Constipation in children can be difficult and complex. Firstly, we must clarify constipation. Constipation is defined as "difficult" or infrequent passage of faeces. This means the stools are hard and difficult to pass, or it has been quite some time since last passing a stool.
It is important to note that not everyone, particularly children, pass stools every day. Some babies, particularly when breastfed only pass stools once a week. During toilet training this can be a sign of resistance, which can be difficult to overcome. Patience and positive reinforcement is necessary. Re-assessing the child's readiness for toilet training may also be required. If the infrequency is not associated with toilet training, several questions need to be asked: -