Pain that kept me up all night-should I be concerned??

I'm 32 weeks pregnant with my second baby boy and last night I got maybe two hours of sleep because my lower back and lower abdomen hurt so bad. I was in so much pain. Nothing helped at all. I could only lay on one side because any other way I tried to sleep, made it worse. The pain still hasn't let up. I'm also nauseous and have had a bloody nose. Should I be concerned or is this normal? I didn't have any kind of pain with my first. I did have preeclampsia but it didn't come on til the end of my pregnancy and the only