Symptoms are back, ugh

Elizabeth
10w now and haven't had any symptoms since 6w. Today? Hours of nausea and my breasts are PAINFUL to the touch. Not achy, but sharp pain. 
I had such an early positive and breast tenderness that the PA thinks I might have ovulated early. I had a quick ultrasound to check for multiples (singleton found!) and attempt to do a measurement. Tidbit was wiggling around too much for her to get a complete measurement, but I might be further along than the math suggests. 
So no symptoms doesn't mean anything is wrong, but be sure to report it to your doc. Let us all praise the pever patient OB nurses on the phone.