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Get the in-person or virtual care you need. Need a primary care doctor or a specialist? They provide treatment referrals and information in English and Spanish. CHS can increase your risk for severe dehydration. Taking too many hot baths can increase dehydration due to sweating. Hot baths may relieve the nausea for a while, but they don’t cure CHS.
However, many visits are due to something most people aren’t even aware of, and they certainly don’t realize initially that their ED visit is marijuana related. Access State-Specific Provider Directories for detailed information on locating licensed service providers and recovery residences in your area. We do not receive any fee or commission dependent upon which treatment or provider a caller chooses. His focus and passion has always been taking care of his patients by getting accurate information and thorough education to those who need it most. Prompt rehydration and medical care can prevent fatal outcomes. Many CHS patients start feeling relief in the first 1–2 days after quitting, and the vomiting stops completely within about a week (7-10 days) in most cases.
The use of marijuana has surged significantly in recent years, fueled by legalization efforts and increasing societal acceptance. Cannabidiol (CBD), another major cannabinoid, has gained attention for its potential therapeutic properties, including anti-inflammatory, anxiolytic, and neuroprotective effects . Among these cannabinoids, tetrahydrocannabinol (THC) is the most well-known for its ability to induce euphoria, alter perception, and stimulate appetite. The plant’s psychoactive and medicinal effects are attributed to its cannabinoids, chemical compounds that interact with the body’s endocannabinoid system. Cannabis, commonly referred to as marijuana, is a plant from the Cannabis sativa species that has been cultivated and consumed for medicinal, industrial, and recreational purposes for thousands of years. It contains over 100 biologically active compounds known as cannabinoids, the most notable of which are tetrahydrocannabinol (THC) and cannabidiol (CBD).
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She began her journey in cannabis as a patient, searching for a way to heal herself. By understanding CHS symptoms and their progression, we can ensure earlier diagnoses, fewer ER visits, and better patient outcomes. Recognizing the signs, especially the unique compulsion to bathe in hot water, is crucial for diagnosis. Capsaicin cream, IV fluids, and haloperidol may provide temporary relief, but quitting cannabis is the only lasting solution.
What are the symptoms of CHS?
Studies exploring novel treatments, diagnostic criteria, or the pathophysiology of CHS were also prioritized. Marijuana vape pens have also made it more convenient for young people, with a significant increase of 10th and 12th graders using this method in 2020 compared to 2019, according to the National Institute on Drug Abuse . 2.6 million Americans become new users each year; the majority of this group is under the age of 19 . As of December 2024, all but four states have full or partial legal marijuana laws or decriminalization laws in effect .
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Many people, in general, and patients seeking ED services for CHS have no idea what it is. However, she maintained smoking weed was the only remedy for her chronic pain, so she continued to do so. This is because the only “cure” for CHS is time and abstinence from marijuana or severely cutting down.
Severe CHS episodes require emergency treatment for dehydration. Thus, heavy, prolonged cannabis use is the trigger for CHS; beyond that, the exact mechanism is still under study. Early identification and understanding of its patterns are important, especially for those experiencing unexplained digestive issues alongside regular cannabis use. Cedars-Sinai has a range of comprehensive treatment options. If they don’t, their symptoms will likely come back. The syndrome may take several years to develop.
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Diagnoses Navigating the Nursing Profession When You Have Chronic Health Conditions Nurses care for patients who have varying degrees of illnesses, injuries, and chronic health conditions. Many of them come in by EMS, standard-issue vomit bag in hand, and are barely able to speak with their healthcare team. CHS is a syndrome in which long-term, frequent cannabis use leads to recurring episodes of nausea and vomiting. If you experience symptoms related to cannabinoid hyperemesis syndrome, you should immediately stop using cannabis. CHS is marked by persistent vomiting and ongoing abdominal pain, primarily affecting long-term, daily cannabis users.
- CHS was first reported in 2004 (Allen et al.), when doctors linked cyclic vomiting in several patients to long-term cannabis use.
- Deaths are exceptionally uncommon, but they have been reported when prolonged vomiting led to critical dehydration and electrolyte imbalance.
