Nosebleeds (Sinus Squeeze)

I have noticed that beginning scuba divers frequently have nosebleeds. Could you please tell me what causes them?
New divers often report nosebleeds after diving primarily because they are unaware of the importance of equalizing the sinuses and middle ears (via the Valsalva method). The barotrauma that is produced when the sinuses are not cleared can cause blood vessels in the lining of the nose to burst. These vessels lie very close to the top of the mucous membrane-lining in the nose and sinuses, and the blood can come from the lining in either. This type of barotrauma -- generally the result of air being trapped within the sinuses – is not always painful, though the presence of blood can be disconcerting to a new diver. With this type of injury, blood can run down the back of the throat or pool in the sinus below the eye and emerge at a different time. It can also act as a growth medium for bacteria and result in sinus infections.

Individuals with a history of sinus trouble, allergies, a broken nose, or deviated septum, as well as divers who currently have colds may find the clearing procedure difficult to accomplish and may experience a problem with nosebleeds. It's always best not to dive with a cold or any condition that may block the sinus air passages.

We suggest a slow, gentle descent with frequent equalizing to help decrease the risk of sinus barotrauma. Divers who are unable to clear their sinuses or have frequent nosebleeds when scuba diving should see their personal physicians or ear-nose-and-throat specialists for evaluation.
Posted in

