{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:04Z","timestamp":1756289404180,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,8]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>A woman in her 20s presented to the emergency department with severe hypokalaemia, resulting in a need for high-dependency unit care. She had a 8-month history of effortless regurgitation of food and significant weight loss. She denied any nausea or retching. A CT angiogram, OGD, enteroscopy, barium meal, MRI abdomen and flexible sigmoidoscopy were normal. The diagnosis of rumination syndrome was suspected from the history and witnessed regurgitation; the diagnosis was confirmed by high resolution oesophageal impedance manometry. The patient was managed with total parenteral nutrition (TPN), behavioural therapy and psychological support. Breathing exercises made a significant improvement to her symptoms. This case emphasises the importance of considering rumination syndrome in young patients presenting with regurgitation of masticated food, in the absence of nausea.<\/jats:p>","DOI":"10.1136\/bcr-2024-264173","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:15:28Z","timestamp":1745554528000},"page":"e264173","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic regurgitation: a clinical approach to the under-recognised rumination syndrome in adults"],"prefix":"10.1136","volume":"18","author":[{"given":"Luiza","family":"Farache Trajano","sequence":"first","affiliation":[{"name":"University College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Westlake","sequence":"additional","affiliation":[{"name":"North Middlesex University Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitra","family":"Subbiah Somasundaram","sequence":"additional","affiliation":[{"name":"North Middlesex University Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Endersby","sequence":"additional","affiliation":[{"name":"University College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"2025082702335399000_18.4.e264173.1","unstructured":"Rumination syndrome: pathophysiology, diagnosis and practical management - PMC. 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