(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: Patient’s self-report: recently there is no obvious reason for fecal incontinence, they can not control, no other special discomfort, but the incontinence of stool very much affects the life of the family, but also by the family jokes, and then came to our hospital for medical treatment. The patient was first seen in the Department of Anal and Intestinal Surgery, which showed no organic lesions, and then cranial magnetic resonance examination revealed cerebral infarction and fecal incontinence. After admission, the patient was given medication, and through 12 days of hospitalization, the patient’s condition was stabilized and his symptoms improved. Basic information] Male, 68 years old [Disease type] Fecal incontinence, cerebral infarction [Hospital] The Third Hospital of Shandong Province [Time of consultation] November 2021 [Treatment plan] Medication (cerebral protein hydrolysate tablets, hemosiderophores tablets, butylphthalide soft capsule, aspirin enteric-coated tablets, atorvastatin calcium tablets) [Treatment cycle] 12 days of hospitalization, followed by outpatient follow-up in a month [Effect of treatment] Stabilization, improvement of symptoms. Stabilization, symptomatic improvement I. Initial Consultation The patient came to the hospital alone. The patient said: recently, there was no obvious reason for fecal incontinence, which was uncontrollable by himself, with no other special discomfort, but the incontinence affected his life very much, and he was also laughed at by his family. The patient was first seen in the Department of Anorectal Surgery, and after a complete examination of the anal sphincter, there was no obvious organic pathology, and the Department of Anorectal Surgery suggested that the patient should go to the Department of Neurology for consultation. After the neurological examination suggests perianal hyperalgesia, considering the past history of hypertension, diabetes mellitus, do not rule out the possibility of cerebral infarction, it is recommended to improve the cranial magnetic resonance examination. Cranial magnetic resonance examination suggested: paracentral lobular infarction, outpatient preliminary diagnosis of fecal incontinence, cerebral infarction, recommended hospitalization. After the patient was admitted to the hospital, cranial magnetic resonance examination and angiography were perfected, suggesting new cerebral infarction and cerebral arteriosclerosis in the paracentral lobule, and blood tests were drawn to check the blood routine, liver and kidney functions, cardiac enzymes, blood lipids and blood sugar, suggesting that blood lipids were high and blood sugar high, which needed to be actively controlled. At present, the diagnosis is clear, it is recommended to actively give treatment, the direction of treatment is to improve cerebral circulation, nutrition of brain cells, anti-platelet aggregation, improve atherosclerosis, the use of drugs include: cerebral protein hydrolysate tablets, hemosiderophores tablets, butylphthalide soft capsule, aspirin enteric-coated tablets, atorvastatin calcium tablets and so on. The patient’s blood pressure fluctuated greatly, and timely adjustment of antihypertensive drugs, 12 days after the treatment improved and was discharged from the hospital, returned to the hospital half a month after discharge for follow-up, the symptoms of fecal incontinence recovered, and it is recommended that the patient continue to outpatient acupuncture and physical therapy to promote recovery, and regular neurology follow-up. Cerebral infarction is a neurological dysfunction caused by ischemia and hypoxic necrosis of brain cells due to cerebral blood flow disorder. Cerebral infarction not only includes common symptoms such as limb weakness and slurred speech, but also may manifest as symptoms of fecal incontinence. After the patient was admitted to the hospital, he was given medication at an early stage. Due to the small size of the infarction and the mild symptoms, timely treatment with medication had a good effect. After the treatment, the patient was given acupuncture and physiotherapy to promote neurological rehabilitation, and the symptoms of fecal incontinence improved, and the patient’s blood pressure and blood glucose control were stable, and the symptoms of fecal incontinence improved and could be basically controlled, and the patient was advised to go to the neurology clinic for follow-up on a regular basis, and to control the high-risk factors positively. Precautions We are glad that the patient’s symptoms have improved after treatment, and urge the patient to develop good living habits after discharge. Diet, low-salt, low-fat diet, usually eat more fruits and vegetables, avoid spicy stimulating food, avoid cold food. In life, develop the habit of defecation on time, keep bowel movement, if the symptoms of fecal incontinence recur, you should also do a good job of skin care; during the period of treatment and the consolidation of the treatment should quit smoking, avoid staying up all night toiling; learn to emotionally regulate, family members should do a good job of psychological guidance, to avoid excessive psychological pressure leading to aggravation of the symptoms. Actively control high-risk factors, such as blood pressure, blood glucose, blood lipids, blood uric acid, etc. If at the same time there are symptoms such as inactivity, slurred speech, diarrhea, abdominal pain, etc., they should actively go to the hospital for follow-up. V. Personal perception Fecal incontinence can be seen in a variety of diseases, such as chronic enteritis, perianal inflammation, perianal peripheral nerve injury, myelitis, spinal cord injury, cerebral infarction, cerebral hemorrhage, encephalitis, and so on, which can involve multiple systems. Patients should pay attention to the situation of fecal incontinence, do not be careless, should go to the hospital to improve the cranial brain magnetic resonance, lumbar spine magnetic resonance and perianal sphincter examination, after a clear diagnosis of the corresponding drug treatment, not blindly use drugs. Usually should be regular physical examination, regular examination of high-risk factors leading to the occurrence of the disease, help early warning of the occurrence of the disease.