Open AccessA peculiar tale of vomiting – rumination syndrome in three adult patients
Author(s) -
Laima Alam,
Mafaza Alam,
Varqa Faraid
Publication year - 2022
Publication title -
journal of the pakistan medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.242
H-Index - 43
ISSN - 0030-9982
DOI - 10.47391/jpma.2244
Subject(s) - medicine , vomiting , rumination , regurgitation (circulation) , cyclic vomiting syndrome , pediatrics , population , psychiatry , cognition , environmental health
Rumination syndrome is a functional gastrointestinal disorder with effortless, non-projectile regurgitation seen mostly in paediatric population and seems to be an uncommon gastrointestinal disorder due to lack of awareness among physicians. Here we report three such cases in adult patients that were labeled “refractory vomiting”. No such case has been reported from Pakistan which makes this a unique case series. All of our patients were diagnosed within six to fifteen months of initial symptoms, hence a high index of suspicion is required for early diagnosis of Rumination Syndrome to avoid excessive and repeated investigations, causing emotional trauma and financial loss to the patients and their families.Keywords: Manometry, ROME-IV, Rumination syndrome, Vomiting.