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Rome IV Diagnostic Criteria for Child Rumination Syndrome
Diagnostic checklist for rumination syndrome in children and adolescents.
Rome IV Diagnostic Criteria for Child Rumination Syndrome
Repeated regurgitation and rechewing or expulsion of food that begins soon after a meal
Does not occur during sleep
Does not respond to standard treatment for gastro-oesophageal reflux
Not preceded by retching
No evidence of an inflammatory, anatomic, metabolic, or neoplastic process explaining the regurgitation
Criteria fulfilled for at least 2 months prior to diagnosis
ResultCriteria not met
All 6 features (post-meal onset, not during sleep, unresponsive to reflux therapy, no preceding retching, no organic cause, ≥2 months) must be present.
When to use
- Diagnosing rumination syndrome in a child with repetitive post-prandial regurgitation resistant to anti-reflux therapy.
Formula
Repeated regurgitation/rechewing/expulsion of food beginning soon after meals, not during sleep, unresponsive to standard GERD treatment, without preceding retching or an underlying organic cause, for ≥2 months.