Can You Dive After Surgery? Key Considerations for Divers with Medical History

Diving activity issues

Hello, a friend recently asked about learning to dive, but since I have undergone two surgeries in the past, I have a few questions for the physician (currently, there are no diving medicine specialists available, so I would like to consult a general surgeon).

1.
I previously underwent carbon dioxide laser surgery for nasal allergies about 3-4 years ago.
Can I participate in diving activities? In February 2017, I had a second surgery.
The first doctor mentioned that if the condition recurred, I could have another procedure, while the second doctor indicated that the polyps (not sure of the exact term) were very thin and that no further surgery would be necessary.
Recently, I have noticed that if I blow my nose too hard, there is occasionally a little blood on the tissue.
I am concerned whether diving could cause nosebleeds or other symptoms.
2.
In late June 2018, I underwent surgery for internal and external hemorrhoids and an anal fistula.
Can I participate in diving activities? After the surgery, I had internal hemorrhoid ligation four times, but I have noticed that about once a month, I may experience rectal bleeding.
The amount of blood varies; sometimes the tissue is completely soaked, and other times it is just a little.
On several follow-up visits, the doctor mentioned anal fissures, but later said they did not see any wounds.
When I consulted another clinic, they found a wound that seemed to be due to the surgical excision, indicating that a certain area has become more fragile and cannot withstand much pressure.
Therefore, I would like to ask if this condition could lead to ruptures and bleeding due to the pressure changes while diving.
3.
Is it true that individuals with nasal allergies or a deviated septum are generally advised against diving? During my nasal allergy surgery, the doctor noted that I have a deviated septum, but I am unsure of its severity.
I have not addressed this issue since then, so I would like to know if diving activities could exacerbate these conditions.

zz, 30~39 year old female. Ask Date: 2019/02/11

Dr. Ke Fangxu reply Surgery

1.
Generally, nasal allergies are not treated with surgery; however, I know that some physicians perform turbinate reduction surgery to alleviate obstruction symptoms caused by mucosal hypertrophy.
It is best to consult an otolaryngologist for detailed information.

2.
The surgical wound from an anal procedure should heal within a month.
The current bleeding is likely due to hemorrhoids or anal fissures, and with proper treatment, there should be no issues.
3.
There are many types of diving.
If it is not deep-sea diving that requires decompression or free diving, general diving activities should not be affected by a deviated septum.

Reply Date: 2019/02/11

More Info

Diving after surgery is a topic that requires careful consideration, especially for individuals with a medical history that includes surgical procedures. Here are some key points to consider regarding your specific questions about diving after your surgeries.

1. Nasal Surgery and Diving: You mentioned having undergone two CO2 laser surgeries for nasal allergies and experiencing occasional bleeding when blowing your nose. While diving, the pressure changes can affect your sinuses. If your nasal passages are still sensitive or if you experience any bleeding, it may be advisable to avoid diving until you have fully healed and consulted with an ENT specialist. Diving can exacerbate sinus issues, leading to barotrauma, which is a condition caused by pressure changes that can result in pain, bleeding, or even more severe complications. If you have a history of nasal bleeding, it is crucial to ensure that your nasal passages are clear and healthy before considering diving.

2. Rectal Surgery and Diving: You also mentioned having undergone surgery for hemorrhoids and anal fistulas, with ongoing issues of rectal bleeding. Diving can increase abdominal pressure, which may exacerbate any existing conditions or lead to discomfort. If you are experiencing recurrent bleeding or have been diagnosed with anal fissures, it is essential to consult with your surgeon or a gastroenterologist before diving. They can assess whether your condition is stable enough for you to engage in activities that may put additional strain on your body.

3. Nasal Allergies and Septal Deviation: Having nasal allergies or a deviated septum does not automatically disqualify someone from diving. However, these conditions can complicate the equalization process during descent and ascent. If your nasal passages are inflamed or obstructed, you may have difficulty equalizing pressure, which can lead to discomfort or injury. It is advisable to seek an evaluation from an ENT specialist to determine the severity of your nasal issues and whether they could pose a risk while diving.

In summary, before engaging in diving activities, it is essential to consider the following:
- Consultation with Specialists: Speak with your healthcare providers, including your surgeon and an ENT specialist, to evaluate your current health status and any potential risks associated with diving.

- Healing Time: Ensure that you have fully healed from your surgeries and that any ongoing issues, such as bleeding or discomfort, are resolved.

- Understanding Risks: Be aware of how pressure changes during diving can affect your body, particularly in areas that have undergone surgery. If you have any doubts or concerns, it is better to err on the side of caution and postpone diving until you receive medical clearance.

Ultimately, your safety and well-being should be the top priority. Diving can be a rewarding experience, but it is crucial to ensure that your body is ready for the physical demands it entails.

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