Conversation: The conversation between human and AI assistant.
[|Human|] hey im 4month pregnant and i already have a 7month old. i have been geting bad back and side pains 4 2 days now. i have been gettin some really strong pains and sum times it feels like i need to tense up and push. i ache all around my stomach and when i touch it it feels sore. please could you give me some advice thanks
[|AI|]  Hello, and I hope I can help you today. Having some cramping during pregnancy is normal however, but it should not be severe, and certainly it should not be associate with a sensation of the need to push. It is also concerning because you say touching your stomach is uncomfortable. I am concerned that you may be experiencing premature labor, or a threatened miscarriage.  You also may have either a uterine or urinary tract infection. These can be a threat to your health and the babies if they are not treated right away, so I suggest you call your prenatal care provider and make an urgent appointment for evaluation. If you do not have access to a healthcare provider I suggest you go to a hospital emergency room for evaluation. Because of your sensation of needing to push, I do not think it is wise to delay a medical evaluation for more than 24 hours. I am sorry to have to deliver you this information, but I hope you seek appropriate medical care and that everything with you and the baby turn out to be fine. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,