Table 1.

Rome IV Criteria for Functional Abdominal Pain Disorders in Children and Adolescents

Functional Dyspepsia*: 1. Postprandial fullness 2. Early satiation 3. Epigastric pain or burning not associated with defecation

Irritable Bowel Syndrome*: 1. Abdominal pain in association with at least one of the following: ● Related to defecation ● A change in stool frequency ● A change in stool form 2. In children with constipation, the pain must not resolve with resolution of the constipation

Abdominal Migraine: at least 2 episodes of all of the following, fulfilled for at least 6 months: Paroxysmal episodes of intense, acute periumbilical, midline or diffuse abdominal pain lasting at least 1 hour 1. Episodes separated by weeks to months 2. Pain is incapacitating and interferes with normal activities 3. Stereotypical pattern and symptoms in the individual patient 4. Pain is associated with 2 or more of the following: ● Anorexia ● Nausea ● Vomiting ● Headache ● Photophobia ● Pallor

Functional Abdominal Pain*: 1. Episodic or continuous abdominal pain that does not occur during physiologic events (eg eating, menses) 2. Insufficient criteria for irritable bowel syndrome, functional dyspepsia or abdominal migraine

Notes: *Must occur at least 4 times per month for 2 months. For all: After appropriate evaluation, the abdominal pain cannot be fully explained by another medical condition. Data from Hyams et al.⁴