Although this information comes from case reports, doctors can use these criteria to diagnose the condition more quickly. Doctors have also noticed that people in the hyperemesis stage take frequent showers and baths, which seem to relieve nausea. People in the hyperemesis stage will experience intense and persistent nausea and vomiting. On the basis that only a small number of regular and long term users of marijuana develop CHS, some researchers suggest that genetics might play a role. Many people with CHS go to their doctor or an emergency room (ER) for treatment. However, doctors may find it challenging to diagnose the syndrome because people tend not to report their use of marijuana.

Cannabinoid Hyperemesis Syndrome Diagnosis

• This could be another contributing factor in the pathophysiology of CHS (Fig. 1).
• A greater understanding of the natural course of the syndrome and response to marijuana cessation may be gained with longer lengths of follow-up.
• People with the disorder often feel cyclic periods of nausea for months or years.
• Part of addiction is the intense need or craving to use a substance.
• Many people with CHS will compulsively shower or bathe — often for hours every day — to relieve CHS symptoms.
• Despite the well-established anti-emetic properties of marijuana, there is increasing evidence of its paradoxical effects on the gastrointestinal tract and CNS.

The mechanism by which cannabis induces hyperemesis is presently unknown. A recent review has explored numerous Sober living house potential explanations regarding various pharmacokinetic and pharmacodynamic factors of the cannabinoids 72. The cannabis plant contains over four hundred different chemicals, with sixty possessing cannabinoid structures 76.

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In most cases, the symptoms of the syndrome will disappear pretty fast. The patient may feel much better in general within a few days, usually one or two. However, the symptoms can come back if the person starts consuming cannabis again.

How common is cannabinoid hyperemesis syndrome?

Part of addiction is the intense need or craving to use a substance. Addiction to marijuana is no different and some of that impacts the effectiveness of treatment and the potential for relapse. Less common is the potential of pharmacological treatments for it. These would be treatments for marijuana use disorder that rely on medications to be effective. For other drugs of use like opioids, this type of treatment has been thoroughly proven as safe and effective.

• When the syndrome develops, which takes a few years, the consumer will experience various problems such as nausea, throwing up, weight loss, disturbed eating patterns, etc.
• Cannabis Hyperemesis Syndrome is a growing concern in today’s era of high-potency cannabis products.
• Patients with CHS usually remain misdiagnosed for a considerable time period.
• Cannabinoid hyperemesis syndrome (CHS) is a very unpleasant — and potentially dangerous — complication of long-term marijuana use.

How long does it take to recover from cannabinoid hyperemesis syndrome? The time it takes for recovery after CHS is dependent on your body, your care schedule, and if you refrain from any use during the recovery process. We recommend if you are concerned about how you are progressing that you reach out to your doctor. As of now, we are not seeing any research coming through that CBD will help CHS. It is important that you ask your doctor before trying any new or different treatments than those that they recommend.

Symptoms are typically mild during the first stage of the condition. In the hyperemetic phase, however, symptoms can be quite severe. CHS is a rare condition that may result from long-term cannabis use. People with the condition often experience severe nausea and repeated vomiting. Another reason is that CHS symptoms and stages are quite similar to those of other conditions, such as cyclical vomiting syndrome.

To make a diagnosis, your healthcare provider will conduct a thorough physical examination and ask you about your past health and current symptoms. It’s helpful to volunteer your history of cannabis use with your provider if you are not asked about it. The CHS recovery phase starts when you stop your marijuana use. When you do this, your symptoms usually start to go away in few days to a few months.

• If you suspect you have CHS, it’s important to act promptly and consult with healthcare professionals to receive appropriate care.
• If you have any symptoms of severe dehydration, like dizziness, confusion and a rapid heartbeat, call 911 right away.
• Much like addiction or dependence on a substance, it appears that CHS can be due to a combination of things.
• The only proven way to prevent cannabis hyperemesis syndrome is to avoid cannabis (marijuana).
• The metabolism of THC occurs mainly in the liver via oxidation and hydroxylation reactions.
• The endocannabinoids are present in both the central nervous system 8 and enteric nervous system 15.

Food Recommendations while in the Hyperemetic phase:

It tends to affect people who use cannabis at least once a week and happens more often in adults who’ve been using cannabis since their adolescent years. The symptoms typically last a few weeks, though the throwing up should ease up in a day or two. Your doctor may ask you questions, like how long you’ve been using cannabis and what type of products you normally use.

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11-OH-COOH is a psychotropic metabolite that is equipotent to THC in terms of producing psychic effects and lowering intraocular pressure 25. THC-COOH, in contrast, is a non-psychotropic metabolite that possesses anti-inflammatory and analgesic properties 26. Treatment that helps prevent dehydration and loss of electrolytes can help reduce your risk of many of these problems. THC and other chemicals in cannabis also bind to molecules in your digestive tract. These chemicals can change the time it takes your stomach to empty food. The best and only way to prevent or reduce your risk for CHS is to avoid or quit marijuana use.

How To Prevent Cannabinoid Hyperemesis Syndrome?

It is often described as a syndrome that affects only a small portion of people who are heavy, chronic cannabis users. However, research suggests that it could be far more prevalent and may continue to increase due to factors like the legalization of marijuana and the increased use of medical marijuana. CHS is a rare but serious condition affecting long-term, frequent cannabis users.