Constipation is a complex pathological phenomenon, active search and elimination of the cause is the key to treatment, daily self-conditioning is also very important. Xiaowei Xu, Department of Anorectal Medicine, Liaocheng Hospital 1 Psychological conditioning Defecation is a neurological reflex activity under the control of the brain, tension, anxiety, fear, pessimism and other adverse psychology can cause or aggravate constipation. Adjust the psychological state, enhance confidence in overcoming the disease, keep a happy mood, so that the state of neurological dysfunction can be restored, which helps to establish a normal defecation reflex. 2 dietary conditioning food therapy for constipation is the most basic and simple therapy, should avoid spirits, spicy, fried and other irritating food, increase the intake of dietary fiber and water. Adequate amount of dietary fiber can make the stool swell, thicken and soften the stool column, and stimulate the peristalsis of the colon to speed up the colon transport. Dietary fiber mainly from fresh vegetables, fruits, coarse grains, grains, such as purple cabbage, leeks, cabbage, celery, cabbage, radish, potatoes, bamboo shoots, black fungus, kelp, mushrooms, silver fungus, bananas, grapes, apricots, dates, pears, walnuts, pine nuts, peanuts, sesame, beans, whole wheat bread, cereals, etc.. A small amount of wheat bran taken orally at regular intervals for constipation is an effective and inexpensive therapy (this method is not suitable for those with organic strictures in the intestine). Water is the main component of feces, drinking enough water can soften the stool, lubricate the intestinal tract, and facilitate the passage of intestinal contents. Should keep drinking 2000-3000ml of water daily, should not drink strong tea or coffee, to prevent excessive diuresis. After the morning rise of ordinary people will produce the rise reflex, after breakfast will produce gastrocolonic reflex, according to this physiological law, can be in the morning after the fasting cup of light salt water (can be cooler, high blood pressure is not added salt), on the basis of the rise reflex cause gastrocolonic reflex, the two reflexes superimposed together, promote colon group movement, prompt defecation. Before going to bed, drink a glass of sesame oil, honey water (diabetics should not take honey), has a good laxative effect. Fatty foods can make the stool smooth, and the fatty acids it contains can stimulate the intestinal tract to speed up intestinal peristalsis, should be moderate intake. 3 exercise conditioning appropriate activities and physical exercise can increase intestinal blood supply, stimulate colon peristalsis, intestinal weakness has improved, conducive to defecation. Should adhere to the ability to exercise, do not stand, sit or lie for a long time. In order to assist the transmission movement of the colon, you can make abdominal massage, the use of external stimulation of the colon, so that it produces peristalsis or even group movement, to promote defecation. Massage from the lower right abdomen → upper right abdomen → upper left abdomen → lower left abdomen, clockwise, about 50 times each morning and evening every day. The process of defecation needs to improve intra-abdominal pressure, the increase in intra-abdominal pressure mainly relies on the strength of the diaphragm and abdominal muscles, so abdominal breathing exercises should be carried out frequently to enhance the strength of the abdominal wall muscles to help defecation. Functional outlet obstruction type constipation should be more pelvic floor muscle functional exercise, the uterus posterior tilt should do chest and knee position exercise. 4 living habits and bowel habits conditioning life should be regular, develop good defecation habits, when there is an intention to defecate immediately, do not hold back the stool, and do not pro toilet struggle. On the one hand, the frequent suppression of bowel movement makes the rectum less sensitive to fecal stimulation or disappears, on the other hand, feces stays too long in the intestine, water is absorbed too much and makes the feces dry, leading to or aggravating constipation; straining to defecate can cause or aggravate pelvic floor lesions, resulting in a vicious cycle of constipation – straining – defecation – constipation aggravation. According to the physiological rules, as far as possible, defecate in the morning or after breakfast, and establish the habit of going to the toilet regularly every day. Even if you do not have the intention to defecate, you should insist on doing defecation regularly for about 10 minutes every day, with the anus contracting and relaxing at the same time, so that the habit of regular defecation can be established over time. Soaking the anus with warm water before defecation can relax the anal muscles and facilitate defecation. Do not read books or newspapers or think about problems while defecating. 5 as far as possible to avoid drug-induced constipation Some drugs, such as morphine and opiates, anticholinergics, ganglion blockers, antidepressants, calcium in-flow blockers, bismuth subcarbonate, phenylephrine, aluminum hydroxide, etc., can cause constipation. If the constipation is caused by drugs, the drug should be stopped under the guidance of a doctor or changed to other drugs that do not cause constipation. Contact laxatives, such as if the guide, rhubarb, senna, aloe vera, castor oil, etc., do not easily use, long use can damage the intestinal plexus, resulting in the loss of peristaltic function of the colon, resulting in “laxative colon”, the more you use the more constipation. For those who rely on the use of laxatives for bowel movements, should stop using them and go to the hospital for regular treatment.