- Going on a marijuana “diet” isn’t foolproof either.
- One in 10 people aged 60 and older who live at home might experience abuse.
- Not everyone who uses cannabis develops CHS.
What are the symptoms of cannabinoid hyperemesis syndrome?
Standard anti-nausea drugs often don’t help. While CHS itself is not usually fatal, severe dehydration and electrolyte imbalances can be life-threatening if untreated. The only true cure is stopping cannabis completely.
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But the only way to cure CHS is to stop using cannabis. Hot baths and showers may temporarily relieve symptoms.
In the short term, staying hydrated, resting, and using hot baths for relief can help manage the symptoms, but they won’t fix the underlying issue. This unusual coping mechanism, combined with cannabis use, is a red flag that points toward this strange syndrome linked to weed. There’s no specific test for CHS, so diagnosis is based mainly on medical history, symptom patterns, and cannabis use habits. The timeline of Cannabis Hyperemesis Syndrome symptoms typically unfolds in three distinct phases, each with its own set of experiences. While these symptoms might mimic other gastrointestinal disorders, their connection to long-term cannabis use is the critical clue.
After CHS recovery, even tiny amounts can reignite symptoms. However, if they use cannabis again, the symptoms tend to come back almost every time. Many patients feel better within 24–48 hours of their last use, and the vomiting episodes typically end within about a week of abstinence. Doctors diagnose it based on your symptoms, medical history, and by ruling out other causes. Importantly, patients are advised to stop cannabis use immediately to break the cycle. In the ER, patients are given IV fluids, electrolytes, and often haloperidol to control vomiting (since standard antiemetics often don’t work well).
- Quitting cannabis can be challenging for frequent consumers.
- Support groups, counseling, and education can help patients regain control of their lives.
- Many CHS patients start feeling relief in the first 1–2 days after quitting, and the vomiting stops completely within about a week (7-10 days) in most cases.
- This may lead to issues with your body’s natural control of nausea and vomiting.
- Benzodiazepines have been shown to be effective in managing acute symptoms of CHS, particularly for their rapid-acting anti-emetic and anxiolytic properties.
- Additionally, policies could focus on tracking and reporting cannabis-related health complications to better understand the full scope of CHS and its impact on public health.
As research progresses, careful consideration will be needed to balance therapeutic benefits with the potential for harmful side what is an alcoholic nose drinkers nose effects, particularly for vulnerable populations. This raises important concerns about the safety profile of future cannabinoid-based medications and therapies. Furthermore, emerging clinical strategies combining gradual cannabis cessation with TCA therapy have demonstrated effectiveness in achieving sustained CHS remission within a period of six to 12 months.
Hyperemetic Stage Symptoms
These medications can be initiated during acute episodes of CVS and CHS to help stabilize symptoms and are often continued in a tapered manner following hospital discharge as part of long-term outpatient maintenance therapy. Tricyclic antidepressants (TCAs), such as amitriptyline, have shown promising efficacy in the management of CVS and have been explored as a potential prophylactic treatment for CHS. This concern is particularly pronounced in individuals already experiencing sequelae of recreational drug use, necessitating careful patient selection and monitoring when considering benzodiazepines as part of CHS management .
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David is a seasoned Pharmacist, natural medicines expert, medical reviewer, and pastor. Deaths are exceptionally uncommon, but they have been reported when prolonged vomiting led to critical dehydration and electrolyte imbalance. If you do resume heavy use, unfortunately, the syndrome is very likely to return. It will not come back unless you start using cannabis again. Yes – CHS goes away entirely once you quit cannabis. Any cannabis product with THC can cause CHS if used heavily.
What makes CHS especially tricky is that it often goes unrecognized or misdiagnosed, especially because many people use cannabis specifically to ease symptoms such as nausea. Despite cannabis being known for its anti-nausea properties, CHS causes the exact opposite effect – recurrent cycles of intense nausea, vomiting, and stomach pain. For years, cannabis has been touted as a natural remedy for everything from anxiety and insomnia to chronic pain and nausea. Cannabinoid hyperemesis syndrome (CHS) can affect people who use cannabis (marijuana) long-term.
