Non-pharmacologic approach to pediatric constipation

•Dietary fiber up to the recommended amounts for age and weight can improve stooling patterns.•Fiber supplements (e.g. glucomannan, green banana mass, cocao husk) show promise in treating pediatric functional constipation (FC).•Insufficient evidence exists currently for prebiotics and probiotics in the treatment of pediatric FC.•Mind-body therapies such as biofeedback therapy is effective for treatment of constipation with dyssynergia and fecal incontinence.•Newer technologies such as transcutaneous nerve stimulation may successfully treat some types of FC.