"A line graph. The line has pronounced upwards spikes followed by less pronounced downward spikes. These spikes are separated by longer intermittent periods where the line is jagged, but roughly and statistically straight."@en . . . . . "El s\u00EDndrome de rumiaci\u00F3n (o mericismo) es un trastorno cr\u00F3nico de la motilidad gastrointestinal caracterizado por la regurgitaci\u00F3n sin esfuerzo de alimentos luego de consumirlos. No se conoce del todo la causa de este s\u00EDndrome, pero se ha relacionado con la contracci\u00F3n involuntaria de los m\u00FAsculos alrededor del abdomen.\u200B La sintomatolog\u00EDa se destaca por la ausencia de n\u00E1usea, acidez, olor, o dolor abdominal asociado con la regurgitaci\u00F3n, como se relaciona con el v\u00F3mito tradicional, y la regurgitaci\u00F3n de alimentos no digeridos o parcialmente digeridos. Este trastorno ha sido hist\u00F3ricamente documentado en infantes, ni\u00F1os de corta edad, y personas con (se ha reportado una prevalencia tan alta como 10 % en pacientes institucionalizados con varias discapacidades mentales). Sin embargo, en la actualidad se ha encontrado con m\u00E1s frecuencia en adultos y adolescentes, debido a la falta de concienciaci\u00F3n por doctores, pacientes, y el p\u00FAblico en general. El s\u00EDndrome de rumiaci\u00F3n se presenta en una variedad de maneras, con alto contraste entre la presentaci\u00F3n sintom\u00E1tica del adulto o ni\u00F1o con o sin una discapacidad mental. Como otros trastornos gastrointestinales, la rumiaci\u00F3n puede impactar de forma negativa el funcionamiento normal del individuo y su vida social. Se ha relacionado con depresi\u00F3n. Existe poca evidencia comprensiva con respecto al s\u00EDndrome de rumiaci\u00F3n debido a que la mayor\u00EDa de los individuos afectados sufren en privado. La enfermedad tambi\u00E9n es mal diagnosticada debido a que los s\u00EDntomas y presentaciones cl\u00EDnicas son similares a otros trastornos del est\u00F3mago y es\u00F3fago, como gastroparesia y bulimia nerviosa. Estos s\u00EDntomas incluyen la erosi\u00F3n \u00E1cida del es\u00F3fago y el esmalte dental, halitosis, malnutrici\u00F3n, p\u00E9rdida de peso involuntaria y un apetito insaciable. Individuos pueden comenzar a regurgitar tan pronto como un minuto despu\u00E9s de ingerir alimentos, y el ciclo de ingesti\u00F3n y regurgitaci\u00F3n puede imitar los atracones y purgas de bulimia. El diagn\u00F3stico del s\u00EDndrome de rumiaci\u00F3n es no invasivo y se basa en el historial del individuo. Existen terapias de comportamiento para tratar personas con el s\u00EDndrome de rumiaci\u00F3n, donde un 85 % de los afectados responden positivamente a ellas."@es . . . . . . . . . "\u53CD\u520D\u7EFC\u5408\u75C7\u662F\u6307\u7ECF\u5E38\u6027\u7684\u5C06\u5DF2\u7ECF\u541E\u54BD\u4E0B\u53BB\u7684\u6B63\u5E38\u98DF\u7269\u5410\u51FA\u6216\u662F\u5480\u56BC\u540E\u518D\u54BD\u4E0B\u7684\u4E00\u79CD\u8FDB\u98DF\u969C\u788D\uFF0C\u8FC7\u53BB\u8FD9\u79CD\u75BE\u75C5\u53EA\u5728\u513F\u7AE5\u8EAB\u4E0A\u51FA\u73B0\uFF0C\u4F46\u5982\u4ECA\u5B83\u5728\u6210\u5E74\u4EBA\u8EAB\u4E0A\u51FA\u73B0\u4E86\u4E0A\u5347\u8D8B\u52BF\u3002"@zh . "\u53CD\u520D\u7EFC\u5408\u75C7\u662F\u6307\u7ECF\u5E38\u6027\u7684\u5C06\u5DF2\u7ECF\u541E\u54BD\u4E0B\u53BB\u7684\u6B63\u5E38\u98DF\u7269\u5410\u51FA\u6216\u662F\u5480\u56BC\u540E\u518D\u54BD\u4E0B\u7684\u4E00\u79CD\u8FDB\u98DF\u969C\u788D\uFF0C\u8FC7\u53BB\u8FD9\u79CD\u75BE\u75C5\u53EA\u5728\u513F\u7AE5\u8EAB\u4E0A\u51FA\u73B0\uFF0C\u4F46\u5982\u4ECA\u5B83\u5728\u6210\u5E74\u4EBA\u8EAB\u4E0A\u51FA\u73B0\u4E86\u4E0A\u5347\u8D8B\u52BF\u3002"@zh . . "Rumination syndrome"@en . . . . "P92.1"@en . "Sindrom Ruminasi"@in . "" . "P92.1" . . "Zesp\u00F3\u0142 prze\u017Cuwania"@pl . . . . . . . "1107441183"^^ . . . "article"@en . . "Sindrom Ruminasi adalah sebuah sindrom atau kondisi dimana seseorang memuntahkan kembali secara alami makanan yang telah ditelan kemudian mengunyahnya kembali dan menelan kembali atau memuntahkannya. Sindrom ini termasuk dalam gangguan fungsi pencernaan dan sering terjadi pada bayi atau anak-anak. Sindrom ini pada umumnya terjadi pada anak-anak yang mengalami keterlambatan pertumbuhan atau gangguan neurologis."