Rome IV Diagnostic Criteria for Functional Constipation
Official Rome IV criteria for the diagnosis of functional constipation.
INSTRUCTIONS
Use in patients with symptoms suggestive of constipation for at least the last 3 months.
Patients with any of the following features must be evaluated clinically for other diagnoses even though functional constipation may be present:
- Signs or symptoms of gastrointestinal bleeding.
- Unexplained iron deficiency anemia.
- Unintentional weight loss.
- Palpable abdominal mass or lymphadenopathy on exam.
- Family history of colon cancer and have not had age-appropriate colon cancer screening.
- Onset of symptoms age ≥50 years and have not had age-appropriate colon cancer screening.
- Sudden or acute onset of new change in bowel habit.
When to Use
Pearls/Pitfalls
Why Use
Diagnostic Result:
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Evidence
Creator Insights
- Colleen Parker, MD
- Lin Chang, MD (Rome Foundation)
- Dr. Lin Chang
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