Rectal fecaliths can be removed by oral laxatives, enemas, and surgery. For fecaliths that are blocking the rectum, the first thing to consider is oral laxatives to promote bowel movements to get them out. Commonly used laxatives include rhubarb, castor oil, magnesium sulfate, lactulose, and polyethylene glycol. If the fecal matter is clogged or even embedded, a cleansing enema can be administered. Glycerin suppositories can be used to soften the stool and then stimulate defecation, or a cleansing enema can be administered using salt water or soapy water to relieve the fecal stone blockage. If the above methods are not effective, the blocked fecal stone can be removed using specialized instruments. For patients with chronic constipation, surgery can be performed if conservative treatment is not effective. The use of medication should be under the supervision of a physician.