Paroxysmal episodes of intense periumbilical abdominal pain.
The Rome IV — Abdominal Migraine is a GI & Liver scoring tool used in paediatric practice. Paroxysmal episodes of intense periumbilical abdominal pain. It scores 6 criteria and interprets the total across 2 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
6. They are Paroxysmal episodes of intense, acute periumbilical, midline or diffuse abdominal pain lasting ≥ 1 hour; Episodes are separated by weeks to months; Pain is incapacitating and interferes with normal activities; Stereotypical pattern and symptoms in the individual patient; Pain associated with ≥2 of: anorexia, nausea, vomiting, headache, photophobia, pallor; Symptoms cannot be attributed to another condition after appropriate evaluation.
The total is interpreted as: any score - Criteria not met: all criteria must be fulfilled, occurring at least twice in the preceding 6 months; 6 criteria or more - Criteria met: all criteria met - abdominal migraine. Consider migraine-style prophylaxis and trigger avoidance; many children later develop typical migraine.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Source: Hyams JS et al. Rome IV - Functional disorders: children and adolescents. Gastroenterology 2016;150:1456-68.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.