Is spotting a sign of miscarriage or ectopic pregnancy?

Patient's question:

Last night, I accidentally bumped into something, and when I went to the bathroom, there was some spotting. These last couple of days, my stomach has been hurting a lot. After a thorough check-up, it was said that I might be pregnant. An ultrasound showed nothing in the uterus. Today, there's still no spotting. Is spotting a sign of miscarriage or ectopic pregnancy?

Doctor's answer:

Need further careful review. This suggestion is to actively preserve the pregnancy, rest in bed, take oral pregnancy preservation medication, and have an ultrasound around the 45th day of amenorrhea. You can also test blood HCG every 3 days to check for doubling. Ectopic pregnancy patients can use folk remedies as supplementary treatment while understanding standard medical treatment. Proper diet should be maintained in daily life to avoid stimulating foods.

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