Rome IV criteria for rumination syndrome in adults
Rome IV criteria for rumination syndrome in adults
Diagnostic criteria*
Persistent or recurrent regurgitation of recently ingested food into the mouth with subsequent spitting or remastication and swallowing
Regurgitation is not preceded by retching
Supportive remarks
Effortless regurgitation events are usually not preceded by nausea
Regurgitant contains recognizable food that might have a pleasant taste
The process tends to cease when the regurgitated material becomes acidic
*Criteria fulfilled for the last three months with symptom onset at least six months before diagnosis
Reproduced from: Stanghellini V, Chan FK, Hasler WL, et al. Gastroduodenal disorders. Gastroenterology 2016; 150:1380. Table used with the permission of Elsevier Inc. All rights reserved.