“Fecal impaction” is a common emergency in anorectal surgery, i.e., a large number of hard fecal matter accumulated in the rectum, which can not be discharged by itself. Patients will have difficulty defecating, perianal and abdominal pain, irritability, cold sweat, individual patients will also appear dizziness or even fainting and other symptoms. Often patients choose gastroenterology because of the pain around the umbilicus, but unbeknownst to them, this kind of disease is caused by fecal impaction. A. What are the causes of “fecal impaction”? 1, defecation power insufficiency: common in the old and weak, long-term bedridden elderly. Because of the rectal motor function and rectal contraction weakness, coupled with the reduction of movement, often unable to defecate. Maternity sometimes also appear “fecal impaction”, mainly due to reduced activity, abdominal muscle relaxation, coupled with reduced intake of crude fiber caused by feces stay too long. 2.Pharmacological fecal impaction: due to frequent and unreasonable use of laxatives, the sensitivity of rectal mucosal pressure receptors is reduced or even lost, so when the rectum is filled with feces, it can’t cause defecation reflexes, thus triggering fecal impaction. 3, because of fear of pain delay defecation: rectal, perianal diseases before and after surgery, such as anal fissure, perianal abscess, and perianal surgery after incision pain so that the patient is afraid of defecation, so that the feces in the rectum accumulates for too long, causing fecal impaction. In Siping City Center Hospital Anorectal Surgery Department, postoperative patients will use sitz bath, microwave physiotherapy and other ways to effectively relieve postoperative incision pain, thus avoiding the occurrence of fecal impaction. 4.Neglect defecation stimulation: work hard or business trip, travel, often neglect or inconvenience timely defecation, thus occurring fecal impaction. 5, mental factors: various reasons lead to excessive mental tension, due to sympathetic excitation, colorectal often in a spasm, can not normal peristalsis, resulting in fecal impaction. When fecal impaction occurs, what should the family do? 1.Help the patient to take the prone position, those who can’t can take the lateral position, and moderately elevate the buttocks. 2.Cut off the tip of the corkscrew, squeeze out a little glycerin to lubricate the corkscrew into the anus. 3, holding the ball of the corkscrew, slowly inserted into the anus, to the neck of the corkscrew, quickly squeeze the ball of the corkscrew. At the same time, ask the patient to inhale deeply. 4, squeeze all, a hand holding gauze massage anus, a hand quickly pull out the corkscrew shell (adults generally need 30 ~ 40ml). And ask the patient to maintain the original position for about ten minutes. 5, for those who complain of abdominal distension with the intention of defecation, should be instructed to continue to inhale, and to assist in the massage of the anus If the patient’s stool is in the anus and hard, at this time the need for family members to bring disposable gloves, dabbed with a small amount of paraffin oil, slowly penetrate into the anus, the use of appropriate force will be the hard feces force to break up. Then line step 2. If the elderly at home in this situation, I hope that the family more understanding and, patience and timely medical oh.