However, it affects daily cannabis users who have used cannabis since their teen years when it occurs. While hot showers can offer comfort, they’re only a temporary fix and don’t address the root cause. For lasting relief, individuals should consider reducing cannabis use and seeking medical support. Abstaining from cannabis remains the only known solution for overcoming CHS symptoms.
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Cannabis can both induce and subdue vomiting, a paradox doctors don’t fully understand, Camilleri said. Medical marijuana has long been prescribed for nausea and appetite loss for people with cancer and HIV/AIDS, and the Food and Drug Administration has approved drugs with synthetic THC for use by chemotherapy patients. While waiting for answers, she noticed an educational pamphlet on cannabinoid hyperemesis syndrome (CHS), a little-known illness characterized by an onset of intense vomiting. She wondered if her gastric distress might have been caused by the marijuana she regularly and legally smoked at her home in Toronto.
Common Prescription Medications for Cannabinoid Hyperemesis Syndrome

A lot of people are using marijuana either medically or recreationally right now. Many feel that it’s helping them, whether it has to do with pain management, nausea, mood changes, or anything like that. Experts believe only a fraction of habitual cannabis users develop CHS. But because CHS is a somewhat newly discovered condition that was first diagnosed in 2004, some people may be underdiagnosed or misdiagnosed. At Healing Pines Recovery, we understand that recognizing you need help takes courage.
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In practice, clinicians may have evolved treatment algorithms for managing CHS patients, but our search did not identify any studies reporting this. Cannabinoid Hyperemesis Syndrome (CHS) is a condition linked to long-term cannabis use. People with CHS may find relief from these symptoms by taking hot showers or baths, which can temporarily relieve CHS symptoms. The condition occurs in some individuals who use cannabis regularly, especially in large amounts over a long period.
- Credentialed Physician with both American & Canadian Board of Family Medicine.
- Honestly, if you’re using cannabis products and going through the cycles I’ve described, you may already know what you need to know.
- The estimated safe daily dose for unprocessed neem material was 0.25 mg/kg BW or 17.5 mg for a 70 kg human.
- Endoscopy done in prior admission showed duodenitis, gastritis, and esophagitis, and colonoscopy revealed diverticulosis.
Are there methods for taking cannabis without worsening CHS?
In CHS, receptors that bind to the different components of marijuana can become altered. In this article, we describe CHS and discuss the causes, symptoms, diagnosis, and treatment of the condition. Splanchnic vasodilation – THC alters blood flow, potentially contributing to nausea and abdominal pain.
It causes repeated bouts of nausea, vomiting, and severe stomach pain, making daily life challenging. CHS can be easily missed or mistaken for other disorders, leading to unnecessary suffering. Recognizing CHS and understanding its symptoms is critical to finding relief and achieving long-term recovery. Seeing multiple specialists is important for people with rare diseases because these conditions often affect many heroin addiction parts of the body and require care from doctors with different expertise. Most primary care providers may not be familiar with rare diseases, so involving specialists can lead to a more accurate diagnosis and better care. A coordinated team approach ensures that all symptoms are addressed and that care is well-managed.
What are other impacts of cannabis use?
In the absence of published guidelines, the following recommendations are how long does it take to recover from cannabinoid hyperemesis syndrome based on the authors’ personal experience managing individuals with this disorder. All individuals are at risk of developing hemophagocytic lymphohistiocytosis (HLH). Once the LYST pathogenic variants have been identified in an affected family member, carrier testing for at-risk relatives and prenatal/preimplantation genetic testing are possible. At the NuView Treatment Center, we provide comprehensive and personalized treatment for our clients suffering from cannabis use, including CHS syndrome. We believe in addressing the physical and psychological aspects of cannabis use with behavioral therapies, counseling, education, and social support. Our Drug Rehab Boston center offers specialized treatment for those struggling with marijuana addiction and CHS.
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- Due to the complexity of diagnosing CHS, it’s important to consult with healthcare professionals who are familiar with the condition.
- Cannabinoid Hyperemesis Syndrome is often linked to marijuana addiction, as those with CHS typically have a long history of chronic marijuana use.
- However, it is believed to be linked to long-term, heavy cannabis use.
Anti-nausea drugs may provide short-term relief but aren’t always effective for CHS. Staying hydrated and managing symptoms can help during recovery, but quitting cannabis is the best solution. Hot baths and showers can help relieve the severe symptoms that occur during the hyperemetic phase. It is important to address any dehydration that may be present due to excessive vomiting, and sometimes intravenous fluid administration is necessary.

The Effects of Cannabinoids on the Gastrointestinal System

Perhaps even more importantly, these genetic differences are also a risk factor for a range of other conditions – including addiction, chronic pain, depression, anxiety, coronary artery disease, dementia and type 2 diabetes. This means that getting diagnosed could be key to preventing other health risks for this vulnerable population. To diagnose CHS, a healthcare professional will study your symptoms and ask you questions.
- And the tricky part is that they didn’t have any of the signs or the findings that you would most typically expect of abdominal pain.
- This “hot shower” habit is so common that it’s often a clue in diagnosing CHS.
- There was a significant overlap in the sorting of articles into the categories of diagnosis, pathophysiology, and treatment.
- For that reason, I want to introduce you to cannabinoid hyperemesis syndrome.
- Nausea ceases, appetite resumes, body weight is regained, and bathing/showering regimen returns to normal.
- However, the psychological symptoms can be severe and significantly impact quality of life.
Also, they develop diaphoresis, restlessness, agitation, and weight loss. Experimental evidence reveals that when pesticides are employed in cannabis culture, up to 70% of their concentration may be recruited into its smoke (Sullivan et al., 2013). Considering these facts, better diagnosis, treatment, and intervention are high priorities. A unique aspect of CHS is that many people find relief through hot showers or baths, as warmth appears to ease abdominal discomfort and reduce nausea https://akrasov.ru/alcohol-consumption-and-autoimmune-diseases-2/ temporarily.
Reporting is often subjective and qualitative, and there is no metric for how much physiologically active compounds are contained in one joint, cone, bong, etc. In addition, higher THC content through selective breeding of plants and more selective use of female buds that contain more concentrated THC levels may cause CHS to appear in patients who report lower amounts of cannabis use 170. The pathophysiology of CHS is unclear secondary to a dearth of research dedicated to explicitly investigating its underlying mechanism.
That said, it’s important for cannabis consumers to be aware of CHS, including its symptoms, causes, and how the condition is treated. Both were able to tolerate intermittent cannabis usage in low concentrations, but with relapsing symptoms after any dose escalation. Two reviewers (CS and AM) independently reviewed all titles generated by the search to identify potentially relevant articles. Articles that were clearly not relevant based on title and abstract were excluded. The articles were then segregated into diagnosis, pathophysiology, or treatment categories.