Gastroenterology
Rome IV Functional Chest 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.
Allowed range: 0–7 days/week
Result
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Clinical inputs
- Months since symptom onsetAccepted range: 0 to 240
- Months the criteria have been fulfilledAccepted range: 0 to 24
- Days per week with the symptom (days/week)Accepted range: 0 to 7
- No major esophageal motor disorder
- Retrosternal chest pain or discomfort
- Cardiac causes of the chest pain have been ruled out
- No associated heartburn or dysphagia
- Reflux and eosinophilic esophagitis are not the cause
Primary source
Aziz Q, Fass R, Gyawali CP, Miwa H, Pandolfino JE, Zerbib F. Functional esophageal disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.012. PMID: 27144625. Functional chest pain requires retrosternal chest pain or discomfort, cardiac causes ruled out, no associated heartburn or dysphagia, no evidence that gastroesophageal reflux or eosinophilic esophagitis is the cause, and no major esophageal motor disorder (achalasia, esophagogastric junction outflow obstruction, diffuse esophageal spasm, jackhammer esophagus, or absent peristalsis). Criteria are fulfilled for the past 3 months, with onset at least 6 months earlier, at least once a week. Omitting the cardiac exclusion returns 0. (2016)
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