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[Dysphagia] regurgitation
On behalf of the gentleman who has these problems, I want to thank you all
for the helpful information. I'll try to keep you posted as to what happens
to him and his response.
----- Original Message -----
From: "Pressman, Hilda" <pressmah at sjhmc.org>
To: "Dailey, Scott" <scott-dailey at uiowa.edu>; "kathleen wright"
<hillivie423 at adelphia.net>; "Julie Huffman" <huffro at nc.rr.com>;
<dysphagia at b9.com>
Sent: Tuesday, November 14, 2006 5:12 PM
Subject: Re: [Dysphagia] regurgitation
> Well put We often ask the doc to treat GERD empiracally. If there is
> some improvement then we can begin to work on the behaviors
>
> -----Original Message-----
> From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com]On
> Behalf Of Dailey, Scott
> Sent: Wednesday, November 08, 2006 9:51 PM
> To: kathleen wright; Julie Huffman; dysphagia at b9.com
> Subject: Re: [Dysphagia] regurgitation
>
>
> Regurgitation/rumination can have multiple functions. (function in the
> sense that it fills some purpose for the individual). First, being
> "stimulated by reflux." Second, "self stimulatory behavior" the
> individual has learned to volitionally regurgitate and "enjoys" that
> feeling. Third, gastric emptying difficulties. Fourth, attention--
> someone interacts, says something to them when they do it. Or avoidance.
> If asked to do something they regurgitate because in the past someone has
> backed off the demand because of or coincidentally with the regurgitation.
> There are likely other possible reasons.
>
> One way to evaluate why it is happening to is set up different conditions
> and track the regurgitation. For example, have the person actively
> engaged in a preferred activity and count number of regurgitations, as
> compared to a demand task that is less preferred, and as compared to a sit
> alone condition. You can also track frequency of regurgitation in time
> relationship to meals and drinks. It is most likely to happen when the
> stomach is full. If it is happening several hours after a meal, gastric
> emptying may be an issue. Typically reflux medications are recommended to
> help decrease the irritation cause by "voluntary" reflux.
>
> Scott Dailey,
> Speech-Language Pathologist
> University of Iowa Hospitals and Clinics.
>
> -----Original Message-----
> From: dysphagia-bounces at b9.com on behalf of kathleen wright
> Sent: Wed 11/8/2006 4:30 PM
> To: Julie Huffman; dysphagia at b9.com
> Cc:
> Subject: [Dysphagia] regurgitation
>
>
>
> What causes regurgitation in adults who have MR? I know of a gentleman
> who is doing it apparently on purpose and ruminating. He stopped the
> regurgitation and rumination while he was on Zyprexa, and started it up
> again when he was taken off the drug. Any thoughts as to cause and most
> efficacious treatment?
> Many thanks.
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