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Rome IV Diagnostic Criteria for Child Aerophagia

Diagnoses aerophagia in children and adolescents.

Rome IV Diagnostic Criteria for Child Aerophagia
Excessive air swallowing
Abdominal distention due to intraluminal air, which increases during the day
Repetitive belching and/or increased flatus
After appropriate evaluation, symptoms cannot be fully explained by another medical condition
Criteria fulfilled for at least 2 months prior to diagnosis
ResultCriteria not met

Symptom pattern does not fulfil all required Rome diagnostic criteria for aerophagia; consider alternative diagnoses or further evaluation.

When to use

  • Diagnosing aerophagia in a child with excessive air swallowing, daytime-worsening distention, and repetitive belching or flatus.

Formula

All required: excessive air swallowing; abdominal distention from intraluminal air that increases through the day; repetitive belching and/or increased flatus; not explained by another condition. Criteria met for at least 2 months.

References

  1. Drossman DA, Hasler WL. Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction. Gastroenterology. 2016;150(6):1257-1261.