### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I feel bloated, nausea , insomnia , I have bleeding gums , all the symptoms I have in pregnancy. i have gained so much weight and my boobs are larger and they hurt. some couple of months ago they would hurt so bad i would wake up, this would happen early in the morning, felt like needles in my boobs. about a week ago I started feeling movements in my belly. Only problem is I still get my periods, but last one came a little over a week early. i also have a copper coil and I am feeling the threads too easily, whereas before I never felt them at all. feels like they are too low. please help. i am losing it. all HPTs 5 of them came back negative plus a blood test , still convinced I m pregnant. tomorrow I m going for a scan, I feel crazy, but i have 3 babies, surely I am not losing it or am I?

### output:

Hello, Your last period was 1 wk early and got 5 negative Hits with a blood test. As you wear copper coil, chance of uterine pregnancy is almost nil. Your clinical features are more related to Pre Menstrual Syn Chat Doctor. Several measures to be taken. As follows:1) avoid stress by deep breathing or yoga2) avoid taking salt, caffeine or fatty food specially in 2nd half3) take Pyridoxine 100 mg daily with SSRI (Fluoxetine 20 mg single dose)4) may take PRIM OSA capsule 1000 mg to overcome breast discomfort plus wear tight breast support.5) may take OCP or progesterone pill (Phaeton 10 mg) to overcome other symptoms6)do regular exercise to control body wt and proper sleep.7) Also do thyroid profile, lipid profile, PPBS for your over wt.8) Take Vital/Vital supplements and check up to your doctor after all reports. Be well.