Presentation
The aim of this study was to present our experience with this condition, by presenting an analysis of the clinical, diagnostic, and therapeutic data of our patients. [analesdepediatria.org]
Descriptive data for all variables are presented in Table 1. [frontiersin.org]
This is about shifting attention from internal-imaginary-passive to external-present-active. When the lights are out… Rumination is highly skilled at appearing when you are trying to go to sleep. [frontlinementalhealth.com.au]
Like other functional disorders, no organic disease or physical abnormality is present. However, the patient’s symptoms are very real and result from the way the brain and the digestive system interact. [chop.edu]
The patient presented with important malnutrition and received enteral nutrition through jejunostomy. [revistagastroenterologiamexico.org]
Entire Body System
- Weight Loss
Some limit how much they eat (to prevent others from seeing them regurgitate), sometimes resulting in weight loss or nutritional deficiencies. [msdmanuals.com]
Rumination syndrome can also cause: Unhealthy weight loss Malnutrition Dental erosion Bad breath Embarrassment Social isolation Rumination syndrome care at Mayo Clinic Oct. 14, 2020 AskMayoExpert. Nausea and vomiting (adult). [mayoclinic.org]
In rare instances, it can cause problems with the esophagus and sometimes weight loss. Disease management is necessary to avoid long-term complications of rumination. [chop.edu]
In rare cases, children with severe symptoms and associated weight loss require supplemental nutritional support through a tube placed in the stomach or by vein. [aboutkidsgi.org]
- Malnutrition
The patient can suffer from malnutrition as a result of the condition as they are not receiving many of the benefits of digesting foods. [news-medical.net]
Complications When severe, rumination syndrome can lead to malnutrition and dehydration which, in turn, can lead to electrolyte imbalances and the occurrence of refeeding syndrome when nutrition improves.31–33 Malnutrition and dehydration arise due to [fg.bmj.com]
Testing can also help the doctor evaluate how the behavior has affected the body by looking for signs of problems such as dehydration and malnutrition. [webmd.com]
Rumination disorder can lead to malnutrition, weight loss, dental erosions, and electrolyte disturbances if left untreated. [beateatingdisorders.org.uk]
Early recognition of the clinical features and commencement of treatment is vital to prevent severe consequences, including malnutrition, and impaired quality of life. Figure 1. [bsg.org.uk]
- Unconsciousness
The subjects were required to respond as rapidly as they could, in order to tap into these fundamental, unconscious processes. The results, as reported in the June issue of Psychological Science, were plain. [psychologicalscience.org]
Experts think rumination is unconscious. However, they also believe that the voluntary muscle relaxation of the diaphragm becomes a learned habit. It is similar to the typical belching reflex. [elcaminohealth.org]
Experts think rumination is unconscious. But they also believe that the voluntary muscle relaxation of the diaphragm becomes a learned habit. It's similar to the typical belching reflex. [cedars-sinai.org]
It's all too easy to unconsciously drift into rumination. But do your best to replace thinking patterns and it will get easier the better your get at mindfulness practice. [happiness.com]
- Disability
Please enable JS and disable any ad blocker [lequotidiendumedecin.fr]
Behavior therapy Habit reversal behavior therapy is used to treat people without developmental disabilities who have rumination syndrome. [tmcaz.com]
If the eating disorder occurs together with another mental disorder (for example, intellectual disability), symptoms must be severe enough and be the main reason for seeking medical care. [my.clevelandclinic.org]
Complications of rumination syndrome include weight loss, malnutrition, dental erosions, halitosis, electrolyte abnormalities, and significant functional disability. [bmj.com]
The condition has long been known to occur in infants and people with developmental disabilities. It's now clear that the condition isn't related to age, as it can occur in children, teens and adults. [mayoclinic.org]
- Anorexia
Medical staff will need to examine the reasons for the food coming back up to make sure that other diseases or eating disorders such as anorexia nervosa, are not causing the condition. [news-medical.net]
Regurgitation doesn’t always occur in relation to another eating disorder, such as anorexia nervosa, binge-eating disorder, or bulimia nervosa. [healthline.com]
Measures of serotonin metabolism in anorexia nervosa. Acta Psychiatr Scand 1991;84:561-3. 16. Kaye WH, Ebert MH, Raleigh M, Lake R. Abnormalities in CNS monoamine metabolism in anorexia nervosa. Arch Gen Psychiatry 1984;41:350-5. 17. [jpgmonline.com]
