back pain

i am 23 weeks 4 days pregnant. i’ve been having SEVERE back pain since about 6pm yesterday it is now 3:45am. i called my ob around 9pm he said to try tylenol, heat pack, massaging it, and changing positions. i’ve been doing those since then and cannot sleep. this pain is terrible and i’ve been crying for hours. i don’t know if i should tru and wait it out of go in now. it is on the right side of my back and starting to get painful right at my underwear line in the middle of my stomach. i’m a ftm and only 18. i don’t know what to really do... any input would be greatly appreciated