Welcome to ehealthforum,
The pain that you describe could be due to overstretching of the uterus and its supporting ligaments due to the twin pregnancy. The on and off pain could also be suggestive of uterine activity. Do not ignore your symptoms. Visit your gynecologist/obstetrician for thorough evaluation to especially rule out chances of uterine overactivity. If needed, uterine relaxants would be started to help you carry on with pregnancy smoothly. Take adequate rest. Maintain healthy diet. Consider being in regular follow-up and monitoring of your treating gynecologist/obstetrician and report any abnormal/new symptoms immediately.
Welcome back to ehealthforum,
Thanks for the repeat query,
The back pain due to stretch effect on the supporting ligaments of uterus can continue throughout pregnancy. Continue with the treatment as prescribed by your doctor/gynecologist. If the abdominal pain and back pain are persistent, you should consider going ahead with getting repeat/follow-up check done especially to rule out abnormal uterine activity. An ultrasound scan done will help in looking for fetal wellbeing. Pre-term labor is commonly seen with multiple pregnancy, urinary tract infections, cervix abnormalities or due to placental problems. You can consider doing self examination by placing your fingers on either side of belly button, wait for contraction or hardening (it will feel like your forehead), and watch for long the contraction lasts. If you have 4 or more such contractions in an hour, you should go ahead with visiting your doctor/gynecologist right away. You can also consider requesting your doctor/gynecologist for electronic monitoring of contractions to rule out or confirm pre-term labor which can display on a monitor the uterine contractions (strength of them) and the fetal heart rate (with changes in heart rate if any n response to the contraction). Based on the results, your doctor will take further decisions.
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Pregnancy , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.