@in . . . . . . . . . "001539" . . "Ruminatiestoornis is een eetstoornis waarbij de pati\u00EBnt regelmatig voedsel uit de maag opbrengt (regurgitatie) en herkauwt zonder dat er sprake is van misselijkheid. Aangezien de aandoening zich voornamelijk bij (jonge) kinderen voordoet, is deze ingedeeld bij de ontwikkelingsstoornissen. De naam is afkomstig van het Latijnse ruminare, herkauwen. Soms wordt het gedeeltelijk al verteerde voedsel uitgespuugd, maar in andere gevallen weer ingeslikt. De aandoening kan leiden tot ondervoeding en gewichtsverlies, dehydratie en groeiproblemen. In ernstige gevallen kan de dood het gevolg zijn."@nl . . "El s\u00EDndrome de rumiaci\u00F3n (o mericismo) es un trastorno cr\u00F3nico de la motilidad gastrointestinal caracterizado por la regurgitaci\u00F3n sin esfuerzo de alimentos luego de consumirlos. No se conoce del todo la causa de este s\u00EDndrome, pero se ha relacionado con la contracci\u00F3n involuntaria de los m\u00FAsculos alrededor del abdomen.\u200B La sintomatolog\u00EDa se destaca por la ausencia de n\u00E1usea, acidez, olor, o dolor abdominal asociado con la regurgitaci\u00F3n, como se relaciona con el v\u00F3mito tradicional, y la regurgitaci\u00F3n de alimentos no digeridos o parcialmente digeridos."@es . . "3657336"^^ . . "Sindrom Ruminasi adalah sebuah sindrom atau kondisi dimana seseorang memuntahkan kembali secara alami makanan yang telah ditelan kemudian mengunyahnya kembali dan menelan kembali atau memuntahkannya. Sindrom ini termasuk dalam gangguan fungsi pencernaan dan sering terjadi pada bayi atau anak-anak. Sindrom ini pada umumnya terjadi pada anak-anak yang mengalami keterlambatan pertumbuhan atau gangguan neurologis."@in . "Merizismo"@eu . . . "Le m\u00E9rycisme est un trouble des conduites alimentaires se caract\u00E9risant par des r\u00E9gurgitations et remastications des aliments involontairement et de fa\u00E7on incontr\u00F4l\u00E9es, d'o\u00F9 son \u00E9tymologie du grec ancien \u03BC\u03B7\u03C1\u03C5\u03BA\u03B9\u03C3\u03BC\u03CC\u03C2, m\u00EArukismos \u00AB rumination \u00BB.Dans certains cas, la r\u00E9gurgitation est contr\u00F4l\u00E9e (certaines personnes r\u00E9gurgitent sur commande)"@fr . . . "243"^^ . . "M\u00E9rycisme"@fr . . . "S\u00EDndrome de rumiaci\u00F3n"@es . "Merizismoa edo erruminazioa elikadura-portaeraren nahasmendua da, haurtzaroan agertu ohi dena: irentsitako janariak berriro ahoratzen, mastekatzen eta irensten dira. Merizismoaren diagnostikoa ez da inbaditzailea eta norbanakoaren historialean oinarritua dago. Tratamendua eraginkorra da, % 85 baino gehiagok tratamenduari positiboki erantzuten diotenak, tartean haurrak eta mentalki desgaituak."@eu . . "\u0645\u062A\u0644\u0627\u0632\u0645\u0629 \u0627\u0644\u0627\u062C\u062A\u0631\u0627\u0631"@ar . . . . . "Rumination syndrome, or merycism, is a chronic motility disorder characterized by effortless regurgitation of most meals following consumption, due to the involuntary contraction of the muscles around the abdomen. There is no retching, nausea, heartburn, odour, or abdominal pain associated with the regurgitation, as there is with typical vomiting, and the regurgitated food is undigested. The disorder has been historically documented as affecting only infants, young children, and people with cognitive disabilities (the prevalence is as high as 10% in institutionalized patients with various mental disabilities).It is increasingly being diagnosed in a greater number of otherwise healthy adolescents and adults, though there is a lack of awareness of the condition by doctors, patients and the g"@en . "" . . ""@en . . 