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The current Rome IV classification [22] is the culmination of the evolution of a series of iterations (Rome I, [19] Rome II, [27] and Rome III [28]) with its inception as Rome I. [19] The Rome criteria are a set of criteria used by clinicians to classify a diagnosis of a patient with an FGID (disorder of gut-brain interaction).
The consensus review process of meetings and publications organised by the Rome Foundation, known as the Rome process, has helped to define the functional gastrointestinal disorders. [3] Successively, the Rome I, Rome II, Rome III and Rome IV proposed consensual classification system and terminology, as recommended by the Rome Coordinating ...
Rome IV criteria. [1] Differential diagnosis: Gastroesophageal reflux disease, gastroparesis, and irritable bowel syndrome. [1] Treatment: Symptom control. [2] Medication: Proton pump inhibitors, H2 receptor antagonists, antidepressants, and prokinetic agents. [2] Prognosis: 15% to 20% of patients have persistent symptoms during extended follow ...
The Rome IV criteria for diagnosing IBS include recurrent abdominal pain, on average, at least one day/week in the last three months, associated with additional stool- or defecation-related criteria. [73] The algorithm may include additional tests to guard against misdiagnosis of other diseases as IBS.
According to Rome-IV, this is defined as "features of impaired evacuation" during repeated attempts to defecate. [32] To qualify for this diagnosis, patients must meet the Rome diagnostic criteria for functional constipation or irritable bowel syndrome with constipation (IBS-C). [32]
Functional constipation cannot be diagnosed with particular testing; instead, the Rome criteria, a consensus of experts, is used to make this diagnosis. [8] The Rome IV criteria define functional constipation as meeting at least two of the six requirements given below: [9] Over ¼ (25%) of defecations involve straining. [9]