RT Book, Section A1 Sood, Manu R. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7035840 T1 Chapter 386. Constipation and Fecal Incontinence T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7035840 RD 2024/10/05 AB Constipation is a common problem in children and is often associated with maladaptive behavior triggered by a painful or otherwise unpleasant defecation. There is no universally accepted definition of constipation, although the term is generally describes infrequent or painful bowel movement due to stool that is too large or hard to pass.1,2 The Rome Committee, consisting of a group of pediatric gastroenterologist from Europe and North America, defined constipation as 2 or more of the following symptoms in a child with a developmental age of at least 4 years: 2 or fewer defecations in the toilet per week, at least 1 episode of fecal incontinence per week, history of retentive posturing or excessive volitional stool retention, history of painful or hard bowel movements, presence of a large fecal mass in the rectum, and history of large-diameter stools that may obstruct the toilet.3,4