Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD) Irritable bowel syndrome The criteria must be fulfilled for at least 2 months and include all of the following: • Abdominal pain at least 4 days per month associated with defaecation and/or a change in the frequency of stool and/or a change in the appearance of stool • Abdominal pain does not resolve with resolution of the constipation (children in whom the pain resolves have functional constipation, not irritable bowel syndrome) • After appropriate evaluation, the symptoms cannot be fully explained by another medical condition Functional dyspepsia The criteria must be fulfilled for at least 2 months before diagnosis and must include one or more of the following bothersome symptoms at least 4 days per month: • Postprandial fullness • Early satiation • Epigastric pain or burning not associated with defaecation • After appropriate evaluation, the symptoms cannot be fully explained by another medical condition Abdominal migraine The criteria must be fulfilled for at least 6 months before diagnosis and include all of the following occurring at least twice: • Paroxysmal episodes of intense, acute periumbilical, midline or diffuse abdominal pain lasting 1 hour or more (should be the most severe and distressing symptom) • Episodes are separated by weeks to months; the pain is incapacitating and interferes with normal activities; stereotypical pattern and symptoms in the individual patient • The pain is associated with two or more of the following: anorexia, nausea, vomiting, headache, photophobia or pallor • After appropriate evaluation, the symptoms cannot be fully explained by another medical condition Functional abdominal pain not otherwise specified The criterial must be fulfilled for at least 2 months before diagnosis and at least four times per month and include all of the following: • Episodic or continuous abdominal pain that does not occur solely during physiological events (for example, eating and menses) • Insufficient criteria for irritable bowel syndrome, functional dyspepsia or abdominal migraine • After appropriate evaluation, the abdominal pain cannot be fully explained by another medical condition #FAPD #RomeIV #Criteria #Functional #AbdominalPain #Disorders #gastroenterology
