Rome IV Diagnostic Criteria for Child Abdominal Migraine
INSTRUCTIONS
Use in patients with symptoms suggestive of abdominal migraine such as intense, paroxysmal, stereotypical episodes of abdominal pain severe enough to interfere with activities, separated by weeks or months of usual health.
Patients with any of the following alarm features must be evaluated clinically for other diagnoses even though abdominal migraines may be present:
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Persistent right upper or right lower quadrant pain.
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Pain radiating to the back.
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Dysphagia.
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Odynophagia.
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Persistent or bilious vomiting.
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Gastrointestinal blood loss.
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Chronic and unexplained diarrhea.
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Nocturnal pain or 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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Recurrent or unexplained fever.
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Dysuria or Hematuria.
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Family history of inflammatory bowel disease, celiac disease, or peptic ulcer disease.
Diagnostic Result:
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- Beate Beinvogl, MD, MPH
- Samuel Nurko, MD, MPH