Experiencing blood and painful cramps during early pregnancy can be concerning, but it is important to understand the potential causes. While some light spotting can be normal in early pregnancy, heavy bleeding accompanied by severe cramping may indicate a more serious issue. Possible causes include implantation bleeding, miscarriage, ectopic pregnancy, or other complications. It is crucial to consult your healthcare provider immediately for an evaluation and proper guidance. They will perform tests and examinations to determine the cause and provide appropriate treatment if necessary.