What Causes Vaginal Spotting Along With Abdominal Cramps?

I m a 20 year old female. Height 5 2 , weight 145. Medications, vyvanse 60 mg, adderall 30 mg, proprepenol 60 mg, tri sprintec 30 day cycle, and lunesta 6 mg. I ve had my appendix removed. Friday March 31st i started spotting and started my period, I then started cramping very bad on my right side near my ovary and also my lower back. On Saturday I woke up early in the morning to a dull but intense pain on my right side again. my period almost stopped, also on my tampon there was what looked like tissue from my body. I have been kind of spotting, there s not much blood ever since Saturday morning. I went to urgent care Saturday morning and they gave me hydrocodone and an anti-inflammatory because the doctor said she thought it was a ruptured cyst. The doctor told me if the pain got worse to go to the emergency room. She took a blood and urine test. It isn t a uti, no infection of any kind, white blood count is normal, not pregnant, and everything is normal. I worked sunday and the pain was the same. Monday morning I woke up to the same amount of pain but it progressively for worse as the day went on. I started work and about an hour into it I felt as if I was going to throw up, I was lathargic, both my right and left side hurt (lower abdomen and lower back), I am extremely bloated, and have been getting the cold sweats/chills. I went back to urgent care Monday evening and they ran the same test, everything came back normal. The doctor gave me more pain pills and told me he didn t know what was wrong with me. I need help, I m in a lot of pain, I don t know what s going on and I just want to feel better. Please if you have any ideas or the right questions to ask my doctor anything really is really need the help. Thank you.