Repeated regurgitation is not due to a gastrointestinal or other medical condition (for example, gastroesophageal reflux, pyloric stenosis) The eating disorder must not occur only in the presence of anorexia nervosa, bulimia nervosa, binge eating disorder [my.clevelandclinic.org]
Rumination may be regarded as a "forme frusta" of other eating disorders such as bulimia, bulimarexia, or anorexia nervosa. [bmj.com]
Respiratoric
- Aspiration
Complications Complications of rumination may include some or all of the following: Malnutrition Weight loss Gastric disorders Upper respiratory distress Dental problems Aspiration Choking Pneumonia Social isolation and/or compromise at attempts at community [emedicine.medscape.com]
[…] complications associated with untreated rumination disorder in infants and children are: Malnutrition Lowered resistance to infections and diseases Failure to grow and thrive Weight loss Stomach diseases such as ulcers Dehydration Bad breath and tooth decay Aspiration [webmd.com]
[…] episodes of regurgitation or spitting of food and fluids, reducing nutritional intake below what is required for good health.31 Additional complications in children and adults include failure to thrive,34 dental erosions,35 an increased likelihood of aspiration [fg.bmj.com]
- Pneumonia
Complications Complications of rumination may include some or all of the following: Malnutrition Weight loss Gastric disorders Upper respiratory distress Dental problems Aspiration Choking Pneumonia Social isolation and/or compromise at attempts at community [emedicine.medscape.com]
[…] associated with untreated rumination disorder in infants and children are: Malnutrition Lowered resistance to infections and diseases Failure to grow and thrive Weight loss Stomach diseases such as ulcers Dehydration Bad breath and tooth decay Aspiration pneumonia [webmd.com]
Gastrointestinal
- Overeating
over 2 years ago submitted Barbara Fairchild - Mississippi. over 2 years ago submitted Libby Curtis - Dreaming As One. over 2 years ago submitted The Other Side (12) - Jambalaya. over 2 years ago submitted The Gosdin Brothers - I Remember. over 2 years [discogs.com]
Self-reflelction tends to offer new insights wheras rumination is just playing the same negative thoughts and feelings over and over. [oneyoufeed.net]
Ruminative thinkers go over the same information repeatedly without change and stay in a negative mindset. [verywellmind.com]
How often do they speak over each other—over you? All these voices, like guests who pop up unexpectedly to your house, demand attention. [keystepmedia.com]
Have you ever found yourself replaying a scenario over and over in your head? You may even know it is unhelpful, unproductive & upsetting, but you seem to be stuck in a play-back loop. This is probably rumination. [frontlinementalhealth.com.au]
- Vomiting
The food will be described as tasting normally and not acidic-tasting, like vomit. This means it is still undigested. This problem is a psychological disorder. It may be mistaken for vomiting or other digestive problems. [elcaminohealth.org]
It's not acidic-tasting, like vomit. Rumination is a reflex, not a conscious action. This problem is a psychological disorder. It may be mistaken for vomiting or other digestive problems. [cedars-sinai.org]
Complaints of stomach pain Complaints of indigestion Nausea Weight loss Bad breath Due to the similarity with vomiting, rumination syndrome can be misdiagnosed as a vomiting disorder, possible delayed gastric emptying or gastroesophageal reflux disease [chop.edu]
Because the food hasn't yet been digested, it reportedly tastes normal and isn't acidic, as vomit is. Rumination typically happens at every meal, soon after eating. It's not clear how many people have this disorder. [mayoclinic.org]
- Bulimia Nervosa
Regurgitation doesn’t always occur in relation to another eating disorder, such as anorexia nervosa, binge-eating disorder, or bulimia nervosa. [healthline.com]
Rumination may be regarded as a "forme frusta" of other eating disorders such as bulimia, bulimarexia, or anorexia nervosa. [bmj.com]
Ballenger CSF β -endorphin and dynorphin in bulimia nervosa. Am J Psychiatry 1992;149:1086-90. 15. Hassanyeh F, Marshall EF. Measures of serotonin metabolism in anorexia nervosa. Acta Psychiatr Scand 1991;84:561-3. 16. [jpgmonline.com]
Rumination syndrome is frequently confused with bulimia nervosa, gastroesophageal reflux disease (GERD) and gastroparesis. [mayoclinic.org]
In some children, rumination occurs at times of significant stress, as a manifestation of rejection, or in children who have previously suffered a more serious eating disorder such as bulimia nervosa. [aboutkidsgi.org]
- Abdominal Pain
Chronic abdominal pain in children: a technical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition: AAP subcommittee and NASPGHAN committee on chronic abdominal pain. [springermedizin.de]
