Gastroenterology
Rome IV Functional Anorectal Pain calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Allowed range: 0–240 months
The source requires symptoms over the last 3 months and onset at least 6 months earlier.
Allowed range: 0–24 months
The source requires symptoms over the last 3 months and onset at least 6 months earlier.
Result
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Clinical inputs
- Chronic or recurrent rectal pain or aching
- Episodes last 30 minutes or longer
- Tenderness is present when the puborectalis is pulled
- Inflammatory bowel disease, intramuscular abscess and fissure, thrombosed hemorrhoids, prostatitis, coccygodynia, and major structural pelvic-floor disease are excluded
- Months since symptom onsetAccepted range: 0 to 240
- Months the criteria have been fulfilledAccepted range: 0 to 24
Primary source
Rao SSC, Bharucha AE, Chiarioni G, et al. Anorectal disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.009. PMID: 27144630. This category is met by levator ani syndrome or by unspecified functional anorectal pain. Both require chronic or recurrent rectal pain or aching, episodes lasting 30 minutes or longer, and exclusion of inflammatory bowel disease, intramuscular abscess and fissure, thrombosed hemorrhoids, prostatitis, coccygodynia, and major structural pelvic-floor disease. Levator ani syndrome requires tenderness when the puborectalis is pulled. Unspecified functional anorectal pain uses the same symptom criteria with that tenderness absent. Either subtype meets this category. Criteria are fulfilled for the last 3 months with onset at least 6 months earlier. Proctalgia fugax is a separate rule. (2016)
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