Rome IV Diagnostic Criteria for Child Irritable Bowel Syndrome (IBS)
INSTRUCTIONS
Use in a child or adolescent with symptoms suggestive of irritable bowel syndrome (IBS), such as chronic and recurrent abdominal pain related to defecation and/or changes in stool frequency or form for at least 2 months.
Patients with any of the following alarm features must be evaluated clinically for other diagnoses even though IBS may be present:
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Family history of inflammatory bowel disease, celiac disease, or peptic ulcer disease.
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Persistent right upper or right lower quadrant pain.
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Dysphagia.
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Odynophagia.
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Persistent vomiting.
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Gastrointestinal blood loss.
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Nocturnal diarrhea.
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Arthritis.
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Perirectal disease.
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Involuntary weight loss.
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Deceleration of linear growth.
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Delayed puberty.
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Unexplained fever.
Diagnostic Result:
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- Beate Beinvogl, MD, MPH
- Samuel Nurko, MD, MPH