A Comprehensive Review and Update on Cannabis Hyperemesis Syndrome

Table 3 presents the distribution of themes over all the posts that were not manually coded. Note that the counts do not add up to 2,683 because some of the posts were classified as N/A (not available). Figure 3 presents the distribution of themes and posts in cannabinoid hyperemesis syndrome subreddits over time. The figure shows that there were notable increases in posts about cannabinoid hyperemesis syndrome in the first half of 2020 and substantial spikes in 2022. The recent spikes illustrate the growing interest and awareness of cannabinoid hyperemesis syndrome among the members of the online forum.

The exact mechanism of hyperemesis associated with long-term cannabis use is unknown

If you’re not upfront about your marijuana use, your provider may diagnose you with a completely different issue. During this period, you can vomit as often as five times in a single hour. These vomiting bouts feel relentless and severe, and over-the-counter medications rarely help. The only immediate relief often comes from taking very hot baths or showers.

By staying informed and cautious, we can better navigate the complexities of cannabis use and its potential health impacts. The increase in emergency medicine department visits for CHS between 2017 and 2021 signifies the growing impact of this condition. Early diagnosis and treatment are crucial to prevent complications from worsening and to provide relief to those affected. Medical treatments for Cannabinoid Hyperemesis Syndrome (CHS) are essential for managing severe symptoms and preventing complications. Intravenous fluids restore electrolyte balance and offer immediate relief. Diagnostic tests for CHS include a urine drug screen to confirm cannabis use and blood tests to evaluate electrolyte imbalances.

Health Resources

The major risk factor for cannabinoid hyperemesis syndrome is long-term cannabis use, especially over 10 years. It is also regular cannabis use, especially among those who use it at least once a week or more. Since 2004, doctors have identified key symptoms and characteristics of the condition that can help speed up diagnosis. However, researchers have yet to determine the cause of CHS since it does not affect all users of marijuana.

Treatments for Alcohol Use Disorder

Electrolyte-rich fluids, like oral rehydration solutions or clear broths, Alcoholics Anonymous should be sipped slowly in very small amounts, such as one teaspoon every few minutes. A strict avoidance diet is necessary to prevent the activation of the hypersensitive digestive tract, particularly during acute episodes. Foods containing naturally occurring compounds similar to those in cannabis are the most common culprits. Black pepper, for instance, contains the terpene beta-caryophyllene, which interacts with the CB2 receptor and must be avoided.

Cannabis Hyperemesis Syndrome (CHS)

This journal will help you identify patterns and connections between specific foods and your symptoms. Capsaicin is the active compound responsible for the spiciness of chili peppers. In the context of CHS, capsaicin is believed to activate similar pathways in the nervous system as cannabinoids, potentially triggering or worsening nausea and vomiting. The symptoms of CHS include severe nausea, repeated vomiting, and stomach pain.

Our dedicated therapists work closely with you to create treatment plans aligning with your needs and goals.
The author(s) declare that financial support was received for the research, authorship, and/or publication of this article.
In this article, we will explore the symptoms, causes, and treatment options for Cannabinoid Hyperemesis Syndrome.
Other claims have implicated CHS due to use of neem oil from the seed of Azadirachta indica, or its primary insecticidal agent, azadirachtin.
Cognitive-behavioral therapy (CBT) or addiction treatment programs can provide tools to manage cravings and achieve long-term abstinence.
CHS is a condition that affects regular cannabis users, causing cyclic episodes of severe nausea, vomiting, and abdominal pain.

1 Pathophysiology of CHS

The prevalence of CHS appears relatively low among regular cannabis users, but research into the condition is still ongoing.
Whether you're just learning about CHS, dealing with symptoms, or looking for community support, we're here to help guide your journey.
As cannabis use continues to rise, awareness of CHS among both clinicians and cannabis users is important.

If you’re interested, reach out to a mental health professional how long does it take to recover from cannabinoid hyperemesis syndrome like a licensed psychologist or therapist. Start by introducing gentle sources of whole grains, such as oatmeal or whole wheat bread, which provide fiber and energy. Follow this with easily digestible, cooked vegetables, like steamed carrots or zucchini, before attempting raw produce. It is important to maintain strict vigilance against the foods identified as potential triggers, as sensitivity to these compounds may persist long after the acute episode has passed. The selection of protein and fruits requires caution to ensure minimal irritation.

Current findings suggest that the body’s naturally stored cannabinoids might eventually overwhelm receptors in the gut or other systems, flipping the usual script where cannabis often helps with nausea. However, one study indicated that over 32% of people who identified as frequent marijuana users and visited an emergency department met the criteria for CHS. This figure might suggest the problem is more common than many realize, especially as more U.S. states legalize marijuana and higher-potency products flood the market.

Knowing these can help marijuana users recognize the signs early, seek appropriate treatment, and avoid further complications. With the expanding acceptance and legalization of cannabis worldwide, healthcare providers face a crucial imperative to accurately identify CHS amidst a sea of similar clinical presentations. People with CHS also tend to have a strong urge to take very hot showers or baths.

The primary mechanism involves the overstimulation of endocannabinoid receptors due to chronic cannabis use, disrupting the body’s natural control mechanisms for nausea and vomiting. THC, the active ingredient in cannabis, interacts with cannabinoid receptors, particularly CB1 receptors in the hypothalamus, which are known for their antiemetic effects. However, the accumulation of THC in fatty tissues can overstimulate the enteric nervous system, potentially triggering hyperemesis. When you stop using marijuana after regular, heavy use, you’ll likely experience withdrawal symptoms—even if you don’t have CHS. Cannabis withdrawal syndrome https://moallempress.ir/2021/08/13/signs-for-dual-diagnosis-alcoholism-and/ is a recognized medical condition that affects approximately 47% of regular marijuana users who attempt to quit. Sometimes, doctors actually recommend cannabis for specific conditions like cancer-related nausea.

Learn how to identify and manage CHS trigger foods, understand the science behind dietary impacts, and discover proven strategies for symptom relief. Once acute symptoms have fully resolved and the recovery diet has been tolerated for several days, the next step is the slow reintroduction of a more balanced diet. This phase is important for regaining nutritional health and addressing deficiencies caused by prolonged vomiting or restrictive eating. The process requires patience and careful monitoring for any return of symptoms. Navigate emergency room visits effectively with this essential CHS guide. Learn precisely what to expect, how to prepare, essential items to bring, and the best ways to communicate your condition to healthcare professionals.

Since CHS is a condition directly linked to cannabis use, stopping cannabis is the most effective approach. However, CHS presents a unique challenge for regular cannabis users, and understanding this syndrome is crucial for recognizing its signs and seeking proper treatment. Quitting cannabis use is the only way to get better if you have CHS. Contact your health care provider if you suspect you might have CHS or for information on treatment options for cannabis use disorder. We provide specialized therapies such as light therapy, anger management therapy, and OCD therapy. Our dedicated therapists work closely with you to create treatment plans aligning with your needs and goals.