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Habitual rumination: a benign disorder.

D F Levine, D L Wingate, J M Pfeffer

    British Medical Journal (Clinical Research Ed.)
    |July 23, 1983
    PubMed
    Summary
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    This study on habitual mealtime rumination found no serious psychiatric disorders. Most patients improved with reassurance, suggesting early recognition of this distinct clinical syndrome is possible.

    Area of Science:

    • Gastroenterology
    • Psychiatry
    • Clinical Medicine

    Background:

    • Rumination after meals is a distinct clinical behavior.
    • Previous studies have not clearly defined the syndrome or its underlying causes.

    Purpose of the Study:

    • To investigate the clinical and psychological characteristics of habitual mealtime rumination.
    • To identify potential diagnostic markers and effective management strategies for rumination.

    Main Methods:

    • Clinical examination and psychological questioning of nine patients with habitual rumination.
    • Barium meal radiography and esophageal manometry were performed.
    • Assessment of psychiatric history and response to behavioral therapy and reassurance.

    Main Results:

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    • Barium meal radiography revealed no abnormalities in any patient.
    • Esophageal manometry showed an abnormally large gastric pressure wave in one patient.
    • No serious current psychiatric disorders were identified, although some had relevant psychiatric histories.
    • Behavioral therapy was successful in one patient; most improved with reassurance.

    Conclusions:

    • Habitual mealtime rumination appears to be a distinct clinical syndrome.
    • The condition is not associated with significant psychiatric disorders.
    • Early recognition by clinicians, coupled with reassurance, can be effective in management.