Lacy BE, Mearin F, Chang L. et al. Bowel disorders. Gastroenterology. 2016;150:1393-1407.

Crockett SD, Greer KB, Heidelbaugh JJ, Falck-Ytter Y, Hanson BJ, Sultan S. American gastroenterological association institute guideline on the medical management of opioid-induced constipation. Gastroenterology. 2019;156(1):218-226.

Robin SG, Keller C, Zwiener R, et al. Prevalence of Pediatric Functional Gastrointestinal Disorders Utilizing the Rome IV Criteria. J Pediatr. 2018;195:134-139.

Dr. Douglas Drossman

Dr. Lin Chang

The Rome Foundation

Rome IV Diagnostic Criteria for Opioid-Induced Constipation

three

four

five

stools

Official Rome IV criteria for the diagnosis of opioid-induced constipation.

Rome IV for Opioid-Induced Constipation

Colleen Parker, MD

Rome III Diagnostic Criteria for Irritable Bowel Syndrome (IBS)

Rome III for IBS

Rome II Diagnostic Criteria for Irritable Bowel Syndrome (IBS)

Rome II for IBS

Rome IV Diagnostic Criteria for Irritable Bowel Syndrome (IBS)

Rome IV for IBS

Rome IV Diagnostic Criteria for Functional Dyspepsia

Rome IV for Functional Dyspepsia

Rome IV Diagnostic Criteria for Functional Constipation

Rome IV for Functional Constipation

Rome IV Diagnostic Criteria for Functional Diarrhea

Rome IV for Diarrhea

Rome IV Diagnostic Criteria for Functional Abdominal Bloating/Distension

Rome IV for Abdominal Bloating

Rome IV Diagnostic Criteria for Unspecified Functional Bowel Disorder

Rome IV for Bowel Disorder

Rome IV Diagnostic Criteria for Functional Chest Pain

Rome IV for Chest Pain

Rome IV Diagnosis Criteria for Functional Heartburn

Rome IV for Heartburn

Rome IV Diagnostic Criteria for Reflux Hypersensitivity

Rome IV for Reflux Hypersensitivity

Rome IV Diagnostic Criteria for Functional Dysphagia

Rome IV for Functional Dysphagia

Rome IV Diagnostic Criteria for Globus

Rome IV for Globus

Rome IV Diagnostic Criteria for Rumination Syndrome

Rome IV for Rumination Syndrome

Rome IV Diagnostic Criteria for Belching Disorders

Rome IV for Belching Disorders

Rome IV Diagnostic Criteria for Chronic Nausea Vomiting Syndrome (CNVS)

Rome IV for Chronic Nausea Vomiting Syndrome

Rome IV Diagnostic Criteria for Cannabinoid Hyperemesis Syndrome (CHS)

Rome IV for Cannabinoid Hyperemesis Syndrome

Rome IV Diagnostic Criteria for Cyclic Vomiting Syndrome

Rome IV for Cyclic Vomiting Syndrome

Rome IV Diagnostic Criteria for Centrally Mediated Abdominal Pain Syndrome (CAPS)

Rome IV for Centrally Mediated Abdominal Pain Syndrome

Rome IV Diagnostic Criteria for Infant Regurgitation

Rome IV for Infant Regurgitation

Rome IV Diagnostic Criteria for Fecal Incontinence

Rome IV for Fecal Incontinence

Rome IV Diagnostic Criteria for Infant Functional Constipation

Rome IV for Infant Constipation

Rome IV Diagnostic Criteria for Functional Pancreatic Sphincter of Oddi Disorder (SOD)

Rome IV for Pancreatic SOD

Rome IV Diagnostic Criteria for Narcotic Bowel Syndrome 

Rome IV for Narcotic Bowel Syndrome

Rome IV Diagnostic Criteria for Infant Dyschezia

Rome IV for Infant Dyschezia

Rome IV Diagnostic Criteria for Infant Functional Diarrhea

Rome IV for Infant Diarrhea

Rome IV Diagnostic Criteria for Infant Colic

Rome IV for Infant Colic

Rome IV Diagnostic Criteria for Biliary Pain

Rome IV for Biliary Pain

Rome IV Diagnostic Criteria for Functional Gallbladder Disorder

Rome IV for Gallbladder Disorder

Rome IV Diagnostic Criteria for Functional Biliary Sphincter of Oddi Disorder (SOD)

