### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi this is my second pregnancy, I feel like I am showing already but I am only 5 weeks along on paper. My last period was Jan 16th and was incredibly light. I have pretty normal pregnancy symptoms but I have noticed in addition that my stomach feels full and tight and I am very gassy. I have had constipation and some very light occasional cramps. Every now and then I will get a more noticable pain that is short lived in my lower abdomen. Passing gas and changing positions usually helps. My question is should I be concerned about the cramping or is it just gas. Also, is it safe to have intercourse at this time. My first OBGYN appointment is not until a month away. I am 5 2 and 33 as of right now (BD in a month). My first pregnancy was normal aside from a cesarean section.

### output:

Hello there, thanks for writing in. 1.  Feeling gassy with tight abdomen and constipation are quite common in pregnancy and can be attributed to loads of progesterone being produced in your body. It is not a concern as long as you can relate your cramps to bloated abdomen and if you feel relieved with passing gas. Do consume a lot of fiber and fruits to help you feel better. Warm water helps in intestinal movements and helps constipation. I recommend you to pay close attention if its cramps or if it feels like twisting menstrual like pain in the lower abdomen. If its menstrual like and if you see any spotting or bleeding, then you need to see your doctor early, which I don't think is a likely scenario.2. As your pain cant be reasoned out yet, I suggest you to refrain from intercourse till you see your doctor. There is no harm in indulging in intercourse after first trimester unless It's nor vigorous. Few physicians recommend abstaining in the last few weeks of pregnancy out of sheer caution that it may lead to preterm delivery as semen is known to contain prostaglandins which can set off labor.3. As you had very light bleeding (can happen when pregnant) and you are already showing, there is a slight possibility that your pregnancy may be a bit advanced which you will be able to know for sure by early trimester dating scan. It will be useful if you can reschedule your appointment a bit earlier. Hope this was helpful to you. Take care.