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Fullness feeling in ear. Blood clot came with q-tip, bouts of dizziness, spinning. Medical attention required?

I awoke this morning with a fullness feeling in left ear similar to water in ear. I used a q-tip to see if outer area was wet and instead a blood cot the size of a small pea attached to q-tip. They feeling of fullness disappeared. Upon checking pillow found several blood spots approx size was larger than silver dollar. Checking mirror found drier blood on outer ear . I have had no head trauma. Ears ring constantly and have bouts of dizziness and spinning. Saw neurologist for dizziness approx sixmonths ago and he ruled out meineir disease, significant hearing loss , tumor or aneurism with CAAT scan. This is a new symptom. Fresh blood is present if I check with q- tip. I am a 64 year old female. I do take Coumadin but first thing I did was check INR and it is management range. 2.4 should I seek medical attention oris there a reason for concern?
Asked On : Wed, 6 Mar 2013
Answers:  1 Views:  75
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ENT Specialist 's  Response

Thanks for writing to H.C.M.

I have gone through your query regarding feeling of fullness in ear and a blood clott came out with q-tip, bouts of dizziness, spinning and you feel better after removal of clott as for as fullness in ear is concerned.

On the basis of your clinical history there are two possibilities-

(a) You may be having secretory otitis media giving you feeling of fullness in ear due to collection of fluid in middle ear which had progressed to developed perforation in ear drum thus blood mixed fluid came out to spoil your pillow and you got some relief from fullness in ear.

(b) Since you are taking Coumadin which may sometime decreases platelets in blood which may be responsible for spontaneous bleeding in middle ear and ear canal.

In both above conditions headache, dizziness and spinning may appear.

Here I would like to suggest you these investigations to pinpoint the diagnosis-

(a) Blood- CBC, ESR, Prothrombin time, BT, CT,

(b) X- Paranasal sinuses - Occipitomental view.

(c) Impedance Audiometry.

By clinical examination and co-relation with above investigation one may reach to correct diagnosis which may be accordingly manage.

Answered: Sun, 11 Aug 2013
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