Difficulty in defecation due to anal swelling, do not be nervous when this situation occurs, you should analyze its cause. If the patient is constipated for a long time, the bowel movement is not smooth, sometimes it will lead to fecal retention in the rectum, in this case, you can actively pay attention to the diet, you can take oral sesame oil or honey, you can also take oral liquid paraffin oil to promote the smooth discharge of feces. If the fecal matter is retained in the rectum for a longer period of time, fecaliths are likely to form, and sometimes warm saline or warm soapy water can be given as a 1000 ml cleansing enema. If the fecal stone is hard after formation, it is necessary to crush the fecal stone by hand to assist defecation. If the patient has mixed hemorrhoids or a submucosal abscess in the rectum, it may cause pain around the anus, difficulty in passing stools, and sometimes failure to pass stools. This situation should be actively treat the primary disease, if the mixed hemorrhoids are heavier, hemorrhoidal core stasis is more powerful, should be actively performed hemorrhoidectomy. If the patient exists anorectal abscess, should actively perform perianal ultrasound to clarify the diagnosis, and perform abscess incision and drainage.