Article Abdominal Pain: Outpatient In this Helping Hand™ document, we discuss what steps to take if the cause of your child's abdominal pain cannot be determined. [nationwidechildrens.org]
Diagnosing pediatric functional abdominal pain in children (4-15 years old) according to Rome III criteria: results from a Norwegian prospective study. [frontiersin.org]
Symptoms Effortless regurgitation, typically within 10 minutes of eating Abdominal pain or pressure relieved by regurgitation A feeling of fullness Bad breath Nausea Unintentional weight loss Rumination syndrome isn't usually associated with retching. [mayoclinic.org]
Behavioral therapy that involves teaching people to breathe from the diaphragm is the usual treatment of choice. " ] Symptoms [ " Effortless regurgitation, typically within 10 minutes of eating Abdominal pain or pressure relieved by regurgitation A feeling [tmcaz.com]
- Choking
Complications Complications of rumination may include some or all of the following: Malnutrition Weight loss Gastric disorders Upper respiratory distress Dental problems Aspiration Choking Pneumonia Social isolation and/or compromise at attempts at community [emedicine.medscape.com]
Lowered resistance to infections and diseases Failure to grow and thrive Weight loss Stomach diseases such as ulcers Dehydration Bad breath and tooth decay Aspiration pneumonia and other respiratory problems (from vomit that is breathed into the lungs ) Choking [webmd.com]
Jaw & Teeth
- Halitosis
Complications of rumination syndrome include weight loss, malnutrition, dental erosions, halitosis, electrolyte abnormalities, and significant functional disability. [bmj.com]
Weight loss Gastric disorders Upper respiratory distress Dental problems Aspiration Choking Pneumonia Social isolation and/or compromise at attempts at community integration because peers and caregivers find interaction with these individuals unpleasant Halitosis [emedicine.medscape.com]
[…] psychosocial stress of divorce, a death in the family, or problems at school or work, has been described in some patients.26 Among the complications associated with rumination syndrome, dental erosions have been detected in up to 77% of children27 and halitosis [revistagastroenterologiamexico.org]
Psychiatrical
- Behavior Disorder
Then work with a behavioral psychologist to end the pattern. If your symptoms get worse or you have new symptoms, tell your healthcare provider. Rumination syndrome is a rare behavioral disorder in which food is brought back up from the stomach. [elcaminohealth.org]
This problem is a psychological disorder. It may be mistaken for vomiting or other digestive problems. Behavioral therapy will help you to notice the pattern and work to fix it. [cedars-sinai.org]
This problem is a psychological disorder. It may be mistaken for vomiting or other digestive problems. Behavioral therapy will help you to notice the pattern and work to correct it. [hopkinsmedicine.org]
An association between rumination and bulimia nervosa has been described [12] and rumination has been recognized as a collateral behavior disorder among these patients. [jpgmonline.com]
Experimental avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. [elsevier.es]
- Social Isolation
Complications Complications of rumination may include some or all of the following: Malnutrition Weight loss Gastric disorders Upper respiratory distress Dental problems Aspiration Choking Pneumonia Social isolation and/or compromise at attempts at community [emedicine.medscape.com]
Rumination syndrome can also cause: Unhealthy weight loss Malnutrition Dental erosion Bad breath Embarrassment Social isolation Rumination syndrome care at Mayo Clinic Oct. 14, 2020 AskMayoExpert. Nausea and vomiting (adult). [mayoclinic.org]
Rumination syndrome can also cause: Unhealthy weight loss Malnutrition Dental erosion Bad breath Embarrassment Social isolation " ] Diagnosis [ " The doctor will ask about your or your child's current symptoms and medical history. [tmcaz.com]
Workup
Such supplementary tests were performed in all patients but one, in addition to other diagnostic tests that are not specified in Table 3: detection of specific IgE by RAST and/or prick test for assessment of food allergies, coeliac disease workup, measurement [analesdepediatria.org]
Treatment
[…] of patients on placebo treatment ( P < 0.0001). [wjgnet.com]
Currently, this treatment is recommended only for patients who do not significantly improve with behavioural interventions.2 Surgical interventions In patients refractory to behavioural and medical treatments, the role of surgical intervention in the [bsg.org.uk]
[…] tests, and invasive, costly treatments. [analesdepediatria.org]
Treatment may include behavioral therapy or medications. [tmcaz.com]
