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

### input:
I statred my period on Nov. 23 and it lasted 7 days (normal). On Tuesday I started having sharp adamonal pain on the right side. I have been getting migraines and dizziness. I also have been very thirsty lately. Last night I went to the bathroom and found a clump of blood in the toilet and I have still been bleeding a little but not like Im on my period. I am also cramping now. What could this be?

### output:

Hi. Thanks for your query. Read and understood your history. As per the history you have different problems which may or may not be associated. Let us see how ....1. Normal periods but started having sharp abdominal pain on the right side. 2. Clump of blood even going on now. 3. Migraines and dizziness. Cramping still going on. The bleeding, clumps and cramping may be related and may be due to the heavy bleeding, may be due to hormonal problems. There is a small chance that you have a missed abortion of the intrauterine pregnancy, but the tubal pregnancy continues or may be salpingitis, ovarian problems or just PID got resurfaced. The hormonal changes also increase the migraine as you know. Dizziness can be due to local problems of the blood supply to the brain and / or the ear apparatus. All the symptoms taken together, I would advise you the following:Urgent ultrasonography of the abdomen. Urine pregnancy tests. Diagnostic laparoscopy ID tubal pregnancy is suspected. SOS procedure as advised by you. I hope this answer will get the things moving in the proper diagnosis and treatment of the person.