8weeks and bleeding?

I started spotting this morning and it has moved into medium cramping on my left side that was about 8hrs a go and now I just went pee and this is what happened when I wiped. Should I start getting concerned I have an appointment in 2 days. I had a negative pregnancy test last week but I assumed it was because I peed not even 10 minutes before I took the pregnancy test. My dr refused to do blood work and said come back in a week.
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