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"Zesp\u00F3\u0142 prze\u017Cuwania, in. zesp\u00F3\u0142 ruminacji (ang. rumination syndrome) \u2013 przewlek\u0142e zaburzenie czynno\u015Bciowe przewodu pokarmowego o nieokre\u015Blonej precyzyjnie etiologii i patogenezie, objawiaj\u0105ce si\u0119 wyst\u0119puj\u0105cym bez prowokowania wymiot\u00F3w oraz powtarzalnym cofaniem si\u0119 z \u017Co\u0142\u0105dka do jamy ustnej porcji ostatnio spo\u017Cytego pokarmu (tzw. regurgitacje), a nast\u0119pnie ponownym jej prze\u017Cuwaniem i po\u0142ykaniem b\u0105d\u017A wypluwaniem. Zaliczane tak\u017Ce do zaburze\u0144 od\u017Cywiania."@pl . "Transtorno de rumina\u00E7\u00E3o (do latim ruminare), ou mericismo \u00E9 um dist\u00FArbio alimentar caracterizado pela regurgita\u00E7\u00E3o (retorno do alimento digerido \u00E0 boca) frequente, sem esfor\u00E7o nem dor, involuntariamente, devido \u00E0 contra\u00E7\u00E3o involunt\u00E1ria dos m\u00FAsculos do abd\u00F4men. N\u00E3o h\u00E1 n\u00E1usea, queima\u00E7\u00E3o, azia, gosto ruim ou dor abdominal associada a essa regurgita\u00E7\u00E3o, como ocorre com os v\u00F4mitos. A comida retorna pouco digerida, menos de uma hora depois de comer, sem gosto \u00E1cido, tipicamente todos os dias. Em alguns casos ocorre ap\u00F3s todas as refei\u00E7oes. Historicamente, o dist\u00FArbio foi documentado apenas em beb\u00EAs, crian\u00E7as pequenas e pessoas com retraso cognitivo (a preval\u00EAncia \u00E9 de at\u00E9 10% em pacientes institucionalizados com compromisso intelectual). Hoje est\u00E1 sendo diagnosticado cada vez mais em adolescentes e adultos saud\u00E1veis, embora ainda haja uma grande falta de conscientiza\u00E7\u00E3o da condi\u00E7\u00E3o por profissionais de sa\u00FAde, portadores e do p\u00FAblico em geral."@pt . . ","@en . . . . "Rumination syndrome"@en . "La sindrome di ruminazione \u00E8 un disturbo sottodiagnosticato cronico di motilit\u00E0 caratterizzato dal rigurgito senza sforzo della maggior parte dei pasti consumati a causa dell'involontaria contrazione dei muscoli attorno l'addome. Non vi sono sintomi quali conati di vomito, nausea, bruciori di stomaco, odore, o dolori addominali associati al rigurgito, come invece tipicamente accade nei casi di vomito. Nel passato il disturbo sembrava riguardare soltanto neonati, bambini e persone con disabilit\u00E0 cognitive (la frequenza del disturbo raggiunge picchi del 10% nei pazienti ricoverati con diversi tipi di disabilit\u00E0 mentali). Attualmente tuttavia il disturbo viene diagnosticato in un numero crescente di altrimenti sani adulti e adolescenti, sebbene vi sia una carenza generale di conoscenza del problema da parte di medici, pazienti e popolazione in generale. La sindrome di ruminazione si presenta essa stessa in modi differenti, con una spiccata differenza di sintomi tra un adulto mentalmente sano e un neonato oppure una persona con disabilit\u00E0 mentali. Come altri disturbi gastrointestinali, la sindrome di ruminazione pu\u00F2 peggiorare le condizioni di vita di chi ne \u00E8 affetto e comprometterne la vita sociale individuale. \u00C8 stata collegata all'insorgenza della depressione. Vi sono pochi dati al riguardo agli individui altrimenti sani affetti dalla sindrome di ruminazione, poich\u00E9 la maggioranza degli individui affetti non rivela la propria condizione e spesso vi sono casi di diagnosi errate a causa della