Rome IV Diagnostic Criteria for Functional Diarrhea
INSTRUCTIONS
Use in patients with symptoms of chronic diarrhea for at least the last 6 months where there is not a clear systemic cause for diarrhea (e.g. secondary diarrhea).
Patients with any of the following features must be evaluated clinically for other diagnoses even though functional diarrhea may be present:
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Signs or symptoms of gastrointestinal bleeding.
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Unexplained iron deficiency anemia.
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Unintentional weight loss or evidence of malnutrition.
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Palpable abdominal mass or lymphadenopathy on exam.
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Family history of colon cancer and have not had age-appropriate colon cancer screening. Family history of inflammatory bowel disease or celiac disease.
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Onset of symptoms age ≥50 years and have not had age-appropriate colon cancer screening.
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Sudden or acute onset of new change in bowel habit.
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Diarrhea awakening the patient at night.
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Recent antibiotic use.
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High volume diarrhea.
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Fever.
Diagnostic Result:
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- Colleen Parker, MD
- Dr. Lin Chang