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CHS Therapy: Treating Cannabinoid Hyperemesis Syndrome Effectively

It’s the genetic lottery, and if you have CHS, you’ve won a prize you definitely didn’t want. CHS is a diagnosis of exclusion , often confirmed when other causes are ruled out and symptoms resolve after stopping cannabis. Once cannabis use is halted, most individuals begin to see rapid improvement within 24 to 72 hours https://www.euyyue.com/articles/brain-recovery-after-alcohol-abuse/ .

  • While CHS is not an allergic reaction, allergy testing may be helpful in some cases to rule out other potential causes of gastrointestinal distress.
  • It is considered as a variant of cyclical vomiting syndrome seen in cannabis users especially characterized by compulsive hot bathing/showers to relieve the symptoms.
  • These changes from hot bathing are probably not specific to CHS but can be seen across all functional nausea and vomiting disorders, including CVS, and are probably aggravated by cannabis use 9.
  • Haloperidol functions through dopamine D2 receptor antagonism, which has a complex relationship with CB receptors, shown through studies examining the relationship of the two receptors with Δ9-THC 52,53.
  • The authors noted that 9 out of 10 patients sought relief through multiple hot showers or baths during the acute phase of their illness, and symptoms resolved with cannabis abstinence.

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cannabinoid hyperemesis syndrome diet

There are several reports of CHS having indirect effects on kidney function . His laboratory values indicated acute Twelve-step program renal failure and electrolyte abnormalities. A 28-year-old man with a history of smoking five joints/day since age 14 presented to the ER with tachycardia and orthostatic hypotension, suggestive of hypovolemia. His serum and urinary electrolyte status showed metabolic alkalosis, hemoconcentration, and extracellular dehydration.

cannabinoid hyperemesis syndrome diet

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

  • While various approaches can help manage the symptoms, the only known cure for CHS is to stop using cannabis.
  • You may have symptoms and side effects of CHS for a few weeks after quitting cannabis.
  • It develops gradually , often after months or even years of consistent, heavy cannabis use.
  • Nineteen patients were identified with chronic cannabis abuse and a cyclical vomiting illness.

However, withdrawal symptoms including nausea may persist temporarily even after quitting cannabis completely. Plain rice, boiled chicken, clear broth, cooked vegetables, and unsweetened applesauce are often well-tolerated. Stay hydrated by drinking plenty of water, herbal teas, or clear broths.

Public Health Considerations

Initially, when this drug is consumed, it produces antiemetic effects. However, it has been observed that a repeated and long-term use of this drug stops brain cells from reciprocating to the drug in the usual way. The exact reason for marijuana causing CHS is yet not fully understood by the scientists and remains a controversial topic. The active substances released by marijuana can also stick to the cells of digestive tract. This can cