Children with a developmental age ≥ 4 years; ≥1 month duration.
The Rome IV — Non-Retentive Faecal Incontinence is a GI & Liver scoring tool used in paediatric practice. Children with a developmental age ≥ 4 years; ≥1 month duration. 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 Defaecation into places inappropriate to the sociocultural context; No evidence of faecal retention; Not explained by another medical condition after appropriate evaluation.
The total is interpreted as: any score - Criteria not met: all three criteria are required. If there IS faecal retention, this is retentive incontinence (functional constipation) instead; 3 criteria or more - Criteria met: rome IV non-retentive faecal incontinence. Manage with toilet-training programmes and behavioural support; laxatives are NOT indicated and may worsen soiling.
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.
Distinguishing this from constipation-associated soiling is essential - the treatments differ completely.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.