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ANAL PRESSURE
I am 2 years 10 months postpartum.
I am facing Anal Pressure (which increased with strength training / reduced fiber intake)
I am sure its not vaginal prolapse or something related to vagina. It is exactly towards anal region.
Also i have bloating / extreme uneasiness in abdomen area by the end of the day when i exert too much
I held my baby in arms for good months (even now he has habit of same)
So that pressure also adds to my abdomen discomfort
Now i have stopped strength training and increased fiber intake but the pressure stays. (Exertion / baby load is still there)
I am unable to figure out the exact cause and Who should i consult?
Answers (23)
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Postpartum pelvic floor weakening can cause pressure in the anal area too, not just vaginal symptoms, especially with heavy lifting and straining. Carrying your child regularly adds ongoing strain on the same muscles.
Next Steps
A gynaecologist can assess your pelvic floor directly, and may refer you to a colorectal specialist if the exam points that way.
Health Tips
Don't restart strength training until you've been examined, since pushing through this pressure can worsen pelvic floor strain.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Aapke symptoms dekhkar pelvic floor weakness/dysfunction, hemorrhoids ya rectal prolapse jaisi conditions ko rule out karna zaroori hai. Delivery ke baad pelvic floor par stress aur heavy lifting/strength training se symptoms increase ho sakte hain. Sirf symptoms ke basis par exact cause confirm nahi kiya ja sakta.
Next Steps
Aap ek General Surgeon/Colorectal Surgeon se examination karwayein. Saath hi agar pelvic heaviness ya pressure zyada hai to Gynaecologist/Urogynecologist se pelvic floor assessment bhi useful rahega. Tab tak heavy strength training aur excessive straining avoid karein, adequate fibre aur fluids maintain rakhein.
Health Tips
Aap chahein to apni complete history aur reports ke saath mujhse Practo par connect/consult karke apni problem ka further evaluation aur treatment plan discuss kar sakte hain.
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What you are describing fits pelvic floor dysfunction after delivery, often with internal haemorrhoids or a mild rectal/mucosal descent, plus gas and bloating that worsens with exertion. Heavy lifting - including carrying a growing baby all day - and straining keep the pelvic floor loaded, so the pressure persists even after you have corrected fibre and stopped weights. It is a mechanical problem more than a disease.
Next Steps
Two things help most: a proper per-rectal examination by a surgeon or gastroenterologist to see if there are piles or a prolapse, and pelvic floor physiotherapy with a trained physio - this genuinely works postpartum. Meanwhile keep stools soft, avoid straining and prolonged sitting on the toilet, and lift the baby closer to your body with support rather than at arm's length. If you notice bleeding, a lump coming out, incontinence or weight loss, get it examined without delay.
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I understand your concern , if u could be so kind as a general surgery resident i can guide u better.
Next Steps
i would like to know are u feeling any mass?
and is it painful
Health Tips
avoid straining for now
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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
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Consult with a surgeon . It may be piles or fistula
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Local physical examination is required
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Plz do connect and consult
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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.
Next Steps
Please consult a Colorectal Surgeon (Proctologist) for a proper anal/rectal examination — this is the right specialist for anal-region symptoms. A Pelvic Floor Physiotherapist can also help with targeted exercises, since general Kegels may not fully address this. Continue high-fiber diet and good hydration meanwhile.
Health Tips
Avoid heavy weight training and heavy lifting (including prolonged carrying of your child) till you're evaluated, as repeated straining can worsen pelvic floor weakness. If you notice any bleeding, lump/swelling at the anal opening, or worsening pain, get it checked sooner rather than late
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You should consult nearby gynecologist
Practice some gentle pelvic floor strengthening exercises like kiegle exercises
Eat Fibre enriched food.
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Consult a gynaecologist first,to check if it is related to any specific issues.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Physical examination required.
Usg
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Detailed physical examination needed
Kindly consult
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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
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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.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Pankaj Kumar
General Physician
1 yrs exp
Karnal
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.
Next Steps
You can connect me on the app to discuss about what immediate step you should take !!
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Your case needs to be examined in person
Kindly visit general physician
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Dr. Arka Saha
General Physician
2 yrs exp
Kolkata
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
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do physical consultation
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.