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. 2026 Sep 24;13:1924028. doi: 10.3389/fnut.2026.1924028

Table 3.

Rome Scoring (Rome IV) according to the frequency of symptoms

Variable (*) Score value Answers (each) Score

  • Abdominal pain close to bowel movements (Q 41)

  • 0-10

  • 0% (never)

  • 0

  • Abdominal pain and softer/harder stool (Q 42)

  • 0-10

  • 10%

  • 1

  • Abdominal pain and more or less frequent bowel movements (Q 43)

  • 0-10

  • 20%

  • 2

  • Hard or lumpy stools (type I and II) (Q 49)

  • 0-10

  • 30%

  • 3

  • Frequency: <3/week (Q 51)

  • 0-10

  • 40%

  • 4

  • Straining during defecation (Q 52)

  • 0-10

  • 50%

  • 5

  • Sensation of incomplete evacuation (Q 53)

  • 0-10

  • 60%

  • 6

  • Sensation of anorectal obstruction/blockage (Q 54)

  • 0-10

  • 70%

  • 7

  • Manual maneuvers to facilitate defecation (Q 55)

  • 0-10

  • 80%

  • 8

  • 90%

  • 9

  • Maximum total score

  • 90

  • 100% (always)

  • 10

*Question number of the Rome IV questionnaire.