Evaluating the role of the Bristol stool chart in diagnosing functional constipation in pediatric populations

Table 1 Rome IV criteria

Rome IV criteria for pediatric functional constipation
From infants to 4-year-old children
A child with FC must have 1 month of at least 2 of the following or 2 or fewer stooling a week and a history of
Excessive stool retention
Painful or hard stooling
Large-diameter stools
Large fecal mass in the rectum
In children trained in the toilet, additional points are added to the criteria
At least one episode per week of stool incontinence after being trained in toileting
History of large-diameter stools that may obstruct the toilet

Rome IV criteria; fifth edition; Rome foundation. FC: Functional constipation.