hi i am general surgeon my sister age 50 year ,is suffering from chronic gastritis,weight 40 kg lean and thin, complain of fresh bleeding from right ear ,since three day,it is non traumatic in origin,has history of slow origin of mild deafness,and attack of vertigo 10 days back for 3 days,now no vertigo Chief complaint is bleeding from right ear initial two day it was in day time from today it is night time also it is continuous, increased from about 10ml from first day t0 20 ml on today on application of swab in right ear the blood get clotted on swab ,and on removal of swab it again starts blood is not associated with pus ,or watery discharge, she do not have family history of DM,HT,TB ,HIV,HEPATITIS ,LIVER desease,Bleeding disorder Or other chronic illness Kindly suggest management?