Hypertensive patients with constipation, but also easy to aggravate hypertension, due to defecation force, can make the heartbeat accelerated, heart contraction to strengthen, the amount of heart beat out increased, blood pressure will suddenly further increase. When the pressure exceeds the capacity of the blood vessel wall, the blood vessel rupture, cerebral hemorrhage, manifested as the patient to the toilet, suddenly fainted, unconscious, distorted mouth and eyes, unfavorable language, hemiplegia; or no fainting, numbness of the limbs, hemiplegia and other stroke symptoms. Changes in a person’s mood, mental tension, excitement and irritability, etc., will often simultaneously cause changes in the normal bowel pattern, such as long-term mental tension or strong mental stimulation, etc., will cause people to lose their bowel movements, thus forming habitual constipation. Hypertension mostly occurs in the elderly, due to dietary habits and lifestyle changes, endocrine changes and other easy to constipation, coupled with long-term use of calcium antagonists, angiotensin converting enzyme inhibitors, etc., more likely to induce and aggravate constipation. The common causes of constipation in elderly patients with hypertension: 1, elderly patients are weak, defecation muscle function is reduced, lack of defecation power. 2, low activity, low food intake, bed rest, resulting in reduced digestive function. 3, less slag diet, lack of food fiber, decreased stool volume, coupled with slowed intestinal peristalsis, excessive water absorption, and increased viscosity. 4, insufficient intake of body fluid volume. 5, psychological factors, fear of forceful defecation will cause cerebrovascular accidents, afraid to force defecation, and constipation. 6, the application of antihypertensive drugs, the use of electrolyte disorders, resulting in reduced intestinal function. If hypertension is the main risk factor causing cerebral hemorrhage, constipation is an important contributing factor to cerebral hemorrhage. Effective treatment of constipation and keeping the bowels open can stabilize the treatment effect of hypertension and prevent the occurrence of strokes. Avoiding mental tension, keeping a relaxed mood and eating a high-fiber diet in daily life can not only prevent constipation, but also play an active and effective role in preventing and treating hypertension. How to prevent constipation in patients with hypertension? 1.Assist patients to develop the habit of regular bowel movements, appropriate activities and physical exercise, and assist patients to do abdominal massage to promote intestinal peristalsis and reduce the occurrence of constipation. 2, encourage patients to increase the intake of fruits, vegetables and fiber food, drink an appropriate amount of salt water or honey water every morning, and develop a diet plan that is easy to digest and defecate. 3, do a good job of psychological care, psychological factors can cause patients constipation, therefore, care for elderly patients with hypertension, should start from a psychological point of view, take advantage of the situation, mobilize the positive factors of patients, lift the fear, anxiety, take multiple measures, through the psychological effect, start the defecation reflex, so as to achieve the purpose of smooth defecation, receive the best care effect. In addition, for hypertensive patients, the toilet must be selected to sit, should not use squatting, this is because the use of squatting toilet force to hold the breath when defecating, the abdominal wall muscles and diaphragm strongly contracted, so that the abdominal pressure increases, and the increase in abdominal pressure will make the heart increased resistance to blood discharge, arterial blood pressure and myocardial oxygen consumption also increased. Studies have found that cerebral artery pressure can increase by more than 20 mm Hg during defecation. The sudden increase in blood pressure can lead to cerebral hemorrhage, and the increase in myocardial oxygen consumption can induce angina pectoris, myocardial infarction and serious arrhythmias, and may even cause sudden death. For elderly hypertensive patients, because of its poor vascular regulation response, long squatting after standing up prone to transient cerebral ischemia, easy to faint and even cerebrovascular accidents, and squatting posture a force will compress the abdominal vessels, resulting in a rapid increase in head blood pressure, so hypertensive patients as far as possible do not use squatting toilet. Special emphasis, the elderly with high blood pressure, must pay attention to defecation not too hard, especially has occurred constipation, do not use brute force in the bowel movement, corked and other drugs do not often use. It is better to seek help from a gastroenterologist and use targeted medications to help relieve constipation according to the specific cause of constipation.