Most resources and recommendations come from case studies and expert opinions. In addition to appropriate antiemetic therapy, fluid resuscitation, and management of the patient’s symptoms, patients must recognize behaviors and exposures that place them at risk for their pathology. For Substance abuse supportive care, a clinician should work together with the pharmacist to see if any medications could contribute to the patient’s presentation.

• As many other health problems could lead to repeated vomiting, it’s important to discuss your complete health history, including your cannabis use, with any provider you see for your symptoms.
• When you use weed, these compounds bind to cannabinoid receptors found in your brain, digestive tract (gut), and certain cells in your body.
• The cause of death in both people was found to be hyponatremic dehydration, also known as low sodium levels.
• Quitting cannabis use is the only way to get better if you have CHS.
• TRPV1 receptor overstimulation – THC activates the same receptors as capsaicin, explaining the relief from hot showers.

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The cause of death in both people was found to be hyponatremic dehydration, also known as low sodium levels. Keep in mind none of these treatments will be effective if you continue using cannabis products. Stopping cannabis use is the only known way to permanently get rid of CHS.

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For people who can’t contemplate quitting, “other ways to improve symptoms of CHS are to reduce cannabis use and to stop using concentrates,” says Andrews. He adds that people might also switch to a more balanced formulation of THC and other cannabinoids such as cannabidiol (CBD), which does not cause a “high” sensation; these hybrid formulations are less potent. So far, giving up cannabis has been shown to be the only long-term solution. But quitting cold turkey can lead to cannabis withdrawal symptoms such as anxiety, irritability, anger, sleep disturbances, depressed mood, and loss of appetite. Working with a counselor and taking a tricyclic antidepressant (such as amitriptyline) “can help with marijuana cessation,” Angulo says.

What causes cannabinoid hyperemesis syndrome?

Today, hospitals in her area around New Haven, Connecticut, see pediatric CHS cases nearly every day, she added. If you have CHS and don’t stop using, your symptoms like nausea and vomiting are likely to come back. Although it was considered to be rare, the number of cases has increased with the legalization of marijuana in many places and the opening of retail stores to easily get it. This has increased both the number of people using the drug and the “high” in the available weed. Cleveland Clinic’s primary care providers offer lifelong medical care. From sinus infections and high blood pressure to preventive screening, we’re here for you.

Clinical Features, Diagnosis and Treatment

• Other known complications of forceful and uncontrolled vomiting include aspiration and subsequent pneumonitis or aspiration pneumonia as well as injury to the esophageal wall such as Boerhaave’s syndrome.
• Cannabinoid hyperemesis syndrome is an uncommon reaction to cannabis use.
• When recovering from cannabinoid hyperemesis syndrome, it’s wise to avoid anything that could potentially exacerbate symptoms or slow recovery.
• No difference was observed between the groups in terms of engraftment rates and engraftment days (Table 3).

One possible treatment option involves the use of benzodiazepines, such as lorazepam, to control nausea and vomiting. Benzodiazepines are controlled substances that people must use with caution, particularly those with a history of drug use. The first reports came from doctors treating regular users of marijuana for nausea and vomiting in South Australia.

No clinical studies have shown a successful alternative to complete abstinence for permanent relief from cannabis hyperemesis syndrome. Although the medical community is unified on cessation as the only option for those with CHS, some anecdotal reports claim that by using lower THC products or consuming less, cannabinoid hyperemesis syndrome can be avoided. Still, others fault cannabis products themselves, suggesting that excessive THC or commercial pesticides might trigger the condition. The vasodilation induced by heat exposure in hot showers can enhance peripheral blood vessel dilation, promoting improved circulation.

The researchers found that 32.9 percent of the participants reported having experienced symptoms of CHS in the past. But a 2019 study concluded that https://ecosoberhouse.com/ it potentially accounts for up to 6 percent of emergency room visits for recurrent vomiting. Compulsive bathing or showering in hot water to soothe nausea is also a hallmark sign of CHS. Decades ago, most people had less opportunity to consume cannabis in daily life.

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• Hot baths may relieve the nausea for a while, but they don’t cure CHS.
• About 75 percent reported using cannabis regularly for over a year.
• Further studies are also necessary to determine the causes of CHS and its risk factors.

You may need to see a gastroenterologist, a doctor who specializes in the digestive tract, for a proper diagnosis. If you need help quitting, speak to a healthcare provider or connect with your local addiction treatment services. Cannabinoids are compounds in the Cannabis sativa plant that bind to cannabinoid receptors in your brain, spinal cord, gastrointestinal tract and other body tissues.

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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. Other researchers theorize that the effects of marijuana can change with chronic use.