Up to 25% of all visits to Pediatric Gastroenterologists are for functional constipation. It is important to note that constipation, if left untreated, can result in co-morbid conditions such as fissures, hemorrhoids, and encopresis (inappropriate control of bowel habits).

The differential diagnosis of constipation is usually pretty limited and related to stool withholding after an inciting event, such as a cold or viral syndrome, which results in hard stools that are painful to pass.  Therapy involves laxatives, dietary changes, and regular toileting.