Rome IV Diagnostic Criteria for Belching Disorders
Use in patients with symptoms suggestive of a belching disorder, such as bothersome belching from the esophagus or stomach more than 3 days per week for at least 6 months.
Patients with any of the following features must be evaluated clinically for other diagnoses even though a belching disorder may be present:
Signs or symptoms of GI bleeding.
Unexplained iron deficiency anemia.
Unintentional weight loss.
Palpable abdominal mass or lymphadenopathy on exam.
Family history of gastric cancer and no recent upper endoscopy.
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