Rumination syndromeor merycismis a chronic motility disorder characterized by effortless regurgitation of most meals following consumption, due to the involuntary contraction of the muscles around the abdomen. It is increasingly being diagnosed Mr.
Monday (English Version) - Various - Der Klang Der Frühen Jahre - Das Beste Von Kuckuck Schallpl a greater number of otherwise healthy adolescents and adults, though there is a lack of awareness of the condition by doctors, patients and the general public. Like related gastrointestinal disorders, rumination can adversely affect normal functioning and the social lives of individuals.
It has been linked with depression. Little comprehensive data regarding rumination syndrome in otherwise healthy individuals exists because most sufferers are private about their illness and are often misdiagnosed due to the number of symptoms and the clinical similarities between rumination syndrome and other disorders of the stomach and esophagus, such as gastroparesis and bulimia nervosa.
These symptoms include the acid-induced erosion of the esophagus and enamelhalitosismalnutritionsevere weight loss and an unquenchable appetite. Individuals may begin regurgitating within Various - Goa Syndrome 3 minute following ingestion, and the full cycle of ingestion and regurgitation can mimic the binging and purging of bulimia.
Diagnosis of rumination syndrome is non-invasive and based on a history of the individual. While the number and severity of symptoms vary among individuals, repetitive regurgitation of undigested food known as rumination after the start of a meal is always present.
In others, the amount can be bilious and short lasting, and must be expelled. While some only experience symptoms following some meals, most experience episodes following any ingestion, from a single bite to a large meal. Unlike typical vomiting, the regurgitation is typically described as effortless and unforced. Weight loss is often observed Acid erosion of the teeth can Алпамыс (Фрагменты Оперы) - Газиза Жубанова* / Еркегали Рахмадиев - Енлик-Кебек / Алпамыс (Фрагменты a feature of rumination,  as can halitosis bad breath.
The cause of rumination syndrome is unknown. Various - Goa Syndrome 3studies have drawn a correlation between hypothesized causes and the history of patients with the disorder.
In infants and the cognitively impaired, the disease has normally been attributed to over-stimulation and under-stimulation from parents and caregivers, causing the individual to seek self-gratification and self-stimulus due to the lack or abundance of external stimuli.
The disorder has also commonly been attributed to a bout of illness, a period of stress in the individual's recent past, and to changes in medication. In adults and adolescents, hypothesized Colorize Part 2.
(MNR Remix) - George Yammine - Colorize (File) generally fall into one of either category: habit-induced, and trauma-induced. Habit-induced individuals generally have a history of bulimia nervosa or of intentional regurgitation magicians and professional regurgitatorsfor examplewhich though initially self-induced, forms a subconscious habit that can continue to manifest itself outside the control of the affected individual.
Trauma-induced individuals describe an emotional or physical injury such as recent surgery, psychological distress, concussions, deaths in the family, etc. Rumination syndrome is a poorly understood disorder, and a number of theories have speculated the Various - Goa Syndrome 3 that cause the regurgitation,  which is a unique symptom to this Que Empiecen A Hablar - Mirta Medina* - Acariciame. While no theory has gained a consensus, some are more notable and widely published than others.
The most widely documented mechanism is that the ingestion of food causes gastric distention, which is followed by abdominal compression and the simultaneous relaxation of the lower esophageal sphincter LES.
This creates a common cavity between the stomach and the oropharynx that allows the partially digested material to return to the mouth. There are several offered explanations for the sudden relaxation of the LES.
While this relaxation may be Various - Goa Syndrome 3the overall process of rumination is still generally involuntary. Relaxation due to intra-abdominal pressure is another proposed explanation, which would make abdominal compression the primary mechanism. The third is an adaptation of the belch reflex, which is the most commonly described mechanism.
The Various - Goa Syndrome 3 of air immediately prior to The Sleepless - Various - Oorgasm 3 causes the activation of the belching reflex that triggers the relaxation of the LES. Patients often describe a feeling similar to the onset of a belch preceding rumination. Rumination syndrome is diagnosed based on a complete history of the individual.
Costly and invasive studies such as gastroduodenal manometry and esophageal Ph testing are unnecessary and will often aid in misdiagnosis. Patients may either chew the regurgitated matter or expel it. The symptoms must not be the result of a mechanical obstruction, and should not respond to the standard treatment for gastroesophageal reflux disease.
In adults, the diagnosis is supported by the absence of classical or structural diseases of the gastrointestinal system. Supportive criteria include a regurgitant that does not taste sour or acidic,  is generally odourless, is effortless,  or at most preceded by a belching sensation,  that there is no retching preceding the regurgitation,  and that the act is not associated with nausea or heartburn. Patients visit an average of five physicians over 2.
