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Rome IV criteria for rumination syndrome in adults

Rome IV criteria for rumination syndrome in adults
Diagnostic criteria*
  1. Persistent or recurrent regurgitation of recently ingested food into the mouth with subsequent spitting or remastication and swallowing
  1. Regurgitation is not preceded by retching
Supportive remarks
  • Effortless regurgitation events are usually not preceded by nausea
  • Regurgitant contains recognizable food that might have a pleasant taste
  • The process tends to cease when the regurgitated material becomes acidic
*Criteria fulfilled for the last three months with symptom onset at least six months before diagnosis
Reproduced from: Stanghellini V, Chan FK, Hasler WL, et al. Gastroduodenal disorders. Gastroenterology 2016; 150:1380. Table used with the permission of Elsevier Inc. All rights reserved.
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