I have a bery serious question , so i thought

Patient : I have a bery serious question , so i thought i was pregnant i didnt take any test or anything but i had the " sympotoms" my breast got bigger and sore and i had days where i would throw up and well i didnt think of it and i smoked yesterday and than hours later I started bleeding , it wasnt like peripd blood it was very odd, because i wore a pad the rest of the migt and np blood would go on it only if i wiped or peed , than this morning there was like a chunk of something with lots of blood and so i wore another pad to work and i got home and i was bleeding moooooooore than the usual it is bery odd to me , can i actually be pregnant? Possibly miscarriage?
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