Rome IV Diagnostic Criteria for Narcotic Bowel Syndrome
Use in patients with onset or increase of chronic abdominal pain treated with narcotics in which the pain worsens or does not resolve.
Patients with any of the following features must be evaluated clinically for other diagnoses even though narcotic bowel syndrome 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 GI cancer.
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.
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- Colleen Parker, MD
- Dr. Lin Chang