Ruminieren is normally seen in children. The incidence in adults is unknown, as it is reported only in rare cases of patients.

Under rumination is the process (usually involuntary) regurgitation of small quantities of food from the stomach (usually 15-30 minutes after eating), the ruminating and be swallowed again in most cases. The patients did not complain of nausea or abdominal pain. Ruminieren is normally seen in children. The incidence in adults is unknown, as it is reported only in rare cases of patients. Etiology patients with achalasia or a Zenker’s diverticulum may regurgitate undigested food without nausea. In the majority of patients who showed no obstructive esophageal conditions, the pathophysiology is poorly understood. The reverse peristalsis in ruminants is not described for humans. The disorder is most likely a semi-skilled Maladaptionsverhalten and may be part of an eating disorder. The patient learns to open the lower esophageal sphincter and transported by increasing stomach pressure over rhythmic contraction and relaxation of the diaphragm stomach contents into the esophagus and into the throat. Symptoms and discomfort nausea, pain and dysphagia do not occur. During periods of stress, the patient may be less suppress rumination good. If others this process observed for the first time, they send the patient to the doctor. In rare cases, regurgitate and lose the patient as much food to lose weight. Diagnosis Clinical examination if necessary Endoscopy, Motilit√§tsuntersuchungen of the esophagus, or both, the rumination is diagnosed by observation in general. A psychosocial history may reveal an underlying emotional cause. An endoscopic examination or X-ray images in the upper GIT are necessary to avoid a mechanical shutter or a Zenker’s diverticulum. An esophageal manometry and test method for detection of gastric emptying and the antralduodenalen motility can be used to diagnose a motility disorder. Behavior therapy techniques, the treatment of rumination is supportive. Drug therapy is not usually helps. Motivated patients may respond to behavioral techniques (eg. As relaxation, biofeedback, exercise diaphragmatic breathing [with the diaphragm instead of the chest muscles to breathe]). A psychiatric consultation may be helpful.

Health Life Media Team

Leave a Reply