Children/adolescents: symptoms at least 4 times per month for ≥2 months.
The Rome IV — Functional Abdominal Pain (NOS) is a GI & Liver scoring tool used in paediatric practice. Children/adolescents: symptoms at least 4 times per month for ≥2 months. It scores 3 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.
3. They are Episodic or continuous abdominal pain that does not occur solely during physiological events (eating, menses); Insufficient criteria for IBS, functional dyspepsia or abdominal migraine; Not fully explained by another medical condition after appropriate evaluation.
The total is interpreted as: any score - Criteria not met: all three criteria are required. If IBS, dyspepsia or abdominal-migraine criteria are met, use that diagnosis instead; 3 criteria or more - Criteria met: rome IV functional abdominal pain - not otherwise specified. Positive diagnosis; explain the gut-brain mechanism, avoid repeated investigation, and consider CBT/hypnotherapy.
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.
Red flags requiring investigation: weight loss, GI bleeding, persistent vomiting, nocturnal pain waking the child, fever, arthritis, family history of IBD.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.