logo

Irritable Bowel Syndrome (Rome IV diagnostic criteria)


Recurrent abdominal pain, on average, at least 1 day/week in the last 3 months with symptom onset at least 6 months before diagnosis
?
No   
Yes

Related to defecation?   [e.g. abdominal pain is related to defecation as opposed to the previous criteria - Rome III: improved with defecation].  A significant number of patients with IBS report worsening of pain with defecation.
No   
Yes

Associated with a change in frequency of stool?
No   
Yes

Associated with a change in form (appearance) of stool?
No   
Yes

References

  1. Simren M,  Palsson OS,  Whitehead WE. Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice.  Curr Gastroenterol Rep. 2017; 19(4): 15.  Published online 2017 Apr 3. doi: 10.1007/s11894-017-0554-0 PMCID: PMC5378729
  2. Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology. 2016;150:1262-1279.



Disclaimer

All calculations must be confirmed before use. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. Neither GlobalRPh Inc. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER.   Read the disclaimer
Medical Calculators - A thru Z
Lab Values - A thru Z