Help Hcg levels are on a roller coaster !

When I first found out I was pregnant my levels were only at 54, a week comes around and I start to bleed for a week, my hcg levels then drop to 22 at ER, go into ob office the next day and my levels are 38, go back for more blood work, get a call yesterday saying it’s back down to 33. Did I already lose my baby ? Or can it still be early ? I haven’t bled but I have been getting some cramping/stretching like, I’m nauseous, I’m bloated, I’m scared 😩