Knowledge Base


by Dr Vaid Ji on Apr 08, 2024



  • Rumination Syndrome is also known as Rumination Disorder or Merycism . Is a rare and often misunderstood  gastrointestinal disorder .
  • Characterized by the effortless regurgitation of recently ingested food into the mouth , followed by either rechewing  and reswallowing  or spitting it out.
  • Unlike vomiting which involves the forceful expulsion of stomach contents , rumination is typically voluntary and occurs within minutes of eating.


        Some factors include:

  • Learned behavior : Rumination syndrome is often considered a learned behavior , where individuals involuntarily and habitually regurgitate recently ingested food.
  • Psychological Factors : Such as anxiety , depression or other emotional stress play a role in the development or exacerbation of rumination syndrome.
  • Gastrointestinal Sensitivity
  • Neurological Factors
  • Other Medical Conditions such as gastroesophageal reflux disease (GERD) , eating disorders or intellectual disabilities.


  • Repetitive Regurgitation
  • Rechewing or Reswallowing
  • Weight loss
  • Abdominal pain
  • Nausea
  • Indigestion
  • Bad breath
  • Tooth decay
  • Chapped lip
  • Malnutrition
  • Social Isolation
  • Dental erosion
  • Dehydration
  • Aspiration
  • Electrolyte imbalance
  • Blood test
  • Imaging techniques to rule out gastrointestinal disorder.
  • Esophagogastroduodenoscopy
  • Gastric emptying test
  • High resolution esophageal manometry


  • Behavioral therapy
  • Habit reversal therapy
  • medications


In Ayurveda Rumination Syndrome is often associated with an imbalance in the digestive fire or "AGNI".

Treatment typically involves restoring balance to Agni through dietary and lifestyle changes.

Digestive herbs : Herbs like Ginger , Cumin , Fennel and Coriander can help improve digestion and reduce symptoms of Rumination Syndrome.

Natural Herbs

  • Triphala

Triphala (amla , bibhitaki and haritaki) is known for its digestive benefits and can help regulate bowel movements.

  • Licorice root

Licorice root has been used traditionally to help soothe the digestive tract and reduce symptoms of indigestion.

  • Ginger

Ginger has anti-inflammatory properties and help soothe the digestive tract. It can be consumed as a tea or added to food.

  • Peppermint

Peppermint tea or oil help relax the muscles of the muscles of the digestive tract and reducing regurgitation.

  • Chamomile

Chamomile tea is known for its calming properties and help reduce stress and anxiety.

  • Lemon balm

Lemon balm is a calming herb that help reduce stress and anxiety  which can be triggers for rumination syndrome.

  • Fennel

Fennel seeds are often used to aid digestion and may help reduce symptoms such as bloating and gas.

Ayurvedic diet

Following an Ayurvedic diet that is tailored to your specific dosha (body type) can help improve digestion . This diet typically includes whole foods , plenty of water and avoidance of processed foods.

Lifestyle changes

 Managing stress , healthy eating and getting regular exercise can also help improve digestion and reduce symptoms of rumination syndrome.