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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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Rome 4 Diagnostic Criteria for Constipation

References

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