Stanghellini 2016 Rome IV rumination syndrome. rome_iv_rumination is true iff persistent or recurrent regurgitation of recently ingested food with subsequent spitting or remastication and swallowing, regurgitation not preceded by retching, last-3-months criteria, and 6-month onset. Supportive remarks (effortless, not preceded by nausea, recognizable food, ceases when acidic) are copy-only and not parsed. magent does not observe regurgitation. Not a diagnosis, not CHS, not CVS, not GERD.

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