Objectives: Know that constipation is a common problem in childhood with a diverse clinical presentation. Understand that functional constipation is a symptom-based diagnosis that does not require extensive testing. Recognize that most children who present with fecal incontinence or encopresis have associated constipation. Describe the treatment of constipation and encopresis, which should include a medical-behavioral approach that focuses on maintaining soft and regular bowel movements and improving toileting behavior.