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Good evening, I am Dr Ruff. Thank you for contacting us this evening.
Cramping and lower back pain are the main symptoms associated with early labour.
Is it your due date soon? Assuming you are in pain, where is the pain and what are you taking?
Congratulations. I would say that if paracetamol and codeine are not helping you should get examined. I this is ongoing and not worsening this evening then I would attend your like assessment centre in the morning, but if worsening you should call your local maternity unit.