Rome IV Functional Dyspepsia calculator

Clinical inputs

• Bothersome postprandial fullness
• Days per week with postprandial fullness (days/week)Accepted range: 0 to 7
• Bothersome early satiation
• Early satiation prevents finishing a regular-size meal
• Days per week with early satiation (days/week)Accepted range: 0 to 7
• Bothersome epigastric pain
• Bothersome epigastric burning
• Days per week with epigastric pain or burning (days/week)Accepted range: 0 to 7
• No organic, systemic, metabolic, or structural disease explains the symptoms, including at endoscopy
• Months since symptom onsetAccepted range: 0 to 240
• Months the criteria have been fulfilledAccepted range: 0 to 24

Primary source

Stanghellini V, Chan FKL, Hasler WL, et al. Gastroduodenal disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.011. PMID: 27147122. Functional dyspepsia requires postprandial distress syndrome and/or epigastric pain syndrome. Postprandial distress syndrome is bothersome postprandial fullness and/or early satiation severe enough to prevent finishing a regular-size meal. At least one of those two symptoms must occur on 3 or more days a week; days are not pooled across symptoms. Epigastric pain syndrome is bothersome epigastric pain and/or burning on at least 1 day a week. Organic, systemic, metabolic, and structural disease, including findings at upper endoscopy, must not explain the symptoms. Criteria apply for the last 3 months, with onset at least 6 months earlier. (2016)