What is Rumination Syndrome?

Rumination syndrome (or disorder) is a condition that involves the repeated, effortless regurgitation of recently-eaten food that is then rechewed, reswallowed, or spit out. It is classified as both a digestive disorder and a feeding and eating disorder.

Signs and symptoms of Rumination Syndrome

The following are common signs and symptoms.

  • Repeated regurgitation of food that was recently swallowed back into the mouth; if it is intentional, it does not require effort
  • Regurgitation that occurs in the absence of nausea, gagging, or retching
  • Tooth decay
  • Nutrient deficiencies
  • Unintended weight loss
  • Avoidance of eating with others

Diagnosis criteria for Rumination Syndrome

Rumination syndrome (or disorder) affects people across the lifespan, from infants to adults. It is diagnosed when the following criteria are met: 


  1. The repeated regurgitation of food occurs over a period of at least one month
  2. Gastrointestinal disorders that can lead to regurgitation (e.g. gastroesophageal reflux) and other eating disorders (e.g. bulimia nervosa) in which rumination sometimes occurs have been ruled out
  3. If the repeated regurgitation occurs with an existing mental illness, which could be an eating disorder such as anorexia nervosa or bulimia nervosa, it is severe enough to warrant specific attention


Note: while infants often regurgitate soon after eating, this behaviour typically does not persist. A child who continues to repeatedly regurgitate food should be assessed by a health professional.

Anorexia Nervosa

Anorexia nervosa is a mental illness characterised by behaviours that interfere with maintaining an adequate weight. 

Biological, social, genetic, and psychological factors play a role in increasing the risk of its onset.

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Bulimia Nervosa

Bulimia nervosa is a mental illness characterised by periods of food restriction followed by binge eating, with recurrent compensating behaviours to “purge” the body of the food.

Biological, social, genetic, and psychological factors play a role in increasing the risk of its onset.

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Avoidant and Restrictive Food Intake Disorder

Avoidant/restrictive food intake disorder (ARFID) is characterised by severe limitations in the amount and/or types of food consumed, but unlike anorexia nervosa, it does not involve distress about body shape or size, or fears of fatness. 

ARFID is a mental illness which can severely compromise growth, development, and health. 

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Binge Eating Disorder

Binge eating disorder is a mental illness that can seriously affect psychological and physical health. It is characterized by recurrent episodes of eating large quantities of food then experiencing shame, distress or guilt afterwards.

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Other Specified Feeding or Eating Disorder

Other Specified Feeding and Eating Disorders refers to atypical presentations of anorexia nervosa, bulimia nervosa, and binge eating disorder, among other eating disorders. 

These eating disorders are equally serious and as potentially life-threatening as the more typical presentations. 

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Pica

Pica involves the persistent consumption of non-nutritive, non-food items.

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Rumination Syndrome (or Disorder)

Rumination syndrome, which also goes by the name rumination disorder, is classified as both a digestive disorder and a feeding and eating disorder.

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