Rome IV for Biliary SOD

Rome IV Diagnostic Criteria for Functional Anorectal Pain

Rome IV for Anorectal Pain

Rome IV Diagnostic Criteria for Proctalgia Fugax

Rome IV for Proctalgia Fugax

Rome IV Diagnostic Criteria for Child Cyclic Vomiting Syndrome 

Rome IV for Child Cyclic Vomiting Syndrome

Rome IV Diagnostic Criteria for Child Functional Nausea and Vomiting

Rome IV for Child Nausea and Vomiting

Rome IV Diagnostic Criteria for Child Rumination Syndrome

Rome IV for Child Rumination Syndrome

Rome IV Diagnostic Criteria for Child Aerophagia

Rome IV for Child Aerophagia

Rome IV Diagnostic Criteria for Child Irritable Bowel Syndrome (IBS)

Rome IV for Child IBS

Rome IV Diagnostic Criteria for Child Abdominal Migraine

Rome IV for Child Abdominal Migraine

Rome IV Diagnostic Criteria for Child Functional Abdominal Pain

Rome IV for Child Abdominal Pain

Rome IV Diagnostic Criteria for Child Functional Constipation

Rome IV for Child Constipation

Rome IV Diagnostic Criteria for Child Non-retentive Fecal Incontinence

Rome IV for Child Fecal Incontinence

Rome IV Diagnostic Criteria for Child Functional Dyspepsia

Rome IV for Child Dyspepsia

Rome IV Diagnostic Criteria for Functional Defecation Disorders

Rome IV for Defecation Disorders

The Rome IV Criteria for Opioid-induced Constipation provides criteria for diagnosis of opioid-induced constipation.

The American Academy of Pediatrics (AAP) focuses on the health, safety, and well-being of infants, children, and young adults. With about 67,000 members, including pediatricians, medical subspecialists, and surgical specialists, the AAP supports optimal care. Over 45,000 members are board-certified Fellows of the AAP (FAAP). Its mission is to promote children's health and well-being while supporting members' professional needs.

American Academy of Pediatrics (AAP)

The American Association for Physician Leadership&reg; (AAPL) is the world&rsquo;s oldest and largest professional association dedicated solely to maximizing physician leadership.&nbsp;From the moment physicians begin their leadership journey through the time they are seasoned leaders, AAPL provides education and training, resources and tools, and content and experiences needed to close gaps between hands-on clinical care, organization system improvements and optimized business outcomes.

American Association for Physician Leadership (AAPL)

American Association for the Study of Liver Diseases

The American College of Emergency Physicians (ACEP) represents more than 38,000 emergency physicians, emergency medicine residents and medical students. ACEP promotes the highest quality of emergency care and is the leading advocate for emergency physicians and their patients, and the public. Members may earn up to 850 continuing medical education hours every year through ACEP&rsquo;s robust catalog of peer-reviewed publications and on-demand courses presented by world-renowned emergency medicine experts.

American College Of Emergency Physicians

The American College of Gastroenterology (ACG) supports clinicians in delivering high-quality, evidence-based care to gastroenterology patients. Its mission is to advance care for those with gastrointestinal disorders through excellence, innovation, and advocacy. ACG provides members with up-to-date scientific information through annual meetings, the American Journal of Gastroenterology, training courses, and research grants, focusing on digestive health and GI disorder treatments.

American College of Gastroenterology

American College of Rheumatology

The American Gastroenterological Association (AGA), founded in 1897, provides leadership and education to over 16,000 members worldwide, all dedicated to advancing gastroenterology. The AGA&rsquo;s mission is to empower clinicians and researchers to improve digestive health through clinical guidance, practice resources, and peer-reviewed research. Key journals include Gastroenterology, Clinical Gastroenterology and Hepatology, Cellular and Molecular Gastroenterology and Hepatology, and others.

American Gastroenterological Association

American Heart Association

American Urological Association

EB Medicine is the premier provider of evidence-based clinical content and CME resources for emergency medicine practitioners.

EB Medicine

MDCalc CME

Postgraduate Institute for Medicine

The Rome Foundation is a nonprofit organization dedicated to advancing the diagnosis and treatment of Disorders of Gut-Brain Interaction (DGBI), also known as functional gastrointestinal disorders. Its mission is to improve the lives of people with DGBI. For over 30 years, the Rome Foundation has worked with scientists and clinicians worldwide to classify and assess GI function and dysfunction, creating symptom-based criteria used in clinical trials and daily practice to guide diagnosis and treatment.

The ROME Foundation

Listen to the VACO co-creators break down how to use VACO\, what it does\, and what it doesn’t.

VACO Podcast

Calc Function