sintomatologia simile a quella di altri disturbi di stomaco ed esofago, quali gastroparesi e bulimia nervosa. Questi sintomi includono l'erosione indotta dagli acidi dell'esofago e dello smalto, alitosi, malnutrizione, grave perdita di peso ed un appetito inestinguibile. L'individuo affetto dalla sindrome pu\u00F2 avere un rigurgito entro un minuto a seguito dell'ingestione e questo ciclo ingestione-rigurgito pu\u00F2 essere scambiato per un sintomo di bulimia. La diagnosi della sindrome non \u00E8 invasiva e si basa sull'anamnesi del paziente. Il trattamento ha buone possibilit\u00E0 di riuscita, con l'85% dei casi trattati che risponde positivamente, inclusi neonati e individui con disabilit\u00E0 mentale."@it . "Rumination syndrome, or merycism, is a chronic motility disorder characterized by effortless regurgitation of most meals following consumption, due to the involuntary contraction of the muscles around the abdomen. There is no retching, nausea, heartburn, odour, or abdominal pain associated with the regurgitation, as there is with typical vomiting, and the regurgitated food is undigested. The disorder has been historically documented as affecting only infants, young children, and people with cognitive disabilities (the prevalence is as high as 10% in institutionalized patients with various mental disabilities).It is increasingly being diagnosed in a greater number of otherwise healthy adolescents and adults, though there is a lack of awareness of the condition by doctors, patients and the general public. Rumination syndrome presents itself in a variety of ways, with especially high contrast existing between the presentation of the typical adult patient without a mental disability and the presentation of an adult with a mental disability. Like related gastrointestinal disorders, rumination can adversely affect normal functioning and the social lives of individuals. It has been linked with depression. Little comprehensive data regarding rumination syndrome in otherwise healthy individuals exists because most people are private about their illness and are often misdiagnosed due to the number of symptoms and the clinical similarities between rumination syndrome and other disorders of the stomach and esophagus, such as gastroparesis and bulimia nervosa. These symptoms include the acid-induced erosion of the esophagus and enamel, halitosis, malnutrition, severe weight loss and an unquenchable appetite. Individuals may begin regurgitating within a minute following ingestion, and the full cycle of ingestion and regurgitation can mimic the binging and purging of bulimia. Diagnosis of rumination syndrome is non-invasive and based on a history of the individual. Treatment is promising, with upwards of 85% of individuals responding positively to treatment, including infants and mentally disabled people."@en . . . "article"@en . . "Ruminatiestoornis"@nl . . "30855"^^ . . . "F98.2" . . . . . . "Transtorno de rumina\u00E7\u00E3o (do latim ruminare), ou mericismo \u00E9 um dist\u00FArbio alimentar caracterizado pela regurgita\u00E7\u00E3o (retorno do alimento digerido \u00E0 boca) frequente, sem esfor\u00E7o nem dor, involuntariamente, devido \u00E0 contra\u00E7\u00E3o involunt\u00E1ria dos m\u00FAsculos do abd\u00F4men. N\u00E3o h\u00E1 n\u00E1usea, queima\u00E7\u00E3o, azia, gosto ruim ou dor abdominal associada a essa regurgita\u00E7\u00E3o, como ocorre com os v\u00F4mitos. A comida retorna pouco digerida, menos de uma hora depois de comer, sem gosto \u00E1cido, tipicamente todos os dias. Em alguns casos ocorre ap\u00F3s todas as refei\u00E7oes."@pt . "916297"@en . "Ruminatiestoornis is een eetstoornis waarbij de pati\u00EBnt regelmatig voedsel uit de maag opbrengt (regurgitatie) en herkauwt zonder dat er sprake is van misselijkheid. Aangezien de aandoening zich voornamelijk bij (jonge) kinderen voordoet, is deze ingedeeld bij de ontwikkelingsstoornissen. De naam is afkomstig van het Latijnse ruminare, herkauwen. Soms wordt het gedeeltelijk al verteerde voedsel uitgespuugd, maar in andere gevallen weer ingeslikt. De aandoening kan leiden tot ondervoeding en gewichtsverlies, dehydratie en groeiproblemen. In ernstige gevallen kan de dood het gevolg zijn. Voor diagnose is vereist dat dit gedrag zich minimaal een maand lang herhaalt na een periode van normaal eetgedrag. Er moet worden uitgesloten dat het gedrag het gevolg is van een aandoening van het maag-darmstelsel of een aandoening als oesofageale reflux. De symptomen kunnen zich ook voordoen bij anorexia nervosa of boulimia nervosa. Ook worden ze gezien bij mentale retardatie en sommige pervasieve ontwikkelingsstoornissen."@nl . . "307.53"^^ . . . "Merizismoa edo erruminazioa elikadura-portaeraren nahasmendua da, haurtzaroan agertu ohi dena: irentsitako janariak berriro ahoratzen, mastekatzen eta irensten dira. Merizismoaren diagnostikoa ez da inbaditzailea eta norbanakoaren historialean oinarritua dago. Tratamendua eraginkorra da, % 85 baino gehiagok tratamenduari positiboki erantzuten diotenak, tartean haurrak eta mentalki desgaituak."@eu . "Le m\u00E9rycisme est un trouble des conduites alimentaires se caract\u00E9risant par des r\u00E9gurgitations et remastications des aliments involontairement et de fa\u00E7on incontr\u00F4l\u00E9es, d'o\u00F9 son \u00E9tymologie du grec ancien \u03BC\u03B7\u03C1\u03C5\u03BA\u03B9\u03C3\u03BC\u03CC\u03C2, m\u00EArukismos \u00AB rumination \u00BB.Dans certains cas, la r\u00E9gurgitation est contr\u00F4l\u00E9e (certaines personnes r\u00E9gurgitent sur commande)"@fr . . . "A postprandial manometry of a patient with rumination syndrome showing intra-abdominal pressure. The \"spikes\" are characteristic of the abdominal wall contractions responsible for the regurgitation in rumination."@en . . . . . . . . "Sindrome di ruminazione"@it . . . . . . "307.53" . . . "Transtorno de rumina\u00E7\u00E3o"@pt . "916297"^^ . . . . "La sindrome di ruminazione \u00E8 un disturbo sottodiagnosticato cronico di motilit\u00E0 caratterizzato dal rigurgito senza sforzo della maggior parte dei pasti consumati a causa dell'involontaria contrazione dei muscoli attorno l'addome. Non vi sono sintomi quali conati di vomito, nausea, bruciori di stomaco, odore, o dolori addominali associati al rigurgito, come invece tipicamente accade nei casi di vomito. Nel passato il disturbo sembrava riguardare soltanto neonati, bambini e persone con disabilit\u00E0 cognitive (la frequenza del disturbo raggiunge picchi del 10% nei pazienti ricoverati con diversi tipi di disabilit\u00E0 mentali). Attualmente tuttavia il disturbo viene diagnosticato in un numero crescente di altrimenti sani adulti e adolescenti, sebbene vi sia una carenza generale di conoscenza del pr"@it . . ", ,"@en . "F98.2"@en . . . . "Zesp\u00F3\u0142 prze\u017Cuwania, in. zesp\u00F3\u0142 ruminacji (ang. rumination syndrome) \u2013 przewlek\u0142e zaburzenie czynno\u015Bciowe przewodu pokarmowego o nieokre\u015Blonej precyzyjnie etiologii i patogenezie, objawiaj\u0105ce si\u0119 wyst\u0119puj\u0105cym bez prowokowania wymiot\u00F3w oraz powtarzalnym cofaniem si\u0119 z \u017Co\u0142\u0105dka do jamy ustnej porcji ostatnio spo\u017Cytego pokarmu (tzw. regurgitacje), a nast\u0119pnie ponownym jej prze\u017Cuwaniem i po\u0142ykaniem b\u0105d\u017A wypluwaniem. Zaliczane tak\u017Ce do zaburze\u0144 od\u017Cywiania."@pl . . "34255"^^ . "D019959"@en . . "1539"^^ . "," . . "\u53CD\u520D\u7EFC\u5408\u5F81"@zh . 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