Diving activities
Hello, Doctor.
Four days ago (Sunday), I went diving in the morning with a one-on-one instructor, reaching a depth of 12 meters.
During the dive, I had to surface because I couldn't equalize the pressure in my left ear, and then I went back down again.
The day after diving (Monday) afternoon, I experienced pain in my right shoulder and neck, felt seasick on the boat, had the urge to vomit but didn't, and felt very uncomfortable in my stomach.
My breathing wasn't smooth, and I felt a bit short of breath while talking.
However, after a good night's sleep, I felt much better.
On Tuesday, I still felt very uncomfortable in my stomach and had no appetite, so I went to see a doctor.
They diagnosed me with gastritis and checked my ears, which were fine, and my breathing improved significantly.
But on Wednesday morning, I woke up with pain in my left shoulder and neck, similar to a stiff neck.
In the afternoon, I suddenly felt numbness on the outer side of my right big toe, which persisted until the evening.
Could this possibly be decompression sickness? Which specialist should I consult?
Chen Yin, 20~29 year old female. Ask Date: 2018/08/15
Dr. Xiao Yongxun reply Family Medicine
Dear Miss Chen Yin: Based on your statements, it is not possible to completely rule out the possibility of decompression sickness; I recommend that you visit a diving medicine clinic equipped with hyperbaric oxygen therapy.
Reply Date: 2018/08/15
More Info
When it comes to diving-related health issues, it's crucial to understand the potential risks and symptoms that may arise after a dive. Based on your description, it sounds like you experienced a series of concerning symptoms following your diving experience, including shoulder and neck pain, nausea, and tingling in your toe. These symptoms could potentially be related to a condition known as decompression sickness (DCS), commonly referred to as "the bends," which can occur when a diver ascends too quickly after spending time at depth.
Decompression sickness occurs when nitrogen, which is absorbed by the body under high pressure during a dive, forms bubbles in the bloodstream and tissues as the pressure decreases during ascent. Symptoms can vary widely and may include joint pain, dizziness, difficulty breathing, and neurological symptoms such as tingling or numbness. The fact that you experienced pain in both shoulders and neck, along with tingling in your toe, raises the possibility of DCS, especially since you mentioned having difficulty equalizing pressure in your left ear during the dive.
It's important to note that while some symptoms may resolve on their own, others can indicate a more serious condition that requires immediate medical attention. Given your symptoms, particularly the tingling in your toe and the discomfort in your shoulders and neck, I recommend seeking medical advice as soon as possible. You should consult a physician who specializes in diving medicine or hyperbaric medicine, as they are best equipped to evaluate your symptoms in the context of your recent diving experience.
In the meantime, here are some general guidelines on when to seek medical advice after diving:
1. Persistent Symptoms: If you experience any symptoms that persist for more than a few hours after diving, such as pain, dizziness, or difficulty breathing, you should seek medical attention.
2. Neurological Symptoms: Any neurological symptoms, including tingling, numbness, or weakness in the limbs, should be evaluated promptly, as they can indicate serious complications.
3. Breathing Difficulties: If you experience shortness of breath or any changes in your breathing pattern, it is essential to seek medical help immediately.
4. Severe Pain: Joint or muscle pain that is severe or worsening should not be ignored, as it could be a sign of DCS.
5. Unusual Symptoms: Any other unusual symptoms that arise after diving, such as confusion, extreme fatigue, or changes in vision, warrant immediate medical evaluation.
In conclusion, while some symptoms may improve with rest, it is crucial to err on the side of caution when it comes to diving-related health issues. Given your recent diving experience and the symptoms you've described, I strongly recommend that you consult a medical professional with expertise in diving medicine. They will be able to conduct a thorough assessment, possibly including imaging studies or hyperbaric oxygen therapy, to ensure your safety and well-being. Remember, it's always better to be safe and get checked out, especially after a diving incident.
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