Many people with CHS will compulsively shower or bathe — often for hours every day — to relieve CHS symptoms. Not everyone with the condition seeks medical help or tells their provider that they use marijuana. It’s a condition that can lead to serious health complications if you don’t get treatment for it. It is important to note that for the vast majority of people Cannabis is a safe and versatile medicine, or social agent. It has been used for thousands https://skyworthtours.com/4-stages-of-alcohol-withdrawal/ of years by humans with no known overdose deaths attributed to its use. There are over 450 chemical components in the cannabis plant, many of which are considered therapeutic.
- One study found a median time of 8 years from symptoms beginning to diagnosis – with some patients going up to 21 years with symptoms before a CHS diagnosis.
- Risk factors for CHS include demographic and behavioral factors such as long-term marijuana use, age, gender, and sociocultural background.
- This complex interplay between the cannabinoid system and the GI system can lead to the development of CHS in susceptible individuals.
- This isn’t just about getting the science right – though that’s important enough.
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- Continuing to use cannabis despite CHS can lead to potentially life threatening complications.
- Over time, these receptors may become overactive, leading to the severe nausea and vomiting experienced by people with CHS.
- You can look for the tell-tale signs of CHS to diagnose yourself so you can try to relieve your symptoms, but the only real treatment is to stop using marijuana.
On Oct. 1, the World Health Organization formally recognized cannabis hyperemesis syndrome, adding an official diagnosis code to its manual. The Centers for Disease Control and Prevention has also incorporated the new code how long does it take to recover from cannabinoid hyperemesis syndrome into US diagnostic systems. Hot baths and showers also often help curb symptoms, with many patients driven to bathe for hours each day to soothe their pain.
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These medications aim to manage symptoms and support recovery while discontinuing cannabis use. Research shows that emergency department visits among adolescents in the US have jumped more than 10-fold from 2016 to 2023. “We don’t know if it’s related to the greater general availability of cannabis or the higher THC potency of some products or something else,” Buresh said. Why it affects some cannabis users but not others remains a mystery.

Who is at risk for developing Cannabinoid Hyperemesis Syndrome?
Patients are often tachycardic and volume-depleted from fluid losses. They may have epigastric or periumbilical abdominal tenderness from forceful retching. There are typically no peritoneal signs and no clear triggers like food poisoning. People with CHS also tend to have a strong urge to take very hot showers or baths. That’s because hot water can help ease cannabinoid hyperemesis syndrome symptoms like nausea. The hot temperature affects a part of the brain called the hypothalamus, which regulates temperature and throwing up.
Center for Health Statistics and Informatics
And while the myth of nonaddictive cannabis persists, quitting cold turkey from regular use can cause symptoms like anxiety, irritability, sleep disturbances, and loss of appetite. During this phase, vomiting is often intense and overwhelming. But in the digestive tract, Alcohol Use Disorder marijuana seems to have the opposite effect. It actually makes you more likely to have nausea and vomiting.
- Your health care team will quickly work to fix any dehydration or electrolyte problems.
- Surprisingly, people can be allergic to weed, but it’s not very common.
- “A new code for cannabis hyperemesis syndrome will supply important hard evidence on cannabis-adverse events, which physicians tell us is a growing problem,” Carlini said.
- It can take days to months to resolve but most patients recover once they are fully off of any kind of cannabinoid.
- At low doses, THC can be antiemetic, but at high chronic doses, it becomes proemetic.6 Many CHS sufferers describe that when the nausea first starts, they smoke marijuana or use edibles to try to suppress it.
Treatment for CHS

If you have any symptoms of severe dehydration, like dizziness, confusion and a rapid heartbeat, call 911 right away. The only proven way to prevent cannabis hyperemesis syndrome is to avoid cannabis (marijuana). Some people recovering from severe bouts of CHS will resume cannabis use. If their unique constitution does not restart the CHS episodes, they might continue with more moderate and less frequent cannabis use. Meltzer says it is important for clinicians to advise those with frequent cannabinoid use or hyperemesis about the risks and subsequent disease burden.
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