This document discusses constipation in children. It defines constipation as having two or fewer bowel movements per week or having hard stools that are difficult to pass. Constipation can be organic, caused by underlying medical issues, or functional, without an identifiable medical cause. Functional constipation is common and usually results from painful bowel movements that cause stool retention. Symptoms include large stools, abdominal pain, and daytime soiling. Treatment involves softening stools, increasing fiber and fluids, toilet training or behavior modification, and sometimes laxatives. Underlying medical issues should be ruled out for refractory or intractable cases.