I'm having really bad pain in my abdominal area and lower back. I thought it was period cramps at first, but it only hurts if I'm standing or walking. It doesn't hurt at all when I am sitting or lying down. Pain medication has done nothing to help it so far. I've also been having what feels like pre period cramps for two weeks now and just about two-three days ago, I started spotting, but haven't actually started my period yet. I wonder if that could have something to do with my pains I'm having. I'm also on birth control to regulate my periods. This is sort of all over the place but could someone please help me figure this out.