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Rome IV Diagnostic Criteria for Infant Dyschezia
Symptom-based diagnosis of straining and crying with defecation in an otherwise well infant.
Rome IV Diagnostic Criteria for Infant Dyschezia
Infant younger than 9 months of age
At least 10 minutes of straining and crying before successful or unsuccessful passage of soft stools
No other health problems
ResultCriteria not met
Does not meet Rome IV criteria for infant dyschezia; consider true constipation or an organic cause of straining.
When to use
- Infant under 9 months who strains and cries for several minutes before passing soft stool, without other symptoms.
Formula
Diagnosis requires both: age under 9 months; at least 10 minutes of straining and crying before successful or unsuccessful passage of soft stools, with no other health problems.
Pearls and pitfalls
- Stools are soft, distinguishing this from functional constipation, where stools are typically hard or infrequent.