Rumination Syndrome: Know About This Rare Eating Disorder; Are You At Risk?

Rumination syndrome is a chronic digestive disorder characterised by a person's involuntary and repetitive regurgitation of food shortly after eating. The regurgitation often occurs within minutes of a meal and can continue for hours. During this time, the person may experience abdominal pain, nausea, bloating, and a sensation of fullness.

Rumination syndrome usually begins in infancy or early childhood and is more common in children than adults [1].

What Are The Signs Of Rumination Syndrome?

Common signs of rumination syndrome include difficulty concentrating, preoccupation with thoughts or worries, persistent negative thinking, difficulty controlling emotions, avoidance of activities or situations, difficulty sleeping, fatigue, feeling overwhelmed, and difficulty making decisions [2].

Physical symptoms associated with rumination syndrome include muscle tension, headaches, digestive issues, and chest tightness. Some people may also experience a lack of energy, a feeling of being "stuck", and difficulty with memory or concentration.

What Causes Rumination Syndrome?

The cause of rumination syndrome is unknown, but it is believed to be associated with structural and functional abnormalities in the digestive system or the brain-gut connection. The condition is associated with maladaptive behaviour such as chronic overeating, eating too quickly, and eating too large of a meal [3][4].

Research also suggests that environmental factors such as stress and anxiety may play a role in the development of the disorder.

How Is Rumination Syndrome Diagnosed?

Diagnosis of rumination syndrome is made based on the person's medical history and physical examination. Tests such as endoscopy, imaging, and laboratory tests may be used to rule out other conditions.

How Is Rumination Syndrome Treated?

Treatment for rumination syndrome involves lifestyle changes and medical interventions such as medications and counselling. Lifestyle modifications may include eating smaller meals more frequently, taking more time to eat meals, and avoiding large meals [5].

Medications such as proton pump inhibitors, antidepressants, and anti-anxiety medications may also be prescribed.

Other forms of treatment may include cognitive behavioural therapy, mindfulness-based techniques, relaxation techniques, and/or medications. It is important to remember that with the right support and treatment, it is possible to manage rumination syndrome.

Is Rumination Syndrome A Psychological Disorder?

Rumination syndrome is a mental health condition that can cause physical, psychological and emotional symptoms. It is characterised by recurrent, intrusive and uncontrollable thoughts, feelings and behaviours that can be difficult to manage [6].

Rumination Syndrome: Are You At Risk?

There are certain factors that may put you at risk of rumination syndrome. People who have been diagnosed with an anxiety disorder, depression, or other mental health conditions are more likely to trigger rumination syndrome.

Other risk factors may include an inability to regulate emotion, a history of trauma, or an obsessive-compulsive personality. It is also more common in people who have a hard time expressing their emotions.

On A Final Note...

Rumination Syndrome can be disruptive to everyday life and cause significant distress to those who experience it. It is important for people with this condition to understand the condition and seek appropriate medical help as soon as possible.

With proper treatment and support, people with rumination syndrome can manage their symptoms and lead a healthy and active life.