Rome IV Child Abdominal Migraine calculator

Clinical inputs

• Number of stereotyped pain attacks (episodes)Accepted range: 0 to 40
• Acute abdominal pain lasting at least 1 hour in the periumbilical area, the midline, or a diffuse area
• The pain is the most severe and distressing symptom
• Episodes are separated by weeks to months
• The pain interferes with normal activities
• The pattern is stereotypical in this child
• Anorexia during attacks
• Nausea during attacks
• Vomiting during attacks
• Headache during attacks
• Photophobia during attacks
• Pallor during attacks
• After appropriate evaluation another condition does not explain the symptoms
• Duration of the symptoms (months)Accepted range: 0 to 36

Primary source

Hyams JS, Di Lorenzo C, Saps M, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.015. PMID: 27144632. Abdominal migraine (H2c) requires all of the following at least twice: acute abdominal pain lasting 1 hour or more that is periumbilical, midline, or diffuse and is the most severe and distressing symptom; episodes separated by weeks to months; pain that interferes with normal activities; a stereotypical pattern; and at least two of anorexia, nausea, vomiting, headache, photophobia, and pallor. Pain in another location, pain that is not the worst symptom, or pain that does not interfere with activities does not meet H2c. Symptoms cannot be fully explained by another condition. Criteria are fulfilled for at least 6 months. (2016)