Initiation and development of karstification requires a continuous flushing of pore water in equilibrium with carbonate minerals. Under confined flow conditions, the energy required for pore water transport is supplied by external pressure sources in addition to the by earth’s gravity. Earth tides and water loads over the confined flow system are the main sources of external pressure that drives the pore water. Earth tides, created by the sum of the horizontal components of tide generation forces of moon and sun, causes expansion and contraction of the crust in horizontal direction. Water load on top of the confined flow system causes vertical loading/unloading and may be in the form of recharge load or ocean loading in the inland and sub-oceanic settings, respectively. Increasing and decreasing tide generating force results in pore water transport in the confined system by means of contraction and expansion, respectively. Since these forces operate in perpendicular directions, pore water flushing by earth tides becomes less effective when water load on top of the confined flow system increases. Temporal variation of freshwater content in a submarine cave is presented as an example of groundwater discharge driven by earth tides and recharge load.