Rumination syndrome the syndrome in mentally healthy patients appeared thereafter. At first, adult rumination was described and treated as a benign condition. It is now described as otherwise. While the base of patients to examine has gradually increased as more and more people come forward with their symptoms, awareness of the condition by the medical community and the general public is still limited. The chewing of cud by animals such as cows, goats, and giraffes is considered normal behavior. These animals are known as ruminants. Such behavior, though termed rumination, is not related to human rumination syndrome, but is ordinary. Involuntary rumination,
Chewing tobacco historian of the American South in the late 1860s reported on typical usage in the region where it was grown, paying close attention to class and gender: Chewing tobacco is still used, predominantly by young males in some parts of the American Southeast, but also in other areas and age groups. In September 2006 both the Republican and Democratic candidates for Senator from Virginia admitted to chewing tobacco and agreed that it sets a bad example for children. In the late 19th century, during the peak in popularity of chewing tobacco in the western United States, a device known as