Gastroenterology

Rome IV Globus calculator

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

Clinical inputs

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.

Days per week with the symptom

days/week

Allowed range: 0–7 days/week

No major esophageal motor disorderNonpainful lump or foreign-body sensation without a structural lesionThe sensation occurs between mealsNo dysphagia or odynophagiaNo gastric inlet patchReflux and eosinophilic esophagitis are not the cause

Result

3 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: 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. Globus requires a persistent or intermittent nonpainful lump or foreign-body sensation in the throat with no structural lesion on physical examination, laryngoscopy, or endoscopy; occurrence between meals; no dysphagia or odynophagia; no gastric inlet patch; no evidence that gastroesophageal reflux or eosinophilic esophagitis is the cause; and no major esophageal motor disorder. Criteria are fulfilled for the past 3 months, with onset at least 6 months earlier, at least once a week. (2016)

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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
Nonpainful lump or foreign-body sensation without a structural lesion
The sensation occurs between meals
No dysphagia or odynophagia
No gastric inlet patch
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. Globus requires a persistent or intermittent nonpainful lump or foreign-body sensation in the throat with no structural lesion on physical examination, laryngoscopy, or endoscopy; occurrence between meals; no dysphagia or odynophagia; no gastric inlet patch; no evidence that gastroesophageal reflux or eosinophilic esophagitis is the cause; and no major esophageal motor disorder. Criteria are fulfilled for the past 3 months, with onset at least 6 months earlier, at least once a week. (2016)

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