The relationship between rumination and eating disorders

Gastrointestinal complications associated with anorexia nervosa: A systematic review

“…Tables and summarize reports that focused on gastric findings and complications. Studies that focused on sialadenosis, which is characterized by noninflammatory salivary gland enlargement, esophageal perforation, and rumination syndrome, will not be discussed as part of the results given these complications are more frequently observed in BN (although pertinent references have been made available) …”

Pica and rumination behavior among individuals seeking treatment for eating disorders or obesity

“…The presence of these conditions in DSM‐5 implies a degree of impairment that has not yet been thoroughly investigated and may require further study before additional resources are targeted toward detection and treatment. Moreover, the sample subset endorsing pica and rumination behaviors was too small to analyze whether certain feeding disorder symptoms were particularly likely to co‐occur with specific eating disorder symptoms, as hypothesized by previous investigators . In contrast to the high response rate from the residential treatment center (91.4%), the response rate at the weight‐loss clinic was considerably lower (68.0%), which limits the conclusions that can be drawn.…”

“…Unlike pica, an RD diagnosis cannot be given in the presence of another DSM‐5 eating disorder. Nevertheless, rumination behavior has been documented among individuals with eating disorders . In a sample of 35 women with BN, 20% reported rumination behavior .…”

“…Nevertheless, rumination behavior has been documented among individuals with eating disorders. 10,19,25 In a sample of 35 women with BN, 20% reported rumination behavior. 10 In another sample of eight patients presenting with rumination behavior, five met criteria for eating disorders, 25 while other case studies have highlighted presentations of rumination behavior comorbid with AN 19 and binge eating.…”

Managing a patient with rumination

“…Weight loss is seen in a significant proportion (37–42%) of patients 1 3. Symptoms of postprandial ‘vomiting’ and weight loss in an adolescent predominantly female population often raise the question of an eating disorder 8. Many patients have prior admissions to hospital, and a small proportion (11% in one study) of patients require enteral or parenteral feeding for nutritional support 9.…”