Hard stools that tend to scratch the anus are fecal impaction, which can be treated in the short term by applying suppositories (glycerin suppositories) or cleansing enemas to soften the stools before they are expelled. Keeping the stool clear is the most effective long-term treatment, including general treatment and medication. General treatment includes a good lifestyle, eating plenty of dietary fiber, such as coarse grains, vegetables, fruits, etc., drinking plenty of water, regular bowel movements, moderate exercise, and avoiding long-term laxatives. Drug treatment usually uses swelling laxatives, such as bran, methylcellulose, polyethylene glycol, etc., which stimulate intestinal peristalsis by increasing fecal capacity and absorbing water from the intestinal lumen so that the stool remains soft, thus ensuring that the stools are clear. If there is no significant improvement in symptoms after general treatment, we should actively seek medical advice to clarify whether there is any organic lesion of the intestinal tract, and further treatment should be given.