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Another possibility that you should consider is that this may be related
to swallowing air while breathing from your regulator. Divers swallow a
certain amount of air as a result of breathing compressed gas, and a second
stage with very low breathing resistance or that is prone to free flowing can
increase air swallowing. You might consider having your regulator serviced
and discussing your issues with the service technician. A “tightening up” of
the second stage may help you.
Remember this is all speculation and that an evaluation by a doctor is crucial.
— Frances Smith, EMT-P, DMT
Q:
What do I need to know about diving with a cold sore?
A:
Here are a few issues you should consider:
1.
Risk of further injury
— Sun exposure or mechanical trauma from
the mask and/or regulator may worsen the wound, creating a larger
scab and lengthening the healing process.
2.
Infection
— If the sore is bleeding, oozing or otherwise open, the risk of
infection by pathogens in the water is significant. Cold sores can become
complicated by bacterial infections, so it is important to wash them
thoroughly with soap and water and keep them as clean and as dry (in
general) as possible.
3.
Impaired mask fit
— If a mask skirt will be placed over the sore in a way
that rubs or irritates it, then diving should be postponed. The same is true
of the regulator; if holding it would cause irritation, then diving would not
be recommended.
4.
Transmission
— Dive buddies should review procedures for buddy
breathing in an out-of-air situation in light of the fact that cold sores are
contagious. If gear is rented, ensure proper decontamination procedures
are followed. Although it’s unlikely, there is always a chance that
resuscitation may be needed. Thus, precautions should be taken to prevent
disease transmission. This is normally not an issue because barrier devices
are readily available in most first aid kits.
Treatments such as penciclovir (Denavir) and docosanol (Abreva) can soften
the skin and promote healing. Topical numbing agents such as phenol and
menthol may be used for comfort. See your doctor and begin using an over-
the-counter product at the first sign of a cold sore; beginning antiviral therapy
within the first 48 hours can speed recovery.
AD
— Lana Sorrell, EMT, DMT
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