What is the reason for pulling stool and exerting force to lower abdominal pain

1.

When constipation is present, due to dry and hard stool, it is difficult to discharge. During defecation, it is necessary to increase abdominal pressure, which may cause lower abdominal pain.

2.

When hemorrhoids are present, excessive force during defecation may lead to local congestion, resulting in obvious lower abdominal and perianal pain.

3. Rectal polyps

If rectal polyps are present, it will affect the normal discharge of feces. When defecating forcefully, feces compress polyps, which may cause lower abdominal pain, hematochezia and other symptoms.