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[Dysphagia] question regarding rumination



I work with adults with DD.  We have some individuals who have a high
incidence of rumination throughout the day.  A behavior analyst (BA) I
work has recommended the high starch diet and stated that there was
empirical evidence to support it.  We also rule out all the medical
issues and address the rumination as reflux to minimize the damage to
the esophagus.  We also look at behavioral causes for the rumination,
i.e., positioning, boredom (a big cause with adults).  The BA analyzes
the person's environment to determine if there are any patterns or
reinforcing responses that make the rumination more likely to occur.  If
you have access to a BA, they can be of great assistance in figuring out
what might be going on.  We have found that it is important for everyone
who works with the person meet to strategize the most appropriate method
of intervention, and then everyone has to agree they will follow the
determined plan.
 
 
Marie M. Isbell, MA, CCC-SLP
Therapeutic Services Team
West Tennessee Regional Office
P.O. Box 949, 11437 Milton Wilson Road
Arlington, TN 38002
(901) 745-7633
Cell (901) 336-9078
Fax: (901) 745-7273
Marie.Isbell at state.tn.us 
 
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>>> Cheryl Barry <cheryl_catherine at yahoo.com> Thursday, January 11,
2007 6:35 PM >>>
I am an SLP and recently started seeing a child who ruminates 50-70
times/hour.  I am seeing him for feeding issues including significant
oral control deficits and a limited diet.  His parents recently took him
to a rumination specialist who recommended that he start eating peanut
butter and bread/dry starches (which he will not accept).  Does anyone
have experience with foods that are meant to reduce rumination or have
experience with successful behavioral interventions?  
   
  Cheryl Barry, M.S., CCC-SLP


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