15/11/2025
🤔 Is your child constipated… or actually withholding their p**p (stool withholding)?
These two can look very similar, especially because most children who withhold will also become constipated, which makes everything even harder to understand. One of the biggest clues is how your child responds to the constipation.
💩 Constipation
👉 Constipation is when a child has difficulty passing a bowel movement.
👉 You might notice fewer poos, hard stools, straining, tummy aches or discomfort.
👉 A child who is just constipated will still try to have a poo.
👉 They often ask for help, communicate the discomfort and want the poo to come out, even though it hurts.
💩 Stool withholding
👉 Stool withholding is when a child avoids doing a poo even though they feel the urge.
👉 Common behaviours include hiding, running away, stiffening their body, crossing their legs, going vacant, shaking or turning red from trying to stop the poo.
👉 Even when constipated or uncomfortable, they continue fighting the urge to pass the stool.
⭕️ The complicated overlap
👉 Constipation can lead to withholding because the pain of passing hard stools makes a child scared to poo.
👉 Withholding can also lead to constipation because the longer stool is held in, the more water is reabsorbed, making it harder, larger and more painful.
👉 The key difference is in the child’s response:
• A constipated child tries to get the poo out.
• A withholding child tries to keep the poo in, even when constipated and uncomfortable.
👉 Treating constipation alone won’t break the cycle if the withholding behaviours continue.
🚀 Follow for expert guidance on stool withholding, constipation and children’s toileting behaviours.