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Rome IV Diagnostic Criteria for Child Functional Nausea and Vomiting
Rome IV Diagnostic Criteria for Child Functional Nausea and Vomiting
Bothersome nausea as the predominant symptom, ≥2 times per week, generally not related to meals
Nausea not consistently associated with vomiting
Nausea not fully explained by another medical condition after appropriate evaluation
≥1 episode of vomiting per week, on average
No self-induced vomiting and criteria for an eating disorder or rumination syndrome are not met
Vomiting not fully explained by another medical condition after appropriate evaluation
Criteria fulfilled for at least 2 months prior to diagnosis
ResultCriteria not met
Neither the functional nausea nor the functional vomiting criteria are fulfilled as entered.
- Functional nausea criteria
- Not met
- Functional vomiting criteria
- Not met
When to use
- Evaluating a child with chronic nausea and/or vomiting once an organic cause has been excluded.
Formula
Functional nausea: bothersome nausea ≥2x/week, generally not meal-related, not consistently associated with vomiting, unexplained by another medical condition, for ≥2 months. Functional vomiting: ≥1 vomiting episode/week on average, no self-induced vomiting, eating disorder, or rumination, unexplained by another medical condition, for ≥2 months.