in my mid 40s. Can I be pregnant if had an early light period-normally heavy with lots of clots- home-tested negative but have lower back pains a bulging tummy and feel nauseous sometimes?

While it's possible to get pregnant at any age, including your mid-40s, it's important to note that fertility naturally declines with age. Additionally, the symptoms you mentioned could be related to other factors and might not necessarily indicate pregnancy.

That said, to rule out the possibility of pregnancy, it's essential to take another home pregnancy test. If the result is still negative, but your symptoms persist or worsen, it's advisable to consult with your doctor. They can perform a blood test to accurately confirm or rule out pregnancy and also evaluate if there may be any other underlying medical conditions causing your symptoms.