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Rumination Syndrome

Toussaint L. Mears-Clarke, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Functional gastrointestinal disorder characterized by effortless regurgitation of recently ingested food into the mouth. The regurgitated food can be chewed, swallowed, or expectorat...

DIAGNOSIS

HISTORY

  • In the vast majority of patients, the diagnosis is clinical; however, if response to treatment is poor, or if alternate diagnosis is suspected, further evaluation is recommended (1).

  • R...

TREATMENT

GENERAL MEASURES

  • Patient education is essential.

  • Diaphragmatic breathing with or without biofeedback is the first-line treatment for rumination syndrome. One hand is placed on the chest and th...

ONGOING CARE

COMPLICATIONS

  • Diagnosis is usually delayed and can lead to unnecessary tests, decreased quality of life, surgery, and tube feeding.

  • Nutritional impairment can occur in severe cases of rumin...

REFERENCES

1
Halland M, Pandolfino J, Barba E. Diagnosis and treatment of rumination syndrome. Clin Gastroenterol Hepatol.  2018;16(10):1549–1555. [View Abstract on OvidMedline]
2
Stanghellini V, Ch...

ADDITIONAL READING

Alioto A, Di Lorenzo C. Long-term follow-up of adolescents treated for rumination syndrome in an inpatient setting. J Pediatr Gastroenterol Nutr.  2018;66(1):21–25. [View Abstr...

CODES

ICD10

  • F98.21 Rumination disorder of infancy

  • P92.1 Regurgitation and rumination of newborn

ICD9

307.53 Rumination disorder 

SNOMED

  • 37941009 Rumination disorder

  • 206565007 Rumination in newborn

  • 36039004 Ru...

CLINICAL PEARLS

  • Rumination syndrome is a functional gastrointestinal disorder characterized by effortless postprandial regurgitation followed by remastication and swallowing or spitting out.

  • Nocturnal ...

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