Treatment Treatment depends on the exclusion of other disorders, as well as on age and cognitive ability. Behavior therapy Habit reversal behavior therapy is used to treat people without developmental disabilities who have rumination syndrome. [mayoclinic.org]
Prognosis
Outlook / Prognosis What is the prognosis (outlook) for people with rumination syndrome? Many people with rumination syndrome live otherwise healthy lives. Rumination syndrome usually does not affect a person’s daily routines. [my.clevelandclinic.org]
Chial, MD, et al, “Rumination Syndrome in Children and Adolescents: Diagnosis, Treatment, and Prognosis.” [bmj.com]
[…] disorders Upper respiratory distress Dental problems Aspiration Choking Pneumonia Social isolation and/or compromise at attempts at community integration because peers and caregivers find interaction with these individuals unpleasant Halitosis Death Prognosis [emedicine.medscape.com]
Rumination syndrome in children and adolescents: diagnosis, treatment, and prognosis. Pediatrics. 2003;111(1):158–62. PubMed CrossRef 8. Talley NJ. Rumination syndrome. Gastroenterol Hepatol. 2011;7(2):117–8. 9. [springermedizin.de]
Rumination syndrome in children and adolescents: Diagnosis, treatment and prognosis. Pediatrics 2003;111:158-62. 24. Shay SS, Johnson LF, Wong LK, Curtis DJ, Rosenthal R, Lamott JR, et al. [jpgmonline.com]
Etiology
Etiologies and treatments vary significantly by group. The focus of the current article is neurotypical children and adolescents. [frontiersin.org]
Rumination: Etiology and treatment. Pediatr Ann 1984;13:924-9. 5. Rogers B, Stratton P, Victor J, Cennedy B. Andres M. Chronic regurgitation among persons with mental retardation: A meed for combined medical and interdisciplinary strategies. [jpgmonline.com]
Likewise, neuroscientific appeals made to either structural or functional connectivity biomarkers of DR, considered in isolation, might reduce the precision of our etiological understanding 66. [biorxiv.org]
Epidemiology
[…] articles Impedance manometry Rome III classification rumination :: Article in PDF (82 KB) :: Citation Manager :: Access Statistics :: Reader Comments :: Email Alert * :: Add to My List * * Registration required (free) IN THIS Article :: Abstract :: Epidemiology [jpgmonline.com]
In a recent Rome Foundation global epidemiological study, rumination syndrome was found to have an overall worldwide prevalence of 2.8% with women having a slightly higher prevalence (3.1%) than men (2.5%).16 A higher prevalence of rumination syndrome [fg.bmj.com]
Journal of Clinical Epidemiology, 62 (2009), pp. e1-e34 [Manicavasagar et al., 2012] V. Manicavasagar, T. Perich, G. Parker. Cognitive Predictors of Change in Cognitive Behaviour Therapy and Mindfulness-Based Cognitive Therapy for Depression. [elsevier.es]
A population-based study on the epidemiology of functional disorders in young children. J Pediatr. (2016) 179:139–43.e1. doi: 10.1016/j.jpeds.2016.08.095 PubMed Abstract | CrossRef Full Text | Google Scholar 18. [frontiersin.org]
Epidemiology There is scant data on incidence and prevalence in adults. Even though it is considered a rare disorder, its true prevalence is most likely underestimated, given the lack of recognition of said pathology by both clinicians and patients. [revistagastroenterologiamexico.org]
Pathophysiology
Rumination syndrome: Pathophysiology, diagnosis, and treatment. Neurogastroenterology and Motility. 2017;29:1. Halland M, et al. Rumination syndrome. https://www.uptodate.com/contents/search. Accessed Aug. 28, 2018. Wyllie R, et al., eds. [mayoclinic.org]
The rumination syndrome in adults: A review of the pathophysiology, diagnosis and treatment. J Postgrad Med 2007;53:203-6 How to cite this URL: Papadopoulos V, Mimidis K. [jpgmonline.com]
Articles not reporting prevalence, pathophysiology, or treatment outcomes were not included. [frontiersin.org]
Affiliations PMID: 27766723 DOI: 10.1111/nmo.12954 Review Rumination syndrome: pathophysiology, diagnosis, and treatment I Absah et al. Neurogastroenterol Motil. 2017 Apr. [pubmed.ncbi.nlm.nih.gov]
[…] postprandial period appears to be a cardinal pathogenic characteristic within the pathophysiologic process. [revistagastroenterologiamexico.org]
Prevention
Diaphragmatic breathing prevents abdominal contractions and regurgitation. Biofeedback is part of behavioral therapy for rumination syndrome. [mayoclinic.org]
Continued Can Rumination Disorder Be Prevented in Infants and Children? There is no known way to prevent rumination disorder in infants and children. [webmd.com]
How can I help prevent rumination syndrome? Experts aren't sure why rumination syndrome starts in the first place. So it's unclear what can be done to prevent it. [cedars-sinai.org]
Can rumination syndrome be prevented? Experts aren't sure why rumination syndrome starts in the first place. So it's unclear what can be done to prevent it. [hopkinsmedicine.org]