Is this a sign of pregnancy also what else could it be ?

Patient : I started spotting a week before my period which would have been Wednesday October 19 the blood was only visible when i whipped then it would leave till the next day and start again but today there was some on my underwear. Right under and above my belly button i get like cramp pains but it doesnt hurt when i press on it sometime my tummy will feel hard depending where i touch. Also my lower back hurts the first day i started bleeding and today around where my spin is and my right side started today.
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