China has gradually entered the elderly society, the prevention and treatment of geriatric constipation is very important to promote the health of the elderly and improve the quality of life of the elderly. In addition to the general treatment methods applicable to chronic constipation, the treatment of geriatric constipation should also follow the following principles and develop individualized programs. 1, avoid the abuse of irritating laxatives Education of the elderly to avoid long-term reliance on anthraquinone, phenolphthalein irritating laxatives such as rhubarb, fruit guide and other drugs that cause constipation. Long-term use can cause a decrease in colonic ganglion cells, a decrease in the secretion function and sensitivity of the colonic mucosa, intestinal microecological disorders, and a decrease in intestinal dynamics. In addition, the laxative effect in the small intestine causes potential chronic water and electrolyte imbalance, such as hypovolemia, hyponatremia, hypokalemia and metabolic acidosis (chronic loss of bicarbonate), which may lead to chronic cardiac and renal insufficiency. Stimulating laxatives should be gradually withdrawn. 2, adjust the intestinal microecology Supplementation of intestinal microecological agents. On the one hand, it replenishes a large number of beneficial bacteria, corrects the change of flora in constipation, promotes the digestion, absorption and utilization of food; on the other hand, these beneficial bacteria produce a considerable amount of organic acids after colonization, stimulates the peristalsis of intestinal wall, promotes the recovery of intestinal function, increases appetite, and has a better health care effect. Therefore, microecological preparations are currently used to treat non-organic constipation, especially the first choice of drugs for senile constipation. 3, reasonable supplementation of dietary fiber Dietary fiber has been recognized as the “seventh nutrient”, especially soluble dietary fiber – oligosaccharides, can be fermented by beneficial colonic bacteria, producing short-chain fatty acids, directly absorbed by the colonic mucosa, improve the colonization of beneficial bacteria, improve the nutrition of the colonic mucosa, improve the nutrition of the colonic mucosa, improve the nutrition of the colonic mucosa. improve the nutrition of colonic mucosa and increase the wet weight of feces. 4, analysis of the impact of disease and drug side effects Elderly people often suffer from hypertension, heart disease, diabetes and other chronic diseases that require long-term drug treatment, thus affecting the intestinal motility function, resulting in chronic constipation. Clinicians should develop individualized solutions after careful questioning.