Regurgitation, Rumination and the Rumination Syndromes
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Rumination exists in a wide range of ages, from infancy to adulthood, and is a broad spectrum of conditions ranging from short, benign and self-limited to severe and life threatening. The heterogeneity of patients in many reviews of large cohorts of ruminators contributes to uncertainty of diagnosis and management. Although retrospective chart surveys can have great value, what's needed, in my opinion, is more analytic “splitting” of case studies in addition to abstract “lumping” of large populations.