Am i pregnat or having pms

Patient : Im getting sick to my stomach a lot am i pregnat or having pms?
Symptoms:  For the last week I've been waking up wanting to throw up and feel like that throughout the day. I am tired all the time, have back aches and pains (lower back) I have stomach cramps, am dizzy often and I think spotting. I think I'm spotting because I'm bleeding on and off its been going on for about three days.
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