Hi there, the past 2 days I've had quite bad

Patient : Hi there, the past 2 days I've had quite bad cramping in my lower abdomen (like period pain, only more severe), accompanied by heavy vaginal bleeding with some clots and middle back pain (unsure whether this is related however). The pain started yesterday, the bleeding when I woke this morning. I am currently on the pill, and have never bled so heavily, passed clots or had such cramping pains. I'm worried I could've miscarried without knowing I was pregnant, or have something else going on. As I suffer from migraines, I often skip my period, so I also wonder if I'm just experiencing a heavy period due to skipping? What could cause this?
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