Mearin 2016 Rome IV C6 OIC. rome_iv_oic is true iff new or worsening constipation when initiating, changing, or increasing opioid therapy, at least 2 of 6 symptoms (straining, lumpy/hard stools, incomplete evacuation, anorectal obstruction, manual maneuvers, fewer than 3 SBM/week), and loose stools rare without laxatives. symptom_count is 0-6. Caller assigns eight flags. magent does not examine the patient or prescribe opioids. Not a diagnosis, not functional constipation C2, not IBS, not child.

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