What causes a dull ache in the lower abdomen and a feeling of heaviness in the anal area?

Mild lower abdominal pain accompanied by a feeling of heaviness in the anal area may be caused by several factors, mainly including: 1. Urethral infection: Inflammation may irritate the bladder and ureters, causing lower abdominal pain and a sensation of anal heaviness. 2. Acute enteritis: Infection of the intestine by bacteria or viruses causes acute damage to the intestinal mucosa, presenting as lower abdominal pain and anal heaviness, often accompanied by tenesmus. 3. Perianal abscess: A bacterial infection forming an abscess in the perianal tissues leads to distension, pain in the lower abdomen, anal heaviness, and difficulty defecating. 4. Rectal diseases: Conditions such as rectal inflammation or hemorrhoids complicated by infection can cause inflammation that stimulates the rectum and anus, leading to the aforementioned symptoms. 5. Gynecological inflammation: Such as salpingitis; severe inflammation can lead to pelvic effusion, which stimulates the anal area causing discomfort, along with a sensation of heaviness and pain in the lower abdomen.