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Gastroenterology · Paediatrics

Rome IV Infant Functional Constipation calculator

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

Clinical inputs

years

Allowed range: 0–8 years

This rule applies through 4 years of age.

months

Allowed range: 0–24 months

Quick picks

Criteria must be fulfilled for at least 1 month.

Result

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Clinical inputs

  • Age (years)Accepted range: 0 to 8
  • Duration of the symptoms (months)Accepted range: 0 to 24
  • The child is toilet trained
  • Two or fewer defecations per week
  • History of excessive stool retention
  • History of painful or hard bowel movements
  • History of large-diameter stools
  • Large fecal mass in the rectum
  • At least one incontinence episode per week after toileting skills
  • Large stools that may obstruct the toilet

Primary source

Benninga MA, Nurko S, Faure C, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.016. PMID: 27144631. Functional constipation requires 1 month of at least two of the following in infants up to 4 years of age: two or fewer defecations per week, history of excessive stool retention, history of painful or hard bowel movements, history of large-diameter stools, and presence of a large fecal mass in the rectum. In toilet-trained children, at least one incontinence episode per week after toileting skills and large-diameter stools that may obstruct the toilet may also be counted. (2016)

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