Rumination disorder is the backward flow of recently eaten food from the stomach to the mouth. The food is then re-chewed and swallowed or spat out. A non-purposeful contraction of stomach muscles is involved in rumination. It may be initially triggered by a viral illness, emotional distress, or physical injury. In many cases, no underlying trigger is identified. Behavioral therapy is the mainstay of treatment.
Diagnosis can be made by a clinical evaluation of the person’s signs and symptoms and history. The following diagnostic criteria is used to aid in diagnosis. These criteria must be met for the last 3 months, with symptoms beginning at least 6 months prior to diagnosis:
1. Repeated regurgitation and rechewing or expulsion of food that
a. Begins soon after eating
b. Does not occur during sleep
c. Does not respond to standard treatment for GERD
2. No Retching
3. Symptoms are not explained by inflammatory, anatomic, metabolic, or neoplastic processes
These criteria help distinguish rumination
Antroduodenal manometry can assist in making and confirming the diagnosis. Antroduodenal manometry involves putting a
Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.
These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.
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