cliot (version 1.0.0)

rome_iv_child_non_retentive_fecal_incontinence: Rome IV Diagnostic Criteria for Child Non-Retentive Fecal Incontinence

Description

Evaluates the Rome IV criteria for diagnosing non-retentive fecal incontinence in children and adolescents. This functional gastrointestinal disorder involves the passage of feces in inappropriate places without evidence of fecal retention (constipation).

Usage

rome_iv_child_non_retentive_fecal_incontinence(incontinence_frequency,
                                               fecal_retention,
                                               developmental_age_years,
                                               symptom_duration_months,
                                               medical_condition_explained)

Value

A list containing:

Diagnosis

"Criteria Met for Non-Retentive Fecal Incontinence" or "Criteria Not Met".

Arguments

incontinence_frequency

Numeric. Number of episodes of defecation into places inappropriate to the social context per month. (Must be >= 1).

fecal_retention

Numeric (0 or 1). Is there evidence of fecal retention (e.g., retentive posturing, large diameter stools, fecal mass)? (1 = Yes). This excludes the diagnosis (points towards Functional Constipation with Incontinence).

developmental_age_years

Numeric. The child's developmental age in years. (Must be >= 4 years).

symptom_duration_months

Numeric. Duration of symptoms in months. (Must be >= 1 month).

medical_condition_explained

Numeric (0 or 1). Can the symptoms be explained by another medical condition (e.g., inflammatory, anatomic, metabolic, or neoplastic)? (1 = Yes).

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
# 1 episode/mo, No retention, Age 6, Duration 2 mo, No other cause
rome_iv_child_non_retentive_fecal_incontinence(1, 0, 6, 2, 0)

# Example 2: Not Met (Retention Present - likely Constipation)
# 4 episodes/mo, Retention Yes, Age 5, Duration 3 mo
rome_iv_child_non_retentive_fecal_incontinence(4, 1, 5, 3, 0)