Rome IV-Kriteria Diagnostic Functional Dispepsia
Rome IV-Kriteria Diagnostic Functional Dispepsia
Rome IV-Kriteria Diagnostic Functional Dispepsia
Diagnostic criteria¶
AND
2. No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms
Diagnostic criteria¶
Must include one or both of the following at least three days per week:
2. Bothersome early satiation (ie, severe enough to prevent finishing a regular-size meal)
No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations (including at upper
endoscopy)
Supportive remarks
Postprandial epigastric pain or burning, epigastric bloating, excessive belching, and nausea can also be present
Symptoms that are relieved by evacuation of feces or gas should generally not be considered as part of dyspepsia
Other individual digestive symptoms or groups of symptoms, eg, from gastroesophageal reflux disease and the irritable bowel syndrome may
coexist with PDS
Diagnostic criteria¶
Must include at least one of the following symptoms at least one day a week:
AND/OR
No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations (including at upper
endoscopy)
Supportive remarks
1. Pain may be induced by ingestion of a meal, relieved by ingestion of a meal, or may occur while fasting
6. Symptoms that are relieved by evacuation of feces or gas generally should not be considered as part of dyspepsia
Other digestive symptoms (such as from gastroesophageal reflux disease and the irritable bowel syndrome) may coexist with EPS
PDS: postprandial distress syndrome; EPS: epigastric pain syndrome.
* Must fulfill criteria for PDS and/or EPS.
¶ Criteria fulfilled for the last three months with symptom onset at least six months before diagnosis.