No Comments


Categories

 2019
 2018
 2016
Accidents After anaesthesia Air Quality Air exchange centre Air hose failure Altitude changes Altitude sickness Ama divers Anaerobic Metabolism Annual renewal Apnea Apnoea Arterial gas embolism Arthroscopic surgery Aurel hygiene BCD Backextensors Badages Bag valve mask Bandaids Barbell back squat Bench press Blood flow Bouyancy compensators Boyle's Law Boyle\'s Law Bradycardia Brain Breast Cancer Breath Hold Diving Breath hold Breath-hold Breathing Gas Breathing Bruising Buoyancy Burnshield CGASA CMAS CO2 Cabin pressure Camera settings Cancer Remission Cancer treatments Cancer Cannabis and diving Cannabis Cape Town Dive Festival Carbon dioxide Cardio health Cardiomyopathy Chamber Safety Chamber science Charles' Law Charles\' Law Charles\\\' Law Charles\\\\\\\' Law Charles\\\\\\\\\\\\\\\' Law Chemotherapy Citizen Conservation Cleaning products Coastalexcursion Cold Water Cold care Cold Compressed gas Conservation Contaminants Contaminated air Corals Courtactions Crohns disease Crystal build up Crystallizing hoses Cutaneous decompression DAN Courses DAN Profile DAN Researchers DAN medics DAN report DCI DCS Decompressions sickness DCS theories DCS DM training DReams Dalton's Law Dalton\'s Law Dalton\\\'s Law Dalton\\\\\\\'s Law Dalton\\\\\\\\\\\\\\\'s Law Deco dives Decompression Illness Decompression Sickness Decompression illsnes Decompression treatment Decompression Diaphragms Diseases Dive Chamber Dive Industry Dive Instruction Dive Instructor Dive Pros Dive Research Dive Training Dive Travel Dive accidents Dive buddies Dive computers Dive excursions Dive gear Dive health Dive medicines Dive medicine Dive operators Dive safety Dive staff Diveleader training Diveleaders Diver Profile Diver infliencers Divers Alert Diving Kids Diving career Diving emergencies Diving guidelines Diving injuries Diving suspended Diving Domestic Donation Dowels Dr Rob Schneider Drysuit diving Drysuit valves Drysuits EAPs EAP Ear pressure Ear wax Ears injuries Education Emergency action planning Emergency decompression Emergency plans Emergency underwater Oxygen Recompression Emergency Enviromental Protection Environmental factors Environmental impact Environmental managment Equipment care Evacuation Evaluations Exercise Extended divetime Extinguisher Extreme treatments Eye injuries FAQ Failures Fatigue Faulty equipment Fire Coral Fire Safety Firefighting First Aid Equipment First Aid Training First Aid kits Fish Fitness Flying Francois Burman Free diving Free flow Freedive Training Freediver Freediving performance Gas Density Gas laws Gas mixes GasPerformance Gases Gastric bypass Gear Servicing Gordon Hiles HELP HIRA Haemorhoid treatment Hazard Description Hazardous Marine life Health practitioner Heart Health Heart Rate monitor Heart rate Heart Helium High temperatures Hip strength Hot Humans Hydrate Hydrogen Hydroids Hydrostatic pressure Hyperbaric Chamber Hyperbaric research Hypothermia Immine systems In Water Recompression Indemnity form Indian Ocean Inert gas Infections Instinct Instructors Insurance Integrated Physiology International travel International Irritation Kidneys Kids scubadiver Labour laws Legal advice Legislation Leukemis Liability Risks Liability releases Liability Life expectancy Lifestyle Low blood pressure Low pressure deterioration Low volume masks Lung function Lung injuries Lung MOD Maintenance Mammalian Dive Response Mammalian effect Marine Scientists Marine parks Master scuba diver Maximum operating depth Medical Q Medical emergencies Medical questionaire Medical statement Middle ear pressure Mike Bartick Military front press Mixed Gas Mono Fins Mooring lines More pressure Muscle pain Mycobacterium marinum Nautilus Nitrogen build up Nitrox No-decompression Non-rebreather Mask Normal Air Nosebleeds O2 providers O2 servicing OOxygen maintenance Ocean pollution Orbital implants Oronasal mask Oxygen Cylinder Oxygen Units Oxygen deficit Oxygen deicit Oxygen ears Oxygen equipment Oxygen masks Oxygen supply Oxygen therapy Oxygen P J Prinsloo PFI PJP Tech Part 3 Phillipines Photography Pistons Planning Plastic Pneumothorax Pollution Pool Diving Preparation Prepared diver Press Release Professional rights Provider course Pulmanologist Pulmonary Bleb Purge RAID South Africa RCAP Radio communications Range of motion Rashes Recompression chamber Recompression Recycle Regulator failure Regulators Regulator Remote areas Renewable Report incidents Rescue training Resume diving Risk Assessments Risk assesments Risk assessment Risk elements Risk management SABS 019 Safety Stop Safety Saturation Diving Save our seas Science Scuba Air Quality Scuba Injury Scuba children Scuba dive Scuba health Scubalearners Sealife Shoulder strength Sideplank Skin Bends Skin outbreak Skin rash Snorkeling Snorkels Sodwana Bay Splits Squeezes Standars Step ups Supplemental oxygen Surgeries Surgery TRavel safety Tattoes Technical Diving The Bends The truth Thermal Notions Tides Tips and trick Transplants Travel tips Travel Tweezers Unconsciousness Underwater photographer Underwater pho Vaccines Vagus nerve Valsalva manoeuvers Vape Vaping Vasvagal Syncope Venting Volatile fuels Washout treatments Wastewater Water Weakness Weigang Xu Wetsuit fitting White balance Winter Woman in diving Work of Breathing Wound dressings Wreck dive Wreckdiving Youth diver abrasion air-cushioned alert diver altitude anemia antibiotics antiseptics bandages bent-over barbell rows body art breathing air calories burn cardiovascular checklist chemo port child clearances closed circuit scuba currents cuts dead lift decompression algorithms decongestants dehydration dive injuries dive medicing dive ready child dive reflex dive tribe diver rescue diver training dive diving attraction doctors domestic travel dri-suits dry mucous membranes dry suits dry e-cigarettes ear spaces elearning electrolyte imbalance electroytes emergency action plans emergency assessment equalizing exposure injuries eyes fEMAL DIVERS fire rescue fitnes flexible tubing frediving gas bubble health hospital humidity immersion pulmonary edema (IPE join DAN knee longevity lower stress marine pathogens medical issues medical procedures medical risk assesment mental challenge minor illness mucous membranes nasal steroids nasal nematocysts newdivers nitrogen bubbles off-gassed operating theatre operations orthopeadic outgas pain perforation phillippines physical challenges pinched nerves plasters polyester-TPU polyether-TPU post dive preserve prevention rebreather mask rebreathers retinal detachment risk areas safety stops saturation scissors scuba equipment scuba single use sinus infections smoking snorkeling. spearfishing stings strength sub-aquatic swimmers ears tattoo care tecnical diver thermal protection training trimix unified standards vision impaired warmers water quality