rome_iv_child_abdominal_migraine: Rome IV Diagnostic Criteria for Child Abdominal Migraine

In cliot: Clinical Indices and Outcomes Tools

Rome IV Diagnostic Criteria for Child Abdominal Migraine

Description

Evaluates the **Rome IV criteria** for diagnosing **Abdominal Migraine** in children and adolescents. Diagnosis requires recurrent, paroxysmal attacks of moderate to severe abdominal pain, specific pain characteristics, associated migraine features, and exclusion of other causes, with symptoms present for at least 3 months.

Usage

rome_iv_child_abdominal_migraine(paroxysmal_pain_duration,
median_episodes_ge_2_per_year,
pain_periumbilical_midline_poorly_localized,
pain_severity_moderate_severe, pain_fully_resolves_hours_days,
associated_symptoms_count, not_explained_by_other_condition,
symptom_onset_ge_6_months, symptoms_active_last_3_months)

Arguments

paroxysmal_pain_duration	Numeric. Duration of paroxysmal pain in hours. **Must be 2-72 hours** (input 1 if met, 0 if not).
median_episodes_ge_2_per_year	Numeric (0 or 1). **Median episode frequency of at least 2 per year**. (1 = Yes).
pain_periumbilical_midline_poorly_localized	Numeric (0 or 1). Pain **periumbilical, midline, or poorly localized**. (1 = Yes).
pain_severity_moderate_severe	Numeric (0 or 1). Pain **severity is moderate to severe**. (1 = Yes).
pain_fully_resolves_hours_days	Numeric (0 or 1). Pain **fully resolves** between episodes (hours to days). (1 = Yes).
associated_symptoms_count	Numeric. **Count** of associated symptoms (anorexia, nausea, vomiting, pallor). **Must be >= 2**.
not_explained_by_other_condition	Numeric (0 or 1). **Not** better explained by another medical condition. (1 = Yes).
symptom_onset_ge_6_months	Numeric (0 or 1). Did symptom onset occur at least **6 months ago**? (1 = Yes).
symptoms_active_last_3_months	Numeric (0 or 1). Have criteria been fulfilled for the last **3 months**? (1 = Yes).

Value

A list containing:

Diagnosis

"Criteria Met for Abdominal Migraine" or "Criteria Not Met".

References

Hyams JS, Di Lorenzo C, Saps M, et al. Functional Disorders: Children and Adolescents. Gastroenterology. 2016;150:1456-1468. doi:10.1053/j.gastro.2016.02.015

Examples

# Example 1: Diagnosis Met
# Duration 4h (1), Freq met (1), Pain location/severity/resolution met (1,1,1),
#2+ associated symptoms (2), No other cause, Chronic duration met
rome_iv_child_abdominal_migraine(4, 1, 1, 1, 1, 2, 1, 1, 1)

# Example 2: Not Met (Insufficient associated symptoms)
# Duration 4h (1), Freq met (1), Pain characteristics met (1,1,1), 1 associated symptom (1)
rome_iv_child_abdominal_migraine(4, 1, 1, 1, 1, 1, 1, 1, 1)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.