Gastroenterology

Rome IV Biliary Pain calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Pain in the epigastrium and/or right upper quadrantBuilds to a steady level and lasts 30 minutes or longerOccurs at differing intervals and not dailySevere enough to interrupt daily activities or prompt an emergency visitLess than 20% related to bowel movementsLess than 20% relieved by posture change or acid suppression

Result

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Criteria not met

Band: Criteria not met

Interpretation. Criteria not met

Suggested management. One or more required criteria in the source are absent.

Rome IV Biliary Pain: 0 — Criteria not met. Interpretation: Criteria not met What to do: One or more required criteria in the source are absent. Inputs: Pain in the epigastrium and/or right upper quadrant: false; Builds to a steady level and lasts 30 minutes or longer: false; Occurs at differing intervals and not daily: false; Severe enough to interrupt daily activities or prompt an emergency visit: false; Less than 20% related to bowel movements: false; Less than 20% relieved by posture change or acid suppression: false Source: Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Biliary pain is pain in the epigastrium and/or right upper quadrant that builds to a steady level and lasts 30 minutes or longer, occurs at different intervals and not daily, is severe enough to interrupt daily activities or lead to an emergency visit, is not significantly (under 20 percent) related to bowel movements, and is not significantly (under 20 percent) relieved by postural change or acid suppression. Nausea, radiation, and waking from sleep are supportive only. (2016)

Professional use only

For qualified clinicians. Independently verify inputs, calculations, source guidance, and applicability before any clinical action. This calculator does not replace clinical judgment.

Source: Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Biliary pain is pain in the epigastrium and/or right upper quadrant that builds to a steady level and lasts 30 minutes or longer, occurs at different intervals and not daily, is severe enough to interrupt daily activities or lead to an emergency visit, is not significantly (under 20 percent) related to bowel movements, and is not significantly (under 20 percent) relieved by postural change or acid suppression. Nausea, radiation, and waking from sleep are supportive only. (2016)

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Clinical inputs

Pain in the epigastrium and/or right upper quadrant
Builds to a steady level and lasts 30 minutes or longer
Occurs at differing intervals and not daily
Severe enough to interrupt daily activities or prompt an emergency visit
Less than 20% related to bowel movements
Less than 20% relieved by posture change or acid suppression

Primary source

Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Biliary pain is pain in the epigastrium and/or right upper quadrant that builds to a steady level and lasts 30 minutes or longer, occurs at different intervals and not daily, is severe enough to interrupt daily activities or lead to an emergency visit, is not significantly (under 20 percent) related to bowel movements, and is not significantly (under 20 percent) relieved by postural change or acid suppression. Nausea, radiation, and waking from sleep are supportive only. (2016)

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