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 gum trains and general cleanliness. However, in 2004 the government allowed sugarless gum to be sold in pharmacies if a doctor or dentist prescribed it due to the Singapore–United States Free Trade Agreement. In 2018, the BBC published a news article on British designer Anna Bullus, who created a method of collecting and recycling chewing gum into plastic, noting that litter from chewing gum is the second most common form of litter, second only to cigarette litter. She uses a Worcester recycling plant to make old chewing gum into plastic. She then uses that plastic at a plastic moulding specialist, Amber