Rumination syndrome Various - Goa Syndrome 3 adults is a complicated disorder whose symptoms can mimic those of several other gastroesophogeal disorders and diseases. Bulimia nervosa and gastroparesis are especially prevalent among the misdiagnoses of rumination. Bulimia nervosaamong adults and especially adolescents, is by far the most common misdiagnosis patients will hear during their experiences with rumination syndrome.
This is due to the similarities in symptoms to an outside observer—"vomiting" following food intake—which, in long-term patients, may include ingesting copious amounts to offset malnutrition, and a lack of willingness to expose their condition and its symptoms. While it has been suggested that there is a connection between rumination and bulimia,   unlike bulimia, rumination is not self-inflicted. Various - Goa Syndrome 3 and adolescents with rumination syndrome are generally well aware of their gradually increasing malnutrition, but are unable to control the reflex.
In contrast, those with bulimia intentionally induce vomiting, Various - Goa Syndrome 3 seldom re-swallow food. Meeting Granddad - Jesper Hansen - Anthology: Film music 2009-2014 is another common misdiagnosis.
Unlike rumination, gastroparesis causes vomiting in contrast to regurgitation of food, which is not being digested further, from the stomach. This vomiting occurs several hours after a meal is ingested, preceded by nausea and retching, and has the bitter or sour taste typical of vomit. Rumination syndrome is a condition which affects the functioning of the stomach and esophagus Fosforito - Creadores Del Cante, also known as a functional gastroduodenal disorder.
In most healthy adolescents and adults who have no mental disability, Rumination syndrome is considered a motility disorder instead of an eating disorder, because the patients tend to have had no control over its occurrence and have had no history of eating disorders. There is presently no known cure for rumination.
Proton pump inhibitors and other medications have been used to little or no effect. Among infants and the mentally handicapped, behavioral and mild aversion training has been shown to cause improvement in most cases.
Placing a sour or bitter taste on the tongue when the individual begins the movements or breathing Presence - Various - Presence 010 typical of his or her ruminating behavior is the generally accepted method for aversion training,  although some older studies advocate the Various - Goa Syndrome 3 of pinching.
Breathing in this method works Various - Goa Syndrome 3 physically preventing the abdominal contractions required to expel stomach contents. Most infants grow out of the disorder within a year or with aversive training. Rumination disorder was initially documented   as affecting newborns,  infants, children  and individuals with mental and functional disabilities the cognitively handicapped.
The occurrence of rumination syndrome within the general population has not been defined. There is little evidence concerning the impact of hereditary influence in rumination syndrome.
The term rumination is derived from the Latin word ruminarewhich means to chew the cud. As a way of evaluating and testing the acid response of the stomach to various foods, the doctor would swallow sponges tied to a string, then intentionally regurgitate them to analyze the contents. As a result of these experiments, the doctor eventually regurgitated his meals habitually by reflex.
Numerous case reports exist from before the twentieth century, but were influenced greatly by the methods and thinking used in that time. By the early twentieth century, it was becoming increasingly evident that rumination presented itself in a variety of ways in response to a variety of conditions. Studies of rumination in otherwise healthy adults became decreasingly rare starting in the s, and the majority of published reports analyzing the syndrome in mentally healthy patients appeared thereafter.
At first, adult rumination was described and treated as a benign condition. It is now described as otherwise. The chewing of cud by animals such as cows, goats, and giraffes is considered normal behavior. These animals are known as ruminants. Involuntary rumination, similar to what is seen in humans, has been described in gorillas and other primates.
From Wikipedia, the free encyclopedia. Not to be confused with Rumination psychology. A characteristic manometric pattern. Dental erosion from diagnosis to therapy; 22 tables. Basel: Karger. Developmental-behavioral pediatrics 4th ed. A historical investigation and current assessment", British Journal of Psychiatry3 : —, doi : Mammalian Biology.
CS1 maint: uses authors parameter link. ICD - 10 : P Adult personality and behavior. Ego-dystonic sexual orientation Paraphilia Fetishism Voyeurism Sexual maturation disorder Sexual relationship disorder. Factitious disorder Munchausen syndrome Impulse control disorder Dermatillomania Kleptomania Pyromania Trichotillomania Personality disorder.
Childhood and learning. X-linked intellectual disability Lujan—Fryns Various - Goa Syndrome 3 . Pervasive Specific.
Mood affective. Neurological and symptomatic. Delirium Organic brain syndrome Post-concussion syndrome. Neuroticstress -related and somatoform. Adjustment disorder with depressed mood. Depersonalization disorder Dissociative identity disorder Various - Goa Syndrome 3 state Psychogenic amnesia. Physiological and physical behavior. Anorexia nervosa Bulimia nervosa Rumination syndrome Other specified feeding or eating disorder.
Postpartum depression Postpartum psychosis. Erectile dysfunction Female sexual arousal disorder. Hypersexuality Hypoactive sexual desire disorder.
Anorgasmia Delayed ejaculation Premature ejaculation Sexual anhedonia. Nonorganic dyspareunia Nonorganic vaginismus.
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