 Hi, my name is Dr. Radhakrishnan. I'm a pediatric surgeon and a pediatric urologist, and I work at the Manipal Hospital in Bangalore. When a child presents with constipation, the commonest complaint that the parent comes with is irregular painful stooling. The child will not pass stool, will stand in the corner of the room with tears in his or her eyes, simply because the child's brain is telling them that if you go, it's going to hurt you. This causes great distress not only to the child but also to the family. Occasionally, these children can present with blood in the stools because of the heart's stool, and very occasionally constipation can actually present as diarrhea, and one is often fooled because of this unusual presentation.