There are many reasons why a patient may have a sensation of a drop in the anus and an urge to defecate but cannot do so. If it is before the menstrual period, this sensation is usually caused by the contraction of the uterus, which stimulates the rectum and leads to the above-mentioned situation. In addition, some functional diseases and organic diseases may also cause the above symptoms. At this time, it is recommended that patients go to the hospital for relevant examinations to clarify the cause and carry out targeted treatment to avoid aggravation of symptoms. Functional diseases: 1, functional constipation: If patients suffer from constipation, usually manifested as dry stool, defecation difficulties and other symptoms, functional constipation is usually related to poor living habits, dietary habits or some intestinal diseases, which can lead to the phenomenon that patients have a downward feeling in the anus, have the intention to poop but can not pull out. Patients can be treated with the use of cork, artificially assisted laxative, etc., and should develop the habit of regular bowel movements and a diet that is easy to digest and rich in fiber. In addition, if other organic pathologies or side effects of medications are combined, targeted treatment should be given. If the constipation is caused by pathological obstruction, timely surgical treatment is required; 2, pelvic floor muscle relaxation: common in women after childbirth, usually caused by infection, inflammation or trauma, the patient has a feeling of anal drop, bowel movement but can not pull out the phenomenon, can also be manifested as stress urinary incontinence, fecal incontinence, uterine prolapse and other symptoms. According to the specific situation, anal contraction exercise and systematic pelvic floor muscle training can be carried out, and if necessary, surgical treatment is required. Second, organic diseases: 1, organic constipation: for digestive tract diseases, endocrine metabolic diseases, neurological diseases and other causes of organic lesions of the intestinal tract, which can lead to the patient to have a feeling of anal drop, bowel movement but can not pull out the phenomenon, but also accompanied by diarrhea, abdominal pain, nausea, dizziness and other symptoms. After clarifying the specific organic lesion, the primary disease should be actively treated and the lesion should be surgically removed. 2. Anal fissure: It may be caused by narrowing of the anal canal, infection, and a variety of mechanical factors such as constipation and diarrhea, and such patients may have a downward sensation in the anus, have the intention to poop but cannot pull out, and may also be accompanied by blood in the stool and anal itching. The patient can be treated by taking a sitz bath, increasing the intake of dietary fiber and water, or taking analgesics and laxatives according to the specific situation, and if they are not effective, surgery is needed in time. It is necessary to reset the prolapsed part of the anus and remove the necrotic part of the rectum through surgical treatment to help improve the cure rate; 4, hemorrhoids: hemorrhoids are mainly divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids, mainly manifested as pain, blood in the stool and other symptoms, and in severe cases, the hemorrhoids can be prolapsed during defecation, which can lead to a feeling of anal drop, the intention to defecate but can not pull out, usually caused by anal cushion downward migration, varicose veins and bad It is usually caused by subluxation of the anal cushion, varicose veins, and poor lifestyle and diet habits. If there are no obvious symptoms, no treatment is usually necessary. If there are obvious symptoms, the principle of non-surgical treatment should be followed. The treatment can be done by injection therapy, collar ligation therapy, Doppler ultrasound-guided hemorrhoid artery ligation, etc.; 5. Tumor: If there are fibroids, lipomas, anal papillomas or malignant tumors in the anus, they may lead to a feeling of anal drop and the phenomenon of having the intention to poop but not pulling out. It is necessary to seek medical attention in time to clarify the nature of the tumor and actively carry out surgical treatment.