<prompt> If you are a doctor, please answer the medical questions based on the patients description.My period was a week late in February and then two weeks later I was having brown blood spotting, and sometimes is was a pinkish red. This lasted for about a week. Im starting to have headaches, be really tired all of the time, and my lower back hurts. Ive been feeling really nauseous the last couple of days and have a heightend sense of smell. I dont know if these may be pregnancy signs or not tho. Do you think you could help clarify for me?  <response>: Hello, I have gone through your query and understood the concern. If you have always been regular with your cycles and are sexually active, you need to excludeconfirm pregnancy in the current scenario. An estimation of the serum beta-ChatDoctor titles along with a trans-vaginal sonogram is the best way out to clarify the situation. Your symptoms can happen with a very early pregnancy, but a proper confirmation is necessary. If positive, this spotting should be monitored, the viability of the pregnancy assessed and further management given. Hope this helps. 