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Rome IV Diagnostic Criteria for Child Irritable Bowel Syndrome (IBS)
Diagnostic checklist for IBS in children and adolescents.
Rome IV Diagnostic Criteria for Child Irritable Bowel Syndrome (IBS)
Abdominal pain occurring ≥4 days per month
Pain related to defecation
Pain associated with a change in stool frequency
Pain associated with a change in stool form (appearance)
If the child also has constipation: pain does not resolve with resolution of the constipation
Mark Yes if the child does not have constipation, or if pain persists despite constipation resolving.
Criteria fulfilled for at least 2 months prior to diagnosis
Symptoms not fully explained by another medical condition after appropriate evaluation
ResultCriteria not met
Rome IV criteria for child IBS require abdominal pain ≥4 days/month, ≥1 of the defecation-related features, ≥2 months' duration, and no other explanation.
- Defecation-related features
- 0 of 3
When to use
- Diagnosing IBS in a child or adolescent with recurrent abdominal pain and altered bowel habits.
Formula
Abdominal pain ≥4 days/month for ≥2 months, associated with ≥1 of: related to defecation, change in stool frequency, change in stool form; if constipation coexists, pain must not resolve with its resolution; no other explanation.
Pearls and pitfalls
- If pain resolves entirely with treatment of coexisting constipation, the correct diagnosis is functional constipation, not IBS.