Sense of solid and/or liquid foods sticking, lodging, or passing abnormally through the esophagus.*Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis with a frequency of at least once a week. Absence of a gastric inlet patch in the proximal esophagus.Occurrence of the sensation between meals.Persistent or intermittent, non-painful sensation of a lump or foreign body in the throat with no structural lesion identified on physical examination, laryngoscopy, or endoscopy.†Response to antisecretory therapy does not exclude the diagnosis

**Achalasia/EGJ outflow obstruction, diffuse esophageal spasm, jackhammer esophagus, absent peristalsis Evidence of triggering of symptoms by reflux events despite normal acid exposure on pH- or pH-impedance monitoring†.Absence of major esophageal motor disorders**.Normal endoscopy and absence of evidence that eosinophilic esophagitis is the cause of the symptoms.Retrosternal symptoms including heartburn and chest pain.**Elevated acid exposure time and/or symptom reflux association *Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis with a frequency of at least twice a week Absence of evidence that gastroesophageal reflux** or eosinophilic esophagitis is the cause of the symptom.No symptom relief despite optimal antisecretory therapy.

Burning retrosternal discomfort or pain.

†Achalasia/EGJ outflow obstruction, diffuse esophageal spasm, jackhammer esophagus, absent peristalsis *Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis with a frequency of at least once a week

Absence of major esophageal motor disorders†.

Absence of evidence that gastroesophageal reflux or eosinophilic esophagitis is the cause of the symptom.

Absence of associated esophageal symptoms, such as heartburn and dysphagia.

Retrosternal chest pain or discomfort**.

Appendix A: Rome IV Diagnostic Criteria for FGIDs 16 January 2016ĭiagnostic criteria* Must include all of the following:

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