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Rome 4 diagnostic criteria for constipation
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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