rome_iv_narcotic_bowel_syndrome: Rome IV Diagnostic Criteria for Narcotic Bowel Syndrome (NBS)

In cliot: Clinical Indices and Outcomes Tools

Rome IV Diagnostic Criteria for Narcotic Bowel Syndrome (NBS)

Description

Evaluates the Rome IV criteria for diagnosing Narcotic Bowel Syndrome (NBS) in patients using chronic opioid therapy. NBS is characterized by chronic, worsening, or unremitting abdominal pain associated with escalating opioid doses, distinct from simple Opioid-Induced Constipation (OIC).

Usage

rome_iv_narcotic_bowel_syndrome(chronic_pain_on_opioids,
                                pain_worsens_with_dose_escalation,
                                other_fgid_excluded, symptom_onset_ge_6mo,
                                symptoms_active_last_3mo)

Arguments

chronic_pain_on_opioids	Numeric (0 or 1). Chronic or recurrent abdominal pain is present and has worsened or become unremitting during continued opioid therapy. (1 = Yes).
pain_worsens_with_dose_escalation	Numeric (0 or 1). Pain continues or worsens despite increasing opioid dosage. (1 = Yes).
other_fgid_excluded	Numeric (0 or 1). Are other functional gastrointestinal disorders (FGIDs) adequately excluded? (1 = Yes).
symptom_onset_ge_6mo	Numeric (0 or 1). Did symptom onset occur at least 6 months prior to diagnosis? (1 = Yes).
symptoms_active_last_3mo	Numeric (0 or 1). Have symptoms been active for the last 3 months? (1 = Yes).

Value

A list containing:

Diagnosis

"Criteria Met for Narcotic Bowel Syndrome (NBS)" or "Criteria Not Met".

References

Sikandar A, Kazi U, Khawaja MA. Narcotic Bowel Syndrome: A New Entity in Gastroenterology. J Clin Med Res. 2017;9(3):195-200. doi:10.14740/jocmr2880w

Examples

# Example 1: Diagnosis Met
# Chronic pain, pain worsens, other FGID excluded, chronic duration met
rome_iv_narcotic_bowel_syndrome(1, 1, 1, 1, 1)

# Example 2: Not Met (Pain does not worsen)
# Chronic pain, but pain is stable (0 for pain_worsens_with_dose_escalation)
rome_iv_narcotic_bowel_syndrome(1, 0, 1, 1, 1)

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