Functional chest pain (Rome IV)

Functional chest pain is recurrent unexplained retrosternal pain of presumed oesophageal origin. Cardiac causes must be excluded first. The Rome IV criteria are summarised here in our own words, and are a guide to a positive diagnosis alongside appropriate investigation. See the Rome Foundation for the original criteria.

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Related resources: Reflux

Reference

Aziz Q, Fass R, Gyawali CP, et al. Functional esophageal disorders. Gastroenterology. 2016;150(6):1368-1379.