### What is Rumination Disorder in Children? Rumination disorder is a condition where infants and young children regurgitate and re-chew food that has already been swallowed. This behavior usually occurs during or right after eating. While most children outgrow this disorder, it can be concerning for parents. ### Symptoms Symptoms of rumination disorder include: - Repeated regurgitation and re-chewing of food - Weight loss - Bad breath and tooth decay - Stomach aches and indigestion - Raw and chapped lips In infants, you might also notice unusual movements like arching the back or making sucking motions with the mouth. ### Causes The exact cause of rumination disorder is unknown, but several factors may contribute: - Physical illness or severe stress - Neglect or an abnormal relationship with the caregiver - A way for the child to get attention - Possible signs of mental illness such as depression or anxiety ### Diagnosis To diagnose rumination disorder, a doctor will take a complete medical history and perform a physical exam. Tests like X-rays and blood tests may be used to rule out other conditions. The doctor may also observe the child during and after feeding. ### Treatment Treatment focuses on changing the child's behavior. Methods include: - Breathing exercises after eating - Changing the child's posture during and after eating - Increasing interaction between the child and caregiver during feeding - Removing distractions during feeding - Making feeding a more relaxing experience - Distracting the child when rumination begins - Aversive conditioning, like placing something sour on the child's tongue when they start to vomit Psychotherapy for the family may also be helpful. ### Complications If untreated, rumination disorder can lead to: - Malnutrition - Increased susceptibility to infections - Failure to grow - Stomach diseases like ulcers - Dehydration - Aspiration pneumonia - Choking - Death ### Prevention There is no known way to prevent rumination disorder, but careful attention to a child's eating habits can help catch it early. Most children will outgrow the behavior and return to normal eating habits.