Childhood constipation: Current status, challenges, and future perspectives

Table 1 Rome IV diagnostic criterial for constipation in children

Diagnostic criteria must include at least 2 of the following features of constipation in a child with a development age of at least 4 yr with insufficient criteria to diagnose irritable bowel syndrome
Two or fever defecations in the toilet per week
History of retentive posturing or excessive volitional stool retention
History of painful or hard bowel motion
Presence of a large fecal mass in the rectum
History of large diameter stools which may obstruct the toilet
After appropriate evaluation, the fecal incontinence cannot be explained by another medical condition