Pregnant or no

Patient : Ok at first I had a 2day period then spotting after. Then had gthe symptoms on being pregnant. I'm on birth control an I didn't take it one dayan 2days later I started bleeding I don't know if its a period or what because its heavy and this is my ovulating week. I'm having really bad cramps an I'm tired an don't want to stop eating. I don't want to stop taking my birth control cause I'm not sure yet. An I haven't taken a test yet. But idont know if I should. Could I be pregnant?
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