If you develop any sort of sudden bleeding during your pregnancy, with or without abdominal pain, seek medical attention right away. And if your abdomen is unusually sensitive to touch, especially when pressure is released, a serious abdominal infection (peritonitis) could be the culprit. Read more: 7 Causes of Cramping and Lower Back Pain in Early Pregnancy. Severe and worsening abdominal pain (third trimester) Extreme pain always warrants a call to your doctor, especially during pregnancy. Due to the pressure build up, an increased pressure is transmitted to the abdominal wall. Lower abdominal pain in early pregnancy can be a frightening experience, especially for women who are pregnant for the first time. Sneezing results in the increase in pressure around the abdominal region, in this case, the lower abdomen. Pain with cramps and vaginal bleeding in early pregnancy can be a sign of ectopic pregnancy or miscarriage. It's also not normal to have any pain in the upper abdomen. Even though cramps can sometimes indicate problems, mild and transient cramping early in your pregnancy is usually normal and not a sign of miscarriage. If I know I am going to sneeze/cough, I try to brace myself and if possible hold my belly which helps cut down on the pain somewhat. In fact, for some women, pulling or stretching sensations in the lower abdomen or pelvis are among the first indications that they may be expecting a baby. 5. Learn about the causes and treatment of uterus pain in early pregnancy here. It is very common to have sharp pains when coughing of sneezing. One such pain is known colloquially as lightning crotch. Cramping and lower abdominal pain are also frequent early pregnancy symptoms. Uterus pain in early pregnancy is a common symptom, but in some cases, it is a sign of a complication. Round ligament pain is common during pregnancy, and it may feel like sharp cramping on either side of the lower abdomen. I was so excited that the treatment had worked! 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