Q. I regularly regurgitate for about 10 minutes after each meal. Does it suggest rumination syndrome?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 22, 2020

Hello doctor,

I am a teen and I believe I have rumination syndrome as 5-10 minutes after every meal, I regurgitate the food I eat but it is not digested and tastes like the food I recently ate. I often chew the food again and swallow, but it is quite annoying and it happens for about 20 minutes before going away. It started several years ago, but I brushed it off thinking it was nothing. What should I do and is there any treatment?

Dr. Ajeet Kumar Lohana

Medical Gastroenterology
#

Hello,

Welcome to icliniq.com.

I can understand you must be upset about your condition lasting so long. You well described the symptoms and timings which are very important in your case. The symptoms you mention can present for many years harmlessly and at the time this accompanies other eating disorders such as bulimia nervosa (excessive eating) and anorexia nervosa (excessive fasting). I want to hear from you do you have certain symptoms suggestive those disorders as well.

Well, rumination is a functional disorder and it can resolve with time on its own but the one recommended therapy is diaphragmatic breathing. You can learn how to perform this at home by watching some videos available on youtube.

Secondly, you can start the tablet Ondansetron 8 mg thrice daily. This medication will improve gastric accommodation to prevent the reflux of contents. The diagnosis of rumination can be confirmed with gastroesophageal manometry with impedance which is a test to measure the change in pressure across the stomach and esophagus while you do this rumination. This test is sometimes important because there are certain mimickers which present in the same way but have a completely different approach.

I hope this helps.


The Probable causes:

Rumination. Motility disorder of esophagus.

Investigations to be done:

Gastroesophageal manometry with impedance.

Differential diagnosis:

Esophageal motility disorder.

Probable diagnosis:

Rumination syndrome.

Treatment plan:

Diaphragamtic breathing, tablet Ondansetron 8 mg thrice daily half an hour before meals.

Regarding follow up:

Follow up to to provide more information, to decide whether a gastroesophageal manometry is required at the moment.


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