Both chest pain and heartburn may be functional disorders. Criteria for their diagnosis were provided by the Rome II conference.


Shared criteria - both of the following:

(1) A duration of symptoms >= 12 cumulative weeks over the past 12 months (may or may not be consecutive).

(2) Exclusion of other causes following a complete examination.



(1) pathologic gastroesophageal reflux

(2) achalasia

(3) other esophageal motility disorder with recognized pathologic basis


Distinguishing criteria for functional chest pain:

(1) nonburning midline/retrosternal chest pain or discomfort


Distinguishing criteria for functional heartburn:

(1) burning midline/retrosternal chest pain or discomfort


To read more or access our algorithms and calculators, please log in or register.