Confused Twenty-Four year old woman

Patient : I keep having lower abdominal pains and i have been quite moody lately and the circular things around my nipples are darker than usual and i keep going to the toilet every hour and i do get dizzyness and headaches and i do get rather tired lately, and i have been craving dry tuna with tomato ketchup. Everytime i do a pregnancy test it comes back negative and my mother went through this when she was pregnant. I think im going the same way as my mother did when she was pregnant. my last period was 19th September 2011 and i came off my period on 21st September 2011. could i be pregnant ? and when i went to the bathroom i seen red spots on the tissue paper. am i also spotting ?
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