I understood your concern  and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp  on 971*66*33*129

Consult with a surgeon . It may be piles or fistula

Local physical examination is required

Plz do connect and consult

Thank you for the detailed history. Since the pressure is specifically in the anal region (not vaginal) and increases with exertion/straining, this could be due to weak pelvic floor muscles after childbirn, mild rectal prolapse, or hemorrhoids/piles. Bloating and abdominal discomfort by evening can also add to this pressure feeling.

You should consult nearby gynecologist Practice some gentle pelvic floor strengthening exercises like kiegle exercises Eat Fibre enriched food.

Consult a gynaecologist first,to check if it is related to any specific issues.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Physical examination required. Usg

Detailed physical examination needed Kindly consult

See a general surgeon and do proctoscopy to see if there is any evidence of prolapse.use an abdominal binder to give support to stomach

Can be related to pelvic floor dysfunction consult me so we can assess the cause and guide you on pelvic floor rehabilitation and safe activity.

Need a few more details please consult for further evaluation and treatment

Based on what you’ve shared, this persistent anal pressure and abdominal uneasiness—especially after heavy physical exertion like carrying your toddler or doing strength training—sounds very consistent with hypertonic pelvic floor dysfunction or a rectocele/posterior compartment issue, rather than just simple constipation or a vaginal prolapse. Carrying heavy weight increases intra-abdominal pressure, which puts downward force on a pelvic floor that might already be weakened or, conversely, overcompensating by clenching excessively tight. When pelvic floor muscles stay chronically tight or spastic, they can cause a severe feeling of heaviness, fullness, and bloating in the anorectal region even after increasing fiber intake. To get to the root of this, the best specialist to start with is a gastroenterologist who specializes in motility and anorectal disorders, or a colorectal surgeon, as they can perform an anorectal manometry or dynamic imaging to see how the pelvic muscles and rectal wall are behaving. Concurrently, seeing a pelvic floor physical therapist would be immensely helpful, as they specialize in targeted evaluation and biofeedback to relieve that specific downward tension, restore proper muscle coordination, and guide you on how to safely carry your child without overloading your abdominal wall.

Your case needs to be examined in person Kindly visit general physician

Many things can be there if you have to do virtual or physical consultation as proper history and physical examination need to rule out any previous tear to anal muscle or any fistula. The delivery conducted through normal vaginally or cesarean section is done that's also be needed to know.it can be due to simple constipation which also can't be ruled out. Life style modification like high fibre diet pelvic floor strengthening exercise avoid continuous weight lifting will help in that case

Do physical consultation