Repeated regurgitation of recently ingested food, for ≥2 months.
The Rome IV — Rumination Syndrome is a GI & Liver scoring tool used in paediatric practice. Repeated regurgitation of recently ingested food, for ≥2 months. It scores 4 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.
4. They are Repeated regurgitation and re-chewing or expulsion of food that begins soon after ingestion; Does NOT occur during sleep; Not preceded by retching; Not fully explained by another condition; an eating disorder has been excluded.
The total is interpreted as: any score - Criteria not met: all four criteria must be present for ≥2 months; 4 criteria or more - Criteria met: rome IV rumination syndrome. First-line treatment is diaphragmatic breathing training; behavioural therapy is effective.
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.