{"id":2521,"date":"2009-03-05T18:45:11","date_gmt":"2009-03-05T18:45:11","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasanus\/"},"modified":"2025-05-14T19:10:51","modified_gmt":"2025-05-14T19:10:51","slug":"gasanus","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/gasanus\/","title":{"rendered":"ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p class=\"MsoNormal\">The diagnosis of a Functional Disorder of the Anus and Rectum always presumes the absence of a structural or biochemical explanation for the symptoms.<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\"><strong>F1. Functional Fecal Incontinence<\/strong><\/p>\n<p class=\"MsoNormal\">Recurrent uncontrolled passage of fecal material for at least one month, in an individual with a developmental age of at least 4 years, associated with:<\/p>\n<ol>\n<li class=\"MsoNormal\">Fecal impaction; or<\/li>\n<li class=\"MsoNormal\">Diarrhea; or<\/li>\n<li class=\"MsoNormal\">Nonstructural anal sphincter dysfunction.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>F2. Functional Anorectal Pain<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>F2a. Levator Ani Syndrome<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, in the preceding 12 months of:<\/p>\n<ol>\n<li class=\"MsoNormal\">Chronic or recurrent rectal pain or aching;<\/li>\n<li class=\"MsoNormal\">Episodes last 20 minutes or longer; and<\/li>\n<li class=\"MsoNormal\">Other causes of rectal pain such as ischemia, inflammatory bowel disease, cryptitis, intramuscular abscess, fissure, hemorrhoids, prostatitis, and solitary rectal ulcer have been excluded.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>F2b. Proctalgia Fugax<\/strong><\/p>\n<ol>\n<li class=\"MsoNormal\">Recurrent episodes of pain localized to the anus or lower rectum;<\/li>\n<li class=\"MsoNormal\">Episodes last from seconds to minutes; and<\/li>\n<li class=\"MsoNormal\">There is no anorectal pain between episodes.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>F3. Pelvic Floor Dyssynergia<\/strong><\/p>\n<ol>\n<li class=\"MsoNormal\">The patient must satisfy diagnostic criteria for functional constipation in Diagnostic Criteria C3;<\/li>\n<li class=\"MsoNormal\">There must be manometric, EMG, or radiologic evidence for inappropriate contraction or failure to relax the pelvic floor muscles during repeated at-tempts to defecate;<\/li>\n<li class=\"MsoNormal\">There must be evidence of adequate propulsive forces during attempts to defecate, and<\/li>\n<li class=\"MsoNormal\">There must be evidence of incomplete evacuation.<\/li>\n<\/ol>\n<p align=\"left\">\n<p align=\"left\"><strong>References:<\/strong><\/p>\n<ol>\n<li>\n<p align=\"left\">Douglas A. Drossman. ROME II: The Functional Gastrointestinal Disorders, Second Edition<\/p>\n<\/li>\n<\/ol>\n<p align=\"left\">This material was taken from the ROME II. It is intended for educational purposes only.<\/p>\n<p>&nbsp;<\/p>\n<p>Created: Mar 19, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[1595,1594,16,15,14,13,939,735,734,1413,1593,1592,1591,732,738],"class_list":["post-2521","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-ano","tag-anus","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-disorders","tag-funcional","tag-functional","tag-gastroenterology","tag-ii","tag-recto","tag-rectum","tag-roma","tag-rome"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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