Pain in the abdomen during pregnancy is an ectopic pregnancy or constipation?

Patient's question:

Medical Description: I am pregnant, my last menstrual period was on June 29th. On the evening of August 13th, I ate a bit more than usual and had a walk outside. After coming back, I experienced severe abdominal pain and felt the urge to have a bowel movement, but only a little bit came out over half an hour. In the end, I managed to pass a bit of loose stool, and it took another hour for the pain to subside. Today, it has improved again. Could this be an ectopic pregnancy or constipation?
History of Treatment and Effect: I have had a miscarriage before and currently rest most of the time, engaging in very little activity.
What kind of help do you want: Please help me clarify the above issues.

Doctor's answer:

Hello, if it is an ectopic pregnancy, it is generally characterized by unilateral abdominal pain, and the abdominal pain usually does not appear this early. Although it is not an ectopic pregnancy, you should still be cautious because you have the sensation of abdominal pain. It is best to check your progesterone and hCG levels to see if they are normal and whether you need to be treated for a threatened miscarriage. In the early stages of pregnancy, there are no obvious abnormal symptoms. If the ectopic pregnancy cyst ruptures, early symptoms may include a small amount of vaginal bleeding that is intermittent and accompanied by mild abdominal pain. If it is a late ectopic pregnancy, there will be severe abdominal pain, intra-abdominal bleeding, which may lead to shock, and in severe cases, it may be life-threatening for the woman. It is recommended to go to a regular hospital for an ultrasound examination based on your specific situation, to clarify the condition and then receive symptomatic treatment. Ectopic pregnancy is very dangerous and must be taken seriously enough.

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