Cannabinoid Hyperemesis Syndrome CHS: Symptoms & Risks

Maternal cannabinoid use alone does not necessarily mean that hyperemesis is CHS. It is not unusual for CHS patients to present frequently at the ED and to be hospitalized multiple times per year. This suggests that prompt, accurate diagnosis of CHS may save the healthcare system considerable resources and spare the patient unnecessary testing and procedures. This observation may serve as an early indicator for the diagnosis of CHS https://ecosoberhouse.com/ 20. CHS is a disorder characterized by recurrent episodes of severe nausea and vomiting in individuals with chronic and heavy cannabis use.

Immediate Effects:

Five different genes emerged as statistically significant indicators of CHS. Interestingly, all of the CHS cohort had a minimum of two of the five genes. The discovery of these genetic markers makes it possible to offer a cost-effective screening cannabinoid hyperemesis syndrome (chs) test available to those who are exhibiting CHS-like symptoms. Cannabinoid hyperemesis syndrome has largely been an American phenomenon, although it was first identified in Australia.

• However, if someone has a history of stomach problems and is worried about developing CHS, the best prevention is to 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.
• During the hyperemesis stage, doctors focus on preventing dehydration and stopping the symptoms of nausea and vomiting.
• The symptoms typically last a few weeks, though the throwing up should ease up in a day or two.

What is Cannabinoid Hyperemesis Syndrome (CHS)?

Below are some of the services available to help you quit marijuana and other drugs based on where you live. You may not want to believe that marijuana may be the underlying cause of your symptoms. This might be because you have used it for many years without having any problems, but CHS can take several years to develop.

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During this stage, patients commonly experience nausea, abdominal discomfort, and anxiety about vomiting. These symptoms typically occur on one or more days per week and are more pronounced in the morning. Despite these symptoms, patients generally maintain a normal appetite and eating patterns, resulting in minimal weight changes.

While the symptoms of CHS are often mistakenly attributed to other disorders, early diagnosis and quitting cannabis are crucial for managing the condition. Patients diagnosed with CHS may require emergency medicine or treatments such as anti-nausea medications, topical capsaicin, or hot water hydrotherapy to relieve symptoms. Mental health services administration may also be involved in managing the psychological impact of cannabis use and the challenges of quitting. By increasing awareness and understanding of CHS, healthcare providers can better support patients and reduce the frequency of emergency department visits linked to cannabis-related issues. There were 5 men and 5 women included, mean age 27 years (range 19–51 years) with symptoms of abdominal pain, nausea, and hyperemesis refractory to medical therapy. The mean delay to the accurate diagnosis of CHS was 15.2 ± 10.5 months with a median of 4 ED admissions (range 0 to 14).

• A new ICD-10 code for CHS, F12.188, may facilitate surveillance and tracking, yet it depends on clinician recognition and consistent application.
• Although everyone is different, and withdrawal symptoms may not be the same for everyone.
• It’s worth noting that you don’t always need that full 19-year timeline, as some people can develop CHS sooner, especially if they’re using especially potent cannabis or consuming it in large amounts.
• Another doctor reported using a combination of injectable lorazepam and promethazine, another antinausea medication.

Among these cannabinoids, tetrahydrocannabinol (THC) is the most well-known for its ability to induce euphoria, alter perception, and stimulate appetite. Cannabidiol (CBD), another major cannabinoid, has gained attention Oxford House for its potential therapeutic properties, including anti-inflammatory, anxiolytic, and neuroprotective effects 1. Some people within the cannabis industry believe that CHS is irrelevant since it does not occur in very many people.

Further support and advice

In a report on a 16-year-old CHS patient, she reported that she used marijuana herself but had been exposed prior to that to secondhand smoke for many years, as her family used marijuana 125. The mechanism of action of topical capsaicin likely involves TRPV1 receptors. In other words, topical capsaicin opens the TRPV1 channels, which has an antiemetic effect.

Symptoms

Unlike CVS and PV, CHS is not usually relieved by antiemetic pharmacological therapy, but many patients exhibit the learned behavior of taking hot showers and baths for temporary symptomatic relief. In some cases, IV haloperidol or lorazepam (for anxiety) may provide relief for the CHS patient 14, 89. Treatment guidelines published by the San Diego Emergency Medicine Oversight Commission recommend supportive care (rehydration), patient education, and counsel to stop the use of cannabinoids 100. Topical capsaicin can be used to provide symptomatic relief but symptoms typically resolve in a day or two without cannabinoid use regardless of treatment. Benzodiazepines and opioids, although sometimes prescribed, have very limited effectiveness for this condition 100.