GI ToolsGastroenterology and hepatology

Paediatric irritable bowel syndrome (Rome IV)

In children, one pain association is enough, and pain that settles when constipation is treated means functional constipation rather than IBS. 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.

Abdominal pain on at least 4 days a month, associated with one or more of
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Reference

Hyams JS, Di Lorenzo C, Saps M, et al. Functional disorders: children and adolescents. Gastroenterology. 2016;150(6):1456-1468.