<s>[INST] I am 28 weeks pregnant and about 2 hours ago I started having lower frontal abdominal cramping, it then went into my lower back, It is now currently all over my back especially the middle over to the right. Its already hard for me to take deep breaths, I was wondering if i should go to the emerg? [/INST] Hello dear,I understand your concern.In my opinion the pain might be due to muscular pain or any preterm pains.The diagnosis is possible only after physical examination to rule out any cervical changes.The preterm pains are intermittent associated with cervical changes.Also any urinary infection should be ruled out.The infections ,dehydration might irritate the uterus leading to preterm pains.Take adequate fluids upto 3 litres per day and consult doctor to know the cause for pain.Tab.panadol can be taken to decrease the pain.Dont worry it subsides with apt treatment.Best regards...,Consultant Gynecologist. </s>