Gastroenterology

Rome IV Centrally Mediated Abdominal Pain Syndrome calculator

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

Clinical inputs

Continuous or nearly continuous abdominal painNo more than an occasional link to eating, defecation, or mensesPain limits some aspect of daily functionThe pain is not feignedNot explained by another gastrointestinal or medical condition

Months since symptom onset

months

Allowed range: 0–240 months

The source requires symptoms over the last 3 months and onset at least 6 months earlier.

Months the criteria have been fulfilled

months

Allowed range: 0–24 months

The source requires symptoms over the last 3 months and onset at least 6 months earlier.

Result

2 fields remaining

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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: Keefer L, Drossman DA, Guthrie E, et al. Centrally mediated disorders of gastrointestinal pain. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.034. PMID: 27144628. Centrally mediated abdominal pain syndrome requires continuous or nearly continuous abdominal pain, no or only an occasional relationship with eating, defecation, or menses, pain that limits some aspect of daily function, pain that is not feigned, and pain not explained by another structural or functional gastrointestinal disorder or other medical condition. Criteria are fulfilled for the last 3 months with onset at least 6 months earlier. (2016)

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Clinical inputs

Continuous or nearly continuous abdominal pain
No more than an occasional link to eating, defecation, or menses
Pain limits some aspect of daily function
The pain is not feigned
Not explained by another gastrointestinal or medical condition
Months since symptom onsetAccepted range: 0 to 240
Months the criteria have been fulfilledAccepted range: 0 to 24

Primary source

Keefer L, Drossman DA, Guthrie E, et al. Centrally mediated disorders of gastrointestinal pain. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.034. PMID: 27144628. Centrally mediated abdominal pain syndrome requires continuous or nearly continuous abdominal pain, no or only an occasional relationship with eating, defecation, or menses, pain that limits some aspect of daily function, pain that is not feigned, and pain not explained by another structural or functional gastrointestinal disorder or other medical condition. Criteria are fulfilled for the last 3 months with onset at least 6 months earlier. (2016)

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