Constipation is a condition that can be diagnosed using the Rome IV criteria, which states that a patient must have experienced at least two of the following symptoms over the preceding 3 months: fewer than three spontaneous bowel movements per week, straining for more than 25% of defecation attempts, lumpy or hard stools for at least 25% of defecation attempts, sensation of anorectal obstruction or blockage for at least 25% of defecation attempts, sensation of incomplete defecation for at least 25% of defecation attempts, or manual maneuvering required to defecate for at least 25% of defecation attempts. Constipation is common in children with urinary tract infections, daytime wetting, and night-time wetting, but it is not a life-threatening condition. Treatment of constipation involves education, prevention of impaction, promotion of regular bowel habits, and toilet training in older children. Daily bowel movements are essential in treating constipation, and a soft bowel movement should be the goal for the child every day. This can be achieved by providing a daily stool time, ideally 15 to 20 minutes after eating to take advantage of the gastrocolic reflex. It is important not to rush and to allow the child plenty of time in the bathroom, usually 5-10 minutes. Keeping a stool diary can also be helpful to monitor consistency. There are several dietary measures that can improve constipation, including increasing fluid intake, adding fruit juices such as prune, pear, plum, pineapple, peach, papaya, apricot, orange, or apple, vegetables (either raw or cooked), fruits (including peels as often as possible), bran cereal, bran muffins, raisin bran, and bananas. It is important to avoid certain foods that may worsen constipation, including dairy products (milk, cheese, ice cream), rice or rice cereal, pastas, white bread, and potatoes. In some cases, supplements may be prescribed to produce daily bowel movements, such as magnesium citrate, Miralax, mineral oil, or Milk of Magnesia. Dosages will be determined by a physician. Management of constipation requires patience and effort on both the child’s and the parent’s part, and multiple clinic visits may be necessary until appropriate laxative dosage has been established. It is important to keep in mind that dietary factors alone may not alleviate chronic constipation if stool withholding and retention are a problem. In some children with neurological conditions affecting the bowel and bladder, regular enemas may also be required.