Physiological, psychological, socio-cultural, dietary and activity, pathological and other factors can affect defecation. Older people, as they age, have decreased muscle tone of the abdominal wall, slowed gastrointestinal peristalsis and relaxed anal sphincter, resulting in decreased bowel control and thus abnormal defecation function. It can be improved by medication, physical therapy, diet adjustment, good habits and reasonable exercise: I. Medication: 1. For the elderly, you should choose a laxative with a mild effect. You can use contact laxatives such as castor oil, senna, phenolphthalein and rhubarb. The use of laxatives can temporarily relieve constipation, but avoid long-term use, long-term use or abuse and often become the main cause of chronic constipation; 2, topical drugs: you can also use simple laxatives, commonly used are open plug, glycerin suppositories, etc.. The mechanism of action is to soften the stool, lubricate the intestinal wall, stimulate intestinal peristalsis to promote defecation. Physiotherapy: usually when medication is not effective, enemas are needed to help defecate. In addition, daily hands massage the abdomen, with the navel as the center of the clockwise circle massage, moderate strength, no less than 30 turns each time to enhance the gastrointestinal motility. Patients who are bedridden for a long time should be turned regularly and circular massage of the abdomen or hot compresses should be performed. Patients can also be instructed to enhance the abdominal muscles and pelvic floor muscles exercise to increase intestinal peristalsis and muscle tone, to promote defecation. Third, adjust the diet: reasonable dietary arrangements, less spicy and stimulating food, drink more water, you can drink a glass of warm water every morning or before meals, can promote intestinal peristalsis, stimulate defecation reflex. In addition, you can consume some foods with laxative effect, such as black sesame, honey, banana, plum juice, etc. Fourth, habit formation: help patients rebuild normal defecation habits, choose a time suitable for their own defecation, the ideal time for defecation is in the morning or within 2 hours after meals, defecation at a fixed time every day, will form a conditioned reflex. The ideal time for defecation is in the morning or within 2 hours after meals. Appropriate exercise: Encourage patients to participate in exercises within their ability, draw up regular activity plans according to individual needs, and assist patients to carry out exercises such as walking, doing exercises, playing tai chi, etc., which can effectively strengthen intestinal peristalsis and help defecation.