<s>[INST] I took a HPT that came out faint positive and i havent had a period this month but i have started spotting today. I have taken other HPT tht came out negative but the one I took was early pregnancy test. Ive been getting sick and feeling nauscoeus. Lower back pain. Im bleeding but not bad and not really hurting with cramps. Hats goin on [/INST] Hello,First, you undergo one blood test for beta-ChatDoctor to rule out conception. It is more reliable than home pregnancy test. TVS scan gives additional information. Other reasons are stress, hormonal imbalance, pelvic infection, irregular diet habit, over wt etc. Following initial test result, you consult with gynecologist to proceed other investigation. Take suggestive measures accordingly. Maintain genital hygiene properly. Avoid stress and control body wt. Take some muscle relaxant gel to reduce back pain. Hope it helps for you. </s>