We know how doctors see and treat patients, and the second thing is to understand what kind of disease chronic constipation is. Chronic constipation is partly due to the persistence of causes that we know about, and is clinically known as secondary constipation. Such as tumor patients with long-term opioid tired painkillers, some hypertensive drugs; some neurological diseases such as Parkinson’s disease; endocrine diseases such as hypothyroidism. Most of them are unexplained constipation called functional constipation. These functional constipations are classified according to their pathogenesis into three types: normal transmission, slow transmission, and impaired excretion, by examining the transmission test. Since the cause is not known, it is important to understand the mechanism that causes the disease. Doctors can follow different treatment methods according to the pathogenesis of the disease. The targeted use of these methods improves the effectiveness of treatment. Currently, the following treatment methods are often used: 1. dietary regulation such as increasing fiber foods, drinking more water, and exercising more. Regular bowel movements. This treatment is the method advocated by doctors. 2, a variety of laxatives The first type is the role of the intestinal tract, so that the stool is easy to pass drugs, mainly for slow transmission type constipation. This type is further divided into drugs that stimulate intestinal movement and drugs that increase the water content of feces in the intestine. Drugs that stimulate the intestinal tract mainly contain the Chinese herbal medicine rhubarb, clover leaf, various oils, and the Western medicine phenolphthalein. Drugs that increase the water content of stool, such as osmotic laxatives magnesium sulfate (side effects can easily lead to dehydration and less use), compound polyethylene glycol, lactulose, etc. (currently considered the safest laxatives) that do not increase the intestinal osmotic pressure. The second category is the role of the anal opening. 3, Chinese medicine A part of the role of herbal ingredients is to regulate the whole body, another part such as rhubarb is to stimulate intestinal movements. Two reasons why rhubarb laxatives are not advocated for long-term use, one is that rhubarb and other laxatives do not target the cause; the second is that such drugs can lead to changes such as blackening of the colon, there will be some harm, and the role of stimulating the colon gradually weakened laxative effect decreased significantly. 4, biofeedback therapy biofeedback regulation training anal defecation reflex, short-term on some patients have certain efficacy. However, the therapy is theoretically not able to correct the abnormal defecation reflex, clinical practice efficacy is not very satisfactory (our hospital and many domestic hospitals have instruments, the use of most in a semi-stop state). 5.Surgery Surgical operation aims to change the anorectal structure of the treatment. Domestic and foreign decades of clinical practice on the export transmission disorder type constipation effect is poor, especially the prognosis is not obvious. Therefore, nowadays, it is basically not used clinically in outlet obstruction type constipation. For those with slow transmission, other symptomatic laxatives and other treatments are not good enough to be considered. The article I published last year in the Chinese Journal of Gastrointestinal Surgery was a theoretical demonstration that anterior rectal protrusion is not the cause of most outlet-obstructive constipation, and therefore, surgical treatment of anterior rectal protrusion does not provide sustained relief from constipation. The understanding of constipation in the medical field worldwide is still limited, and the causes and pathogenesis of constipation are not clear. Therefore, when many constipated internet users go to the hospital, the majority of doctors, even those in gastroenterology and anorectology, only prescribe various laxatives. Only a few clinicians specializing in constipation conduct specialized examinations of constipation, analyze the causes of constipation, and give targeted and more effective treatment according to their clinical practice experience for the causes and pathogenesis. Our treatment experience is that chronic constipation is overwhelmingly functional, with a large part of the causes involving psychosomatic factors and abnormal anorectal regulation. Based on this understanding, we conduct appropriate tests to prove and distinguish the specific pathogenesis, and then adopt more targeted and effective treatment, including corresponding neurological (anti-anxiety) treatment and instrumental treatment to regulate the anorectal defecation reflex. At the same time, when the constipation is not stabilized, laxative treatment is temporarily combined. Over the past few years, the treatment has been effective in normal transmission type and some types of constipation (outlet obstruction type). Especially for those with significant anxiety, continuous anxiety control is an important measure to prevent recurrence of constipation. At the same time, it is our experience that the longer the constipation is treated, the more difficult it is and the less effective it is. Targeted standardized and effective treatment, complemented by long-term psychological control measures, can lead to long-term relief of most cases of exit-obstruction constipation. Even normal people may experience temporary constipation, and therefore, those in remission will have a tendency to relapse. When needed, timely measures are taken to address the causes of recurrence, such as anti-anxiety treatment and, if necessary, short-term therapeutic training to restore the anorectal reflex, together with appropriate safe laxative treatment, can provide long-term sustained relief of constipation and improve the quality of life. Therefore, we recommend early, continuous and standardized treatment under the guidance of a professional doctor!