Pregnacy & Miscarraige

Patient : I recently was feeling nauseas, my back was hurting, I was being really picky with foods, a lot of mood swings. I would try to eat food that I normally ate and wouldn't eat it. My menstrual cycle didn't come down when it was suppose too. Then about a week ago I started getting really bad back pains and pain in my lower abdomen. It hurt really bad so I went to sleep the next morning when I woke up a big blood clot came down, it wasn't like my normal periods and I was bleeding way too much. I don't know if those are symptoms of a miscarriage or not. I want to know if they are the symptoms of one and what should I do?
Symptoms:  pain in lower back,
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