Pulling unclean stool may be caused by constipation, inflammatory bowel disease, anal fistula, etc., and the symptoms can be relieved by oral lactulose, prednisolone, and surgery. 1. Constipation: constipation caused by slowing down of intestinal peristalsis, when the stool accumulates in the rectum and sigmoid colon, there is a feeling of defecation, bloating and other symptoms, but the stool in the intestines can’t be completely discharged, which causes the feeling of not being able to pull out after defecation, which can be relieved by taking lactulose orally. Long-term high dose of lactulose, diarrhea, electrolyte disorders can occur. Galactosemia, lactulose allergy is prohibited. 2. Inflammatory bowel disease: ulcerative colitis is the most common, belonging to autoimmune diseases, with abdominal pain, diarrhea, bloody stools and other accompanying symptoms. Prednisolone can be taken orally for treatment, which can cause patients with euphoria, agitation, delirium, restlessness, and other psychiatric symptoms, allergic to this product and other steroid hormones are prohibited. Pregnant and lactating women, pediatrics should be used with caution. 3. anal fistula: male young adults, mostly with a history of ulceration, to varying degrees of perianal swelling and pain, pus, running water, itching, foreign body sensation, etc. as the main clinical manifestations, accompanied by new pus, pus, and other filth production, accompanied by pulling the feeling of unclean stools, usually through surgery to treat. There are many reasons for not being able to poop cleanly, it is recommended to consult a doctor in time, under the guidance of the doctor, combined with relevant examinations to clarify the cause of the disease, and give targeted treatment, so as not to delay the condition.