Rome IV Diagnostic Criteria for Child Functional Constipation
INSTRUCTIONS
Use in children (> 4 years) and adolescents with symptoms suggestive of constipation such as passing hard, painful stools, fecal incontinence and/or showing withholding behaviors for at least 1 month.
Patients with any of the following features must be evaluated clinically for other diagnoses even though functional constipation may be present:
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Constipation onset extremely early in life (<1 mo).
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Passage of meconium >48 hours after delivery.
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Family history of Hirschsprung disease.
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Ribbon stools.
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Blood in the stools in the absence of anal fissures.
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Failure to thrive or unintentional weight loss.
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Fever.
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Bilious vomiting.
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Severe abdominal distension.
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Fecal incontinence in the absence of rectal impaction.
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Abnormal physical exam findings.
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Simultaneous urinary retention or incontinence.
Diagnostic Result:
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- Beate Beinvogl, MD, MPH
- Samuel Nurko, MD, MPH