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Rumination Syndrome

အကျဉ်းချုပ်

Rumination syndrome is a condition where someone brings up food from their stomach again and again. This food, which hasn't been fully digested, is then chewed and swallowed, or sometimes spit out. Importantly, people with this condition don't force themselves to bring up the food – it happens automatically.

The undigested food usually tastes like regular food, unlike vomit, which is often acidic. This regurgitation often happens right after a meal.

The exact number of people with rumination syndrome isn't known for sure. But, it's a treatable condition. One common approach to treatment is behavioral therapy. This type of therapy might involve helping someone learn to breathe deeply from their diaphragm, as well as other techniques. Sometimes, medicine is also used to help manage the symptoms.

ရောဂါလက္ခဏာများ

People with rumination syndrome often bring up food without trying. This usually happens soon after they eat. They might feel a lot of discomfort in their stomach, like pain or pressure, which is relieved when they bring up the food. Feeling full, nauseous, and losing weight without trying are also common. Importantly, this condition is different from throwing up forcefully (retching). If you or your child frequently brings up food, it's important to see a doctor.

ဘယ်အချိန်မှာ ဆရာဝန်နဲ့ ပြသသင့်လဲ

If you or your child frequently brings up food, talk to a doctor. This is a common issue, and a healthcare professional can figure out why it's happening and recommend the best course of action. Don't ignore it; getting a proper diagnosis and treatment is important for your health and well-being.

အကြောင်းရင်းများ

Rumination syndrome is a condition where a person brings up food from their stomach and chews it again. Scientists aren't entirely sure why it happens, but it seems to be connected to increased pressure in the abdomen. This can be confusing because it sometimes looks like other conditions, such as bulimia (where a person vomits), GERD (acid reflux), or gastroparesis (slow stomach emptying).

In some cases, rumination syndrome is linked to problems with bowel movements. This might involve the muscles in the pelvis not working properly, leading to ongoing constipation. While it was once thought to mostly affect infants and people with developmental disabilities, we now know that it can affect people of all ages, including children, teenagers, and adults.

People with anxiety, depression, or other mental health problems are more likely to experience rumination syndrome. It's important to remember that this isn't a simple matter of age; anyone can develop it.

ရှုပ်ထွေးမှုများ

Rumination syndrome is a condition where a person brings swallowed food back up to their mouth and then chews and swallows it again. This can lead to several problems:

  • Weight loss and malnutrition: Repeatedly bringing up food means the body isn't getting the nutrients it needs, leading to unintentional weight loss and nutritional deficiencies. This can be serious, affecting energy levels and overall health.

  • Dental problems: The constant chewing and regurgitation can wear down teeth, making them more susceptible to damage and pain.

  • Bad breath: The presence of partially digested food in the mouth, along with the act of regurgitation, often leads to unpleasant odors.

  • Social difficulties: This condition can cause significant embarrassment and discomfort for the person experiencing it. The need to hide the regurgitation can lead to social isolation and feelings of shame.

  • Esophageal damage: If rumination syndrome is left untreated, the tube that connects the mouth to the stomach (the esophagus) can become damaged. This can lead to painful symptoms and even more serious health concerns over time. The constant regurgitation can irritate and inflame the esophagus, potentially causing ulcers or other problems.

ရောဂါရှာဖွေခြင်း

Doctors diagnose rumination syndrome by talking to you about your symptoms and learning about your medical history. They also observe your behavior. Often, this initial assessment is enough to make a diagnosis.

Sometimes, additional tests are needed to make sure there isn't another reason for your or your child's symptoms. These tests might include:

  • Upper endoscopy: This test uses a thin, flexible tube with a camera on the end to look closely at your esophagus (the tube that carries food to your stomach), stomach, and the beginning of your small intestine. This helps rule out things like blockages. During the procedure, a tiny piece of tissue (a biopsy) might be taken for further examination in a lab.

  • Gastric emptying study: This test measures how long it takes food to leave your stomach. More advanced versions of this test can also track how long it takes food to move through your small intestine and large intestine (colon). This helps pinpoint if there's a problem with how quickly food is moving through your digestive system. This is important because if the food isn't moving through as it should, it can cause problems.

ကုသမှု

Rumination syndrome treatment begins by making sure it's not another medical issue. The best approach depends on the person's age and how well they understand things.

For people without developmental disabilities, a common treatment is habit-reversal behavior therapy. This involves learning to recognize when the rumination begins. Then, to stop the urge, you practice deep breathing exercises, focusing on using your diaphragm (the muscle under your lungs) to breathe in and out. This helps prevent the stomach from contracting and causing the spitting up. This is often called diaphragmatic breathing.

Biofeedback is another part of this therapy. Using special tools, like imaging, can help you or your child learn how to use diaphragmatic breathing to control the urge to spit up.

For babies, treatment often involves helping parents or caregivers change the baby's environment and routines. This might involve making small adjustments to feeding times or positions.

In some cases, medicine might be helpful. These medicines relax the stomach after a meal.

If repeated spitting up is hurting the esophagus (the tube connecting your throat to your stomach), a doctor might prescribe medicine like esomeprazole (Nexium) or omeprazole (Prilosec). These are called proton pump inhibitors. They help protect the esophagus until the behavior therapy helps reduce the spitting up. This way, the medicine provides a protective layer while the behavior changes are taking place.

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