Constipation: Rome IV Neonate/Toddler Criteria for Constipation

Rome IV Criteria for Constipation -Neonate/Toddler, Benninga et al. (2016)

One month of at least 2 of the following in infants up to 4 years of age:

• Two or fewer defecations per week.
• History of excessive stool retention.
• History of painful or hard bowel movements.
• History of large diameter stools.
• Presence of large fecal mass in the rectum.

In toilet trained children, the following criteria may be used.

• At least one episode/week of incontinence after the acquisition of toileting skills.
• History of large diameter stools that may obstruct the toilet.