Gastroenterology
Rome IV Narcotic Bowel Syndrome 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
- Abdominal pain on most days treated with high-dose or ongoing narcotics
- Pain is not explained by a current or previous gastrointestinal diagnosis
- Pain worsens or resolves incompletely as narcotics continue or increase
- Pain worsens as the narcotic effect fades and eases when narcotics restart
- Pain episodes progress in frequency, duration, and intensity
- Months since symptom onsetAccepted range: 0 to 240
- Months the criteria have been fulfilledAccepted range: 0 to 24
Primary source
Keefer L, Drossman DA, Guthrie E, et al. Centrally mediated disorders of gastrointestinal pain. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.034. PMID: 27144628. Narcotic bowel syndrome requires chronic or frequently recurring abdominal pain that occurs most days and is treated with acute high-dose or continuing narcotics; pain whose nature and intensity are not explained by a current or previous gastrointestinal diagnosis; and at least two of worsening or incomplete resolution with continued or escalating narcotics, marked worsening as the dose wanes with improvement when narcotics are restarted, and progression of the frequency, duration, and intensity of pain episodes. Criteria are fulfilled for the last 3 months with onset at least 6 months earlier. (2016)
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