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. 2023 Mar 4;94(3):987–995. doi: 10.1038/s41390-023-02539-9

Table 1.

CoMiSS score.

Symptom Score
Crying (only considered if the child has been crying for 1 week or more assessed by parents) 0 ≤1 h/day
1 1–1.5 h/day
2 1.5–2 h/day
3 2–3 h/day
4 3–4 h/day
5 4–5 h/day
6 ≥5 h/day
Regurgitation 0 0–2 episodes/day
1 ≥3–≤5 of small volumes
2 >5 episodes of >1 coffee spoon
3 >5 episodes of ±half of the feeds in half of the feeds
4 Continuous regurgitations of small volumes >30 min after each feed
5 Regurgitation of half to complete volume of a feed in at least half of the feeds
6 Regurgitation of the complete feed after each feeding
Stools (Bristol scale) 4 Types 1 and 2 (hard stools)
0 Types 3 and 4 (normal stools)
2 Type 5 (soft stools)
4 Type 6 (liquid stools, if unrelated to infection)
6 Type 7 (watery stools)
Atopic eczema head–neck–trunk arms–hands–legs– feet
Skin 0–6 Absent 0 0
Mild 1 1
Moderate 2 2
Severe 3 3
Urticaria 0 or 6 YES NO
6 0
Respiratory symptoms 0 No respiratory symptoms
1 Slight symptoms
2 Mild symptoms
3 Severe symptoms