Thursday, March 6, 2025

Cannabinoid Hyperemesis Syndrome CHS: Causes, Symptoms, Treatment

what is cannabinoid hyperemesis syndrome

The only proven way to prevent cannabis hyperemesis syndrome is to avoid cannabis (marijuana). Hot baths may relieve the nausea for a while, but they don’t cure CHS. Taking too many hot baths can increase dehydration due to sweating.

Health Conditions

Because CHS is hard to diagnose, there may be more people who have it and do not know it. Then again, in an attempt to diagnose, doctors may sometimes perform unnecessary tests. Find the latest evidence-based recommendations for treating your patients. When you stop using cannabis completely, you will usually feel better in 10 days. As a trusted Georgia recovery center, we are dedicated to serving our clients through various alcohol and drug addiction programs. We have a firm belief that it is possible for YOU to achieve and sustain long-term recovery.

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Cannabinoid hyperemesis syndrome (CHS) is a condition in which a patient experiences cyclical nausea, vomiting, and abdominal pain after using cannabis. The almost pathognomic aspect of a patient’s presenting history is that their symptoms are relieved by hot baths or shower. This activity introduces the pathophysiology, clinical manifestation, and management of cannabis hyperemesis. WASHINGTON (Feb. 20, 2025)–A new study analyzes the disease burden and the risk factors for severity among people who suffer from a condition called cannabinoid hyperemesis syndrome. A new study analyzes the disease burden and the risk factors for severity among people who suffer from a condition called cannabinoid hyperemesis syndrome.

What happens if I stop using cannabis?

  • One possible explanation for this is called “gate control theory,” which postulates that to some extent, the brain can regulate how much pain it perceives.
  • Read on to understand what CHS is, how it develops, what the main signs are, and why seeking help is critical if you want to break free from this difficult cycle.
  • This doesn’t mean everyone who tries cannabis occasionally will wind up with this condition.

Receptors are specialized cells that respond to specific stimuli or changes in the environment. Intravenous fluids and an antiemetic (medicine to stop vomiting) are two standard approaches, Heard says. Fortunately, an older medication, droperidol, does seem effective in stopping the vomiting.

How Long Do Drugs Stay in Your System?

Preventing dehydration and stopping nausea and vomiting are the treatment goals during the hyperemesis stage of the condition. Cannabinoid hyperemesis syndrome (CHS) is a condition that sometimes develops due to the long term use of marijuana. Some people with conditions like epilepsy, multiple sclerosis, chronic pain and nausea believe that marijuana helps them. Heard and other physicians say the lack of solid, peer-reviewed research on cannabis’s effectiveness remains reason for skepticism. Its federal status as a Schedule I drug continues to hamper medical-research efforts. Patients are often diagnosed with the syndrome based on the way they treat their own symptoms.

what is cannabinoid hyperemesis syndrome

Can CBD products without THC cause cannabis hyperemesis syndrome?

But a 2019 study concluded that it potentially accounts for up to 6 percent of emergency room visits for recurrent vomiting. CHS is a newly identified condition, so doctors currently know little about it. No clinical guidelines exist, so they must rely on published case reports to treat people with CHS. However, doctors exercise caution when prescribing lorazepam because it is a controlled substance with the potential for abuse and addiction. The use of lorazepam for CHS is also off-label, so a person’s doctor would need to make them aware of this fact.

About 100 of McIff’s patients currently use medical cannabis, mostly for chronic pain. However, he opposes recreational legalization — or even casual medical legalization where the difference gets blurred. The network relies on subtle nudges to modulate stress, appetite, hormones, memory, emotions, sleep, body temperature, pain and the immune system. That sweeping portfolio may in time uncover previously unimaginable treatments for difficult conditions, says UC Irvine’s Daniele Piomelli, who since the early 1990s has been a key player in endocannabinoid system research. Utah medical cannabis law allows up to 113 grams of raw cannabis flower a month. Depending on the potency, what is Oxford House that could be enough for seven joints a day.

  • Receptors are specialized cells that respond to specific stimuli or changes in the environment.
  • But at the state level, the race to legalization in recent years has been dizzying.
  • According to the National Conference of State Legislatures, as of January, 39 states allow medical marijuana, with 24 of those having fully legalized weed.
  • Having a trusted medical team can make all the difference, from offering strategies for stress management to prescribing medications that ease withdrawal symptoms.
  • After stopping cannabis use, symptoms generally resolve within days or months.
  • Ultimately, the only way to guarantee health is by totally abstaining, he added.

With the widespread use, increased potency and legalization of marijuana in multiple states in the U.S., CHS may be becoming increasingly common. According to the Cleveland Clinic, CHS “can affect people who use cannabis (marijuana) long-term,” and can cause “frequent, severe nausea and vomiting.” According to the outlet, Krumholtz developed a rare condition called cannabinoid hyperemesis syndrome (CHS) after he returned to using marijuana after “a long break.” Among those daily or nearly-daily users are many who look to cannabis for help with assorted ailments. In 2018, the International Cannabis Policy Study found that 27 percent of North Americans between 16 and 65 had used cannabis to help with pain, sleep, migraines, anxiety, depression and PTSD. Conditions that qualify under Utah’s medical cannabis law include HIV, Alzheimer’s, ALS, cancer, Crohn’s disease, epilepsy, multiple sclerosis and PTSD.

what is cannabinoid hyperemesis syndrome

what is cannabinoid hyperemesis syndrome

With the consumption of marijuana increasing due to the legalization of its recreational use in many states, doctors may receive more reports of side effects from marijuana use. As CHS is a newly described condition, many doctors may find it challenging to diagnose and treat. Researchers have tried to explain what causes CHS, but further study is necessary. He also warned that people with serious mental illnesses, such as schizophrenia, should be cautious about marijuana use, as studies show cannabis can exacerbate the effects of those illnesses.

When it does strike, the signs can be both overwhelming and confusing, especially since people often think of marijuana as something that settles their stomach rather than something chs symptoms and signs that triggers vomiting. An even more troubling piece of the puzzle is that many people who feel nauseated due to CHS may try to use more marijuana to alleviate their symptoms, not realizing they’re only making the problem worse. Understanding that cannabis might be the root cause of your nausea is essential for breaking out of the loop. The rise in cannabis legalization could also mean more people have ready access to stronger strains. Since high-potency cannabis can pack a more powerful effect on the body, it’s possible that even fewer years of use could lead to CHS in some cases.

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Beverly Alan
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