There is always a feeling of not being able to pull the stool cleanly means that the stool is not discharged smoothly, after defecation, there is still a feeling of defecation, which can be caused by a variety of diseases, such as intestinal inflammation and functional diseases, tumors, anorectal or pelvic floor diseases. 1. Intestinal inflammatory and functional diseases: such as bacillary dysentery, ulcerative colitis, irritable bowel syndrome, etc., patients may also be accompanied by fever, diarrhea, abdominal pain, mucus, pus and blood stools and other discomforts. 2. Tumor: such as rectal cancer, etc., patients may be accompanied by abdominal pain, anemia, abdominal mass, anal drop sensation, urgency and heaviness, pus and blood stool and other discomforts. 3. Anorectal diseases: such as rectal prolapse, internal hemorrhoids, etc., patients may also be accompanied by anal mass prolapse during defecation, constipation, blood in the stool, anal falling sensation, anal itching, wetness and other discomforts. 4. Pelvic floor diseases: such as perineal descent syndrome, puborectalis syndrome, pelvic floor spasm syndrome, etc., the patient may also be accompanied by anorectal blockage, prolonged defecation, frequent bowel movements and other discomforts. Patients who have a feeling of not being able to pull the stool cleanly, persistently not relieved or accompanied by other discomforts, it is recommended to promptly seek medical treatment to improve the relevant examinations, such as rectal fingerprinting, routine stool examination, fecal bacterial culture, abdominal CT, ultrasound, etc., so as to clarify the diagnosis of the disease, and not to make blind judgment on their own, so as to avoid delaying the condition.