Rome IV Diagnostic Criteria for Functional Dysphagia
Official Rome IV criteria for the diagnosis of functional dysphagia.
INSTRUCTIONS
Use in patients with symptoms suggestive of functional dysphagia, such as a recurrent sense of solid and/or liquid foods passing abnormally through the esophagus, for at least 6 months.
Patients with any of the following features must be evaluated clinically for other diagnoses even though functional dysphagia may be present:
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Odynophagia.
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Sore throat.
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Heartburn or esophageal reflux/regurgitation.
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Unexplained iron deficiency anemia.
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Unintentional weight loss.
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Palpable cervical lymphadenopathy on exam.
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Persistent vomiting.
When to Use
Pearls/Pitfalls
Why Use
Diagnostic Result:
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Evidence
Creator Insights
- David Cangemi, MD
- Jan Track, MD, PhD, RFF
- William D. Chey, MD, AGAF, FACG, FACP
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