Rumination syndrome

Rumination syndrome

overview

Rumination syndrome is a condition in which people repeatedly and unintentionally spit out (burp) undigested or partially digested food from their stomach, chew it again, and then either swallow it again or spit it out.

Since the food has not yet been digested, it should taste normal and not be sour like vomit. Rumination usually occurs shortly after eating at each meal.

It's not clear how many people have this disorder. Treatment may include behavioral therapy or medication. Behavioral therapy, in which people are taught to breathe from the diaphragm, is the usual treatment of choice.

Symptoms

• Müheloses Aufstoßen, normalerweise innerhalb von 10 Minuten nach dem Essen
• Bauchschmerzen oder Druck, der durch Aufstoßen gelindert wird
• Ein Gefühl der Fülle
• Schlechter Atem
• Brechreiz
• Unbeabsichtigter Gewichtsverlust

Rumination syndrome is not usually associated with choking.

When to go to the doctor?

Seek medical attention if you or your child continually regurgitates food.

Causes

The exact cause of rumination syndrome is not clear. But it seems to be caused by an increase in abdominal pressure.

Rumination syndrome is often confused with bulimia nervosa, gastroesophageal reflux disease (GERD), and gastroparesis. Some people have rumination syndrome associated with rectal emptying disorder, in which poor coordination of the pelvic floor muscles leads to chronic constipation.

The condition has long been known to occur in infants and people with developmental disabilities. It is now clear that the condition is not related to age as it can occur in children, teenagers and adults. Rumination syndrome is more likely to occur in people with anxiety, depression, or other psychiatric disorders.

Complications

If left untreated, rumination syndrome can damage the tube between the mouth and stomach (esophagus).

Rumination syndrome can also cause:

• Ungesunder Gewichtsverlust
• Unterernährung
• Zahnerosion
• Schlechter Atem
• Verlegenheit
• Soziale Isolation

Treatment of Ruminant Syndrome at the Mayo Clinic

Sources:

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