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Rome 4 Diagnostic Criteria for Constipation

Must include 2 or more of the following :

2 or fewer defecations in the toilet per week in a child of a developmental age of at least 4 years
At least 1 episode of fecal incontinence per week
History of retentive posturing or excessive volitional stool retention
History of painful or hard bowel movements
Presence of a large fecal mass in the rectum
History of large diameter stools that can obstruct the toilet

Must include following :

Does NOT meet Rome 4 Criteria for IBS

Result :

Diagnostic Result : Negative

Symptoms unikely to be caused by functional constipation. Consider further assessment as clinically indicated.

References

Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology. 2016; 150(6):1262-1279.

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All Information contained in and produced by the Pediatric Oncall system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgement or guide individual patient care in any manner.

Rome 4 Diagnostic Criteria for Constipation

References

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