In the clinical setting, we often encounter patients who complain that they can’t poop no matter how much they eat, or that they have the urge to poop but still can’t relieve it with all their efforts. As a common clinical disease, constipation affects about 14% of the world’s population, especially the elderly and women. Constipation causes Many people think constipation is not a disease and do not have the habit of regular bowel movements, and often hold back their bowels when they have the urge to defecate; bad bowel habits, reading books and newspapers and playing with cell phones during bowel movements, which will distract attention and lead to weakened bowel sensation, and prolonged bowel movements will also cause other diseases in the anus (such as hemorrhoids and anal fissures). When there is poor defecation, some patients use laxatives (such as senna, rhubarb, aloe vera, etc.) for convenience, which can cause colon blackening, damage to the intestinal autonomic nervous system, dysfunction of the colon, and eventually form laxative dependence due to the presence of celandine quinone. Diet structure is not reasonable, many people prefer spicy and stimulating hot food, easy on fire, and grains, vegetables and fruits eat less, water, fiber intake is not enough, will affect the bowel movement. In addition, long-term severe constipation can also have a great impact on the patient’s mood, leading to mental anxiety, depression and other psychological disorders. Constipation is not a separate disease or syndrome, but a group of syndromes formed by a variety of pathogenic factors, mainly manifesting as less frequent bowel movements, dry stools, straining to defecate, a sense of incomplete defecation and bowel obstruction. Generally, we classify constipation into functional constipation and secondary constipation. Secondary constipation is a type of constipation caused by other underlying diseases, such as diabetes, hypothyroidism, post-stroke, congenital megacolon, and constipation caused by long-term use of opioids and other medications. Functional constipation usually includes slow-transmission constipation, outlet obstruction constipation, and mixed constipation. Currently, the Rome III diagnostic criteria are mostly used for functional constipation: (1) symptoms persist for more than 6 months, and two or more of the following symptoms must be satisfied in the last 3 months: (1) straining to defecate; (2) lumpy or hard stools; (3) incomplete defecation; (4) anorectal obstruction and blockage; (5) the need for hand-assisted defecation; (6) less than 3 bowel movements per week. (2) Little to no loose stools without laxatives. 3, not enough to diagnose irritable bowel syndrome (IBS). Constipation correction 1. Develop good habits Develop the habit of regular bowel movements and go to the toilet as soon as you have the intention to defecate. Exercise in moderation, not too intense, such as walking at a slightly faster pace than usual, walking for about 20 to 60 minutes; stimulate the abdomen with forward bending and backward bending of the legs, or lying on your back and raising your feet above your head, like pedaling a bicycle. Drink enough water, about 2000 ml per day. Increase the intake of dietary fiber, which increases the water content of stool and improves the symptoms of constipation by increasing the volume of stool. In addition, lifting the psychological burden of excessive tension about defecation is also quite important. 2, change the sitting posture to help defecation Sitting defecation, can be placed under the feet of a small bench, padded calves so that the knee over the hip, the upper body leaned forward, both elbows on the thighs, straighten the back, abdomen bulge forward, the use of abdominal pressure down defecation, focus on a few deep breaths after holding the breath, abdominal muscle contraction, pelvic floor muscle relaxation. This posture allows us to rectal anal canal angle becomes straight, easier to discharge stool. 3, biofeedback training Defecation is not only a matter of the anus, most of the time it also requires the muscles of other parts of the body to cooperate. As a completely non-invasive defecation training method, the local pressure and electrical activity of the anorectum during defecation are visually presented on the screen with the help of instruments and equipment. With the help of the therapist, the patient actively trains against the screen to correct the wrong defecation activity, thus making the exit smooth and treating constipation. At present, it is mainly used for the treatment of outlet obstruction type constipation caused by pelvic floor dyslaxation or pelvic floor relaxation, and is the first-line treatment method recommended at home and abroad. 4.Rational choice of drugs While avoiding the choice of irritating laxatives, we can choose some laxatives and motivational drugs, such as natural dietary supplements, which can absorb water, increase the volume of stool and help patients maintain regular bowel habits, suitable for people with insufficient fiber intake in food; lactulose is not absorbed by the body and releases organic acids in the colon through bacterial decomposition, especially suitable for the elderly Lactulose is not absorbed by the body and works in the colon by releasing organic acids through bacterial decomposition, which is especially suitable for the elderly, pregnant women, children and post-operative constipation, including diabetic patients; traditional Chinese medicine is also the best way to treat constipation individually. In conclusion, constipation is a disease that cannot be carelessly treated, we must fully understand it, actively correct it, and find the best treatment method that suits us.