Children and adolescents; symptoms for ≥2 months.
The Rome IV — Functional Nausea / Functional Vomiting is a GI & Liver scoring tool used in paediatric practice. Children and adolescents; symptoms for ≥2 months. It scores 5 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.
5. They are Bothersome nausea as the predominant symptom, occurring at least twice weekly; Generally not related to meals; OR: vomiting on average once or more per week; Absence of self-induced vomiting, eating disorder or rumination; Not fully explained by another medical condition after appropriate evaluation.
The total is interpreted as: any score - Criteria not met: functional nausea requires bothersome nausea ≥2×/week; functional vomiting requires vomiting ≥1×/week - both with other causes excluded; 3 criteria or more - Criteria met: meets Rome IV functional nausea and/or functional vomiting. Address contributors (anxiety, sleep, school avoidance) alongside symptom management.
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.