ear and muffled hearing for at least a week. I've heard a good method to equalize uses your tongue to compress air up into your head? What is that called? I dont take any meds.
    Icejon, everyone seems to be giving you advice on equalizing, which is probalby a good thing, because it sounds like the technique will keep you from pinching and blowing too hard; however, since you indicate that you have been getting a bit of a reverse squeeze, I would address that first.

    Personally, I've been diving for over 20 years and have always had to take a decongestant before diving to avoid getting reverse squeezes and to be able to equalize on second dives - I'm not telling you to do that, because some say it's bad for you; however, my ENT, which is a diver, gave me the ok to continue to use it, even on deep technical dives. Besides that, he also prescribed me Nasonex, which I now take once a day and it has really cleared the ongoing sinus issurs I have always had. I could probably dive without the decongestant at this point, but I still use it as a crutch because the reverse squeezes are not fun!

    The point is, go see a diver-friendly ENT and I'm sure that he would be the best person to provide you with advice or treatment on resolving whatever issue you currently have going on with your ears. Plus, I would look up those equalizing techniques as well, because they do sound pretty useful.

    Good luck to you!

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    Re: Why does blood come out of my nose after diving?

    Other things to throw into the mix...

    Hard valsalva on the way up during deco dives is supposed to cause issues with DCS as I remember.

    The active ingreadiant in psudafed has sesures as a side effect and may increase cns O2 toxicity.

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