Hello 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. Regards.