gastrointestinal disorders
Rumination
Diagnosis of Rumination
Clinical evaluation Sometimes endoscopy, esophageal motility studies, or both Rumination is usually diagnosed through observation. A psychosocial history may disclose underlying emotional stress. Endoscopy or an upper gastrointestinal series is necessary to exclude disorders causing mechanical obstruction or a Zenker diverticulum. Esophageal manometry and tests to assess gastric emptying and antral-duodenal motility may be used to identify a motility disturbance ( Diagnosis reference ). 1.Murray HB, Juarascio AS, Di Lorenzo C, et al: Diagnosis and treatment of rumination syndrome: A critical review.Am J Gastroenterol114(4):562–578, 2019. doi:10.14309/ajg.0000000000000060 