Constipation is a common symptom in childhood and is considered to be a normal phenomenon that disappears with age. The key symptoms of constipation are: decreased frequency of bowel movements, straining to pass stools, and dry, hard, ball-like or formed stools. The frequency and nature of stools in infants are related to age and feeding style. Formula feeding compared to breastfeeding: formula feeding has less frequent stools and less watery stools. Breastfeeding has slightly more stools, but less stool volume per feeding. However, there is no significant difference in the total amount of stool between the two feeding methods. Normal infant stool frequency: 0-4 weeks old: 0-10 times/day. Watery, pasty, soft, hard stools (about 10%). 1-6 month old infants: 0-7 times/day or 1 time/0-7 days. Watery (1.2%), thin stools, pasty stools, soft stools. Differentiation of constipation from infant stool storage (infant dyspareunia): Constipation: Rome III criteria: under 4 years of age with 2 or more of the following symptoms for 1 month: ≤2 bowel movements per week and at least one bowel incontinence per week; history of stool retention; coarse/dry hard stools; large amounts of stool causing toilet blockage. Constipation may lead to complications such as anal fissures, stool holding and fecal incontinence. Infant stool retention (infant dyspareunia): an otherwise healthy infant who strains to pass stool for a long time, with crying, screaming, curled up body, and red face, for 10 minutes until a small amount of watery, mushy, or soft stool is eliminated. This is a common cause of constipation-like symptoms in small infants. Infants transitioning from breast milk to formula, excessive milk intake, and solid food transition are common triggers of constipation. Parents should pay attention to the type of bowel movement their baby is having. Most of the children seen are having difficulty with bowel movements and do not need much intervention.