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Esophageal Disorders. Gastroduodenal Disorders. No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations including at upper endoscopy. Supportive remark History or family history of migraine headaches. Supportive remark May be associated with pathologic bathing behavior prolonged hot baths or showers. Bowel Disorders. However, clinicians recognize that these two conditions may overlap. Gallbladder and Sphincter of Oddi Disorders.
Supportive criteria. Builds up to a steady level and lasts 30 minutes or longer 2. Occurring at different intervals not daily 3. Severe enough to interrupt daily activities or lead to an emergency department visit 4. Anorectal Disorders. Recurrent uncontrolled passage of fecal material in an individual with a developmental age of at least 4 years.
For research studies, consider onset of symptoms of at least 6 months previously with episodes of FI over 4 weeks. Symptom criteria for chronic levator ani syndrome but no tenderness during posterior traction on the puborectalis muscle. For clinical research, a diagnosis of infant colic must meet the preceding diagnostic criteria and also include both of the following:.
In toilet trained children, the following additional criteria may be used:. Cyclic Vomiting Syndrome Diagnostic criteria Must include all of the following:.
Functional Dyspepsia Diagnostic criteria Must include one or more of the following bothersome symptoms at least 4 times a month for at least 2 months prior to diagnosis:. Within FD the following subtypes are now adopted:. Postprandial distress syndrome includes bothersome postprandial fullness or early satiation which prevents finishing a regular meal. Supportive features include upper abdominal bloating, postprandial nausea, or excessive belching. Epigastric pain syndrome which includes all of the following: bothersome severe enough to interfere with normal activities pain or burning localized to the epigastrium.