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A normal pregnancy there is usually a history of missed period, which is very common, little nausea, vomiting, some giddiness, some mild pain in the abdomen, but usually it is not associated with any bleeding. Bleeding in normal pregnancy occurs in almost less than 1 in 100 patients. In ectopic pregnancy, the first and foremost symptom, is missed period but usually followed by some spotting or bleeding PV with a very severe episode of pain in the abdomen, either on the right or the left, which is very acute. There are some spells of giddiness also in such patients. This is how we can differentiate between a normal and ectopic pregnancy symptom wise.