Provide appropriate medical treatment for recurrent bronchitis or pneumonia. Rumination may begin as self-stimulation but becomes reinforced because of the attention it attracts. Habit reversal with relaxation Diaphragmatic breathing Self-hypnosis with relaxation Guided imagery Biofeedback with abdominal relaxation Complete chewing Relaxation while eating Weight reduction Stress management Throat clearing Sipping water between bites Decreasing caffeine and alcohol consumption Aversive behavioral strategies are recommended if the individual's health is jeopardized or if the individual's health status has had a rapid and dramatic change. Noxious tastes Psychodynamic Provide noncontingent holding for individuals who are young and institutionalized. Address psychological distress, depression, and anxiety.
Caution is recommended when considering use of medications to treat rumination.
The disorder remits spontaneously in infants more often than in older individuals. Rumination may persist for months to years. Physicians lack awareness of prevalence of rumination among individuals of normal intelligence. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.