The exact reason for marijuana causing CHS is yet not fully understood by the scientists and remains a controversial topic. In one 2018 study, a group of researchers surveyed 2,127 U.S. adults between the ages of 18 and 49 at an emergency department in New York. Of those surveyed, 155 met the criteria of smoking cannabis at least 20 days per month. Cannabinoid hyperemesis syndrome (CHS) is a somewhat rare problem that involves severe bouts of vomiting. As more states make recreational use of cannabis legal, it is thought that this problem will become more common. After stopping cannabis use, symptoms typically start to disappear within one to two days though individual results can vary.
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Here is what pediatric health care providers need to know about this often debilitating disorder. The profuse vomiting and potential dehydration inherent in CHS often mandate intravenous fluids administration to correct electrolyte imbalances and sustain hydration levels. Adequate fluid resuscitation is crucial during the acute phase of CHS to avert complications and ensure physiological stability.
Stopping Cannabis Use
Getting relief by taking hot showers is a sign that you could have this health problem. One of the hallmark features of CHS is that hot showers typically relieve the symptoms. This unique symptom can help differentiate CHS from other causes of vomiting, like morning sickness or a foodborne illness. Brief intervention can include motivational interviewing toward reducing harm and/or use. This may include providing information about potential cognitive, psychiatric, and physical harms of cannabis use, plus clear patient-centric recommendations. Many adolescents use cannabis to manage anxiety, depression, https://ecosoberhouse.com/ and/or prior trauma, in which case it is crucial to offer safer options, including psychotherapy and pharmacotherapy with well-studied efficacy and AEs.
1. Prodromal Phase
- Currently, doctors do not have treatment guidelines for the management of CHS.
- Prevalence of CHS among the general population is difficult to determine because of the clinical similarities between CHS and CVS.
- The literature reports on global clinical experience with CHS to date in the form of case studies, case reports, and case series.
Cannabinoids affect the pituitary–adrenal axis and stress-responsive brain regions. Studies suggest that CHS may involve disruption at the hippocampal–hypothalamic–pituitary level 22. Chronic Halfway house cannabis use can lower pituitary hormone levels, including the growth hormone, follicle-stimulating hormone, and luteinizing hormone, which has been shown to normalize after stopping use 23,24. For thousands of years, cannabis and its derivatives, including hashish, have been utilized for their psychoactive properties 1. It has been found that in 3500 BC, Romanian kurgans burned cannabis for ceremonial practices.
Diagnosis
Some have suggested that high doses might cause the anti-emetic effects to flip into a pro-emetic syndrome. If you or a loved one is suffering from Cannabinoid Hyperemesis Syndrome and marijuana addiction, it’s time to take the first step toward recovery. Addiction Treatment Boston is here to provide the guidance, therapy, and support needed to overcome the challenges of marijuana dependence. CHS is a recently discovered disease and can remain undiagnosed for many years. It is important for the affected individuals to provide the complete medical history to the physician, so that CHS can be confirmed and treated at the earliest. However, CHS can only be completely suppressed if marijuana use is stopped.
Should I go to an Emergency Department to relieve CHS symptoms?
A case study of a 47-year-old man admitted to a hospital in New York for intractable vomiting found he was difficult to treat because he remained in a hot shower all day even in the hospital, taking only two 15-min breaks over the course of a day. The patient found that hot water relieved his symptoms better than anything else. After 3 days in the hospital (and no marijuana use), his symptoms resolved 94. It should be noted that in the case of CHS, compulsive showering in hot water is not an anxiety disorder but rather a learned behavior that the patient develops to relieve symptoms 94. Similar to hot water, capsaicin provides symptomatic relief of CHS 95, 96, 97 but not other vomiting disorders. Topical capsaicin has been advocated for use as a diagnostic tool how long does it take to recover from cannabinoid hyperemesis syndrome for CHS to differentiate it from other vomiting syndromes 36.
Prodromal Phase of CHS –
By Rome IV criteria, the diagnosis of CHS is confirmed only when symptoms resolve upon ceasing use. Clinicians should help patients toward this goal following physiologic stabilization. These help quantify the degree of substance use to build insight and direct referrals. Through a holistic and individualized treatment regimen, healthcare providers can navigate the challenges of CHS, offering hope and relief to those affected by this puzzling condition. Notably, a hallmark behavior observed in CHS cases is the propensity for pathologic hot bathing or showering. While not exclusive to individuals with CHS, the act of hot bathing or showering manifests in approximately 80-90% of patients with this condition.