The main clinical symptom of puborectal muscle spasm is constipation, which can be relieved by conservative treatment, medication and surgery. 1. Conservative treatment: you can eat more fiber-rich foods to promote defecation, constipated patients can be low volume enema when necessary, appropriate warm water sitz bath, can relieve local muscle spasm, reduce pain. 2. Drug treatment: you can use laxative drugs to promote intestinal peristalsis, such as polyethylene glycol 4000, etc., to relieve the symptoms of constipation. 3. Surgical treatment: patients with severe spasm and tolerance to anesthesia can undergo surgical treatment such as puborectal muscle partial resection to relieve the muscle spasm caused by anal canal stenosis. It is recommended that patients with spasticity of puborectalis muscle actively cooperate with the doctor to carry out standardized treatment, the above drugs need to be used under the guidance of the physician.