Rumination Workup

Updated: Feb 17, 2015
  • Author: Cynthia R Ellis, MD; Chief Editor: Caroly Pataki, MD  more...
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Workup

Laboratory Studies

Hematology and chemistry tests to exclude anemia secondary to bleeding caused by esophageal or gastric ulceration and electrolyte imbalances due to the rumination and loss of essential electrolytes

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Imaging Studies

Barium swallow to demonstrate any of the following:

  • Hiatal hernia
  • Esophageal atresia or other malformations
  • Stricture
  • Achalasia
  • Chalasia

Upper GI series and small bowel follow-through examination to diagnose the following:

Other lab tests that may be useful include the following:

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Other Tests

Extensive and invasive GI testing rarely is indicated but may include the following:

  • GI manometry [5]
  • Upper GI motility
  • Gastric emptying
  • Lower esophageal sphincter pressure
  • Trial of histamine 2 (H2) blockers, metoclopramide, or antacids to rule out underlying causes of rumination when more invasive medical investigation is not possible
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Procedures

See the list below:

  • Perform 24-hour esophageal pH monitoring to exclude GER.
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