The tightness of the anus and difficulty in defecation are mostly considered to be caused by hemorrhoids, inflammation of the intestines or contraction disorders of the anal sphincter, and it is best to treat them with targeted treatment. If it is caused by hemorrhoids, you can take a warm salt water sitz bath or apply the affected area to disinfect, reduce swelling and pain, then use Ma Yinglong hemorrhoid cream to apply to the affected area, or use Anal Tai hemorrhoid suppositories to plug within the anus, and then take oral hemorrhoid speeding tablets, acacia powder, clear fire gardenia tablets and other drugs. Considering that hemorrhoids are related to the patient’s irregular eating and living habits, you also need to adjust the diet structure and living habits. If it is caused by inflammation of the intestinal tract need to clarify the cause, can take oral amoxicillin and other drugs for treatment, once this situation is best to promptly diagnose and clear the cause before treatment.