What is CHS? How nausea, stomach pain led to a diagnosis and link to cannabis

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Researchers have noted that cannabis’ effects are often biphasic — it causes opposite effects in different contexts. For some components in the plant, different doses could lead to either nausea or nausea relief. Acupuncture/acupressure has been used to treat nausea symptoms successfully.

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Dehydration from vomiting can be fatal, so these symptoms should be taken seriously. Based on this data, it’s likely that CHS is a heritable condition that only occurs when someone with these genes uses cannabis frequently for a long period of time. It’s likely that CHS is a heritable condition that only occurs when someone with these genes uses cannabis frequently for a long period of time. Importantly, the patient must be a (usually frequent) cannabis user during this time for the CHS diagnosis to fit.

Treatments for Alcohol Use Disorder

Taking a large amount of Marijuana for extended periods of time without asking an expert can do more harm than good. Wilbert said taking hot showers and staying hydrated can alleviate some of the symptoms. According to data from the Department of Public Health, cannabis-related emergency room visits increased by 53% in Maryland from 2022 to 2023. Recreational marijuana use became legal for adults in Maryland on July https://www.emagidlondon.com/sober-living/the-sinclair-method-innovative-alcohol-addiction-3/ 1, 2023. BALTIMORE — An illness linked to chronic marijuana use is sending people to emergency rooms as cannabis legalization continues to spread across the country.

In the Prodromal Phase, patients experience early morning nausea, a fear of or impulse to vomit, lack of appetite and eating, and abdominal pain that can last for days. This stage can last for months to years, and during it patients tend to increase cannabis use to ease their nausea. As it progresses, the cycle of nausea, vomiting, dehydration, diarrhea, and abdominal pain becomes more frequent, and patients may attempt to self-medicate.

  • However, Camilleri said that men are more likely to develop it, as are people who have used marijuana frequently and for many years.
  • One running theory is that cannabis changes how molecules in the digestive tract respond, as cannabinoid receptors are present in the digestive tract as well and are affected by cannabis use.
  • Compulsive bathing or showering in hot water to soothe nausea is also a hallmark sign of CHS.
  • In the Prodromal Phase, patients experience early morning nausea, a fear of or impulse to vomit, lack of appetite and eating, and abdominal pain that can last for days.

Drug Scheduling & Controlled Substances in the US: Regulations For Cannabinoids

When it comes to Cannabinoid Hyperemesis Syndrome (CHS) treatment, it’s essential to differentiate between controlling the symptoms and treating the actual condition. While various approaches can help manage the symptoms, the only known cure for CHS is to stop using cannabis. Symptoms become more severe and debilitating in this hyper (excessive) emetic (vomiting) phase. If a patient continues to have persistent symptoms despite IV fluids, dopamine antagonists, and capsaicin, then trialing other antiemetics is your last option. Realistically, there’s literature that proves these agents to likely be ineffective. However, it is worth a trial in patients with severe persistent symptoms.

what is chs

Many people with CHS find relief through hot showers or baths, which provide temporary comfort. Recognizing what is cannabinoid hyperemesis syndrome can help those affected seek early medical attention to manage their condition. Cannabinoid hyperemesis syndrome or cannabis hyperemesis syndrome is commonly abbreviated as CHS. CHS affects those who consume cannabis, also known as marijuana and weed. The only treatment for CHS is to stop the consumption of cannabis.

Treatment

  • Cyclic vomiting can lead to large volume losses and electrolyte imbalances.
  • It’s a cannabis-related disorder that can emerge even after years of symptom-free use.
  • But she’s replaced her old habit with a new hobby; she’s read 60 books this year, she said, and she feels great.

“One challenge we have is that patients sometimes believe that their use of marijuana is helping them,” Dr. Sam Torbati, co-chair of the Department of Emergency Medicine at Cedars-Sinai, told ABC News. As CHS is a new diagnosis, the manufacturers of these drugs did not design them for treating CHS, but a doctor may opt to prescribe them for this use. Doctors have a lack of knowledge of CHS, and this makes it hard to identify people with the condition. People often remain misdiagnosed for years, which delays treatment. Results from these case studies suggest that lorazepam might be an effective drug to control symptoms during the hyperemesis stage. Clinical guidelines for the diagnosis of CHS do not currently exist.

However, doctors may find it challenging to diagnose the syndrome because people tend not to report their Alcoholics Anonymous use of marijuana. When people with CHS stop using marijuana, their symptoms of nausea and vomiting usually disappear. Nausea and vomiting tend to return if they start using marijuana again. Rates of cannabis use disorder have spiked in the past 40 to 50 years, D’Souza said, with some studies suggesting between 20 and 30 percent of marijuana users meeting the criteria for the disorder. Experts also aren’t clear on what causes CHS, or why some people develop it while others don’t.

It’s sometimes referred to as cannabis hyperemesis syndrome — both of these terms mean the same thing. Researchers are still trying to understand this condition in more detail, but from the data we have available right now, it appears this condition is permanent. Meaning that patients who suffer from CHS will experience the same symptoms all over again if they use marijuana products again — even after taking an extended break from marijuana. Most people will experience nausea early in the morning, along with abdominal pain. The answer to this question requires significantly more research.

what is chs

Is there a permanent cure, or is CHS a recurring condition?

what is chs

Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the main cannabinoids in marijuana products. THC is what’s responsible for the “high” most people feel when they use marijuana. Still, few CHS patients realize these bouts are related to cannabis consumption. Because cannabis tends to temporarily ease the symptoms related to CHS and is known to be what is chs a great treatment for nausea in general, many patients actually increase their cannabis use at first.

If you do use cannabis, quitting can ward off future episodes of CHS. Symptoms will usually improve after 1 or 2 days, as long as you don’t use cannabis during this time. What’s unlikely is that CHS is attributable entirely to pesticide contamination, as some cannabis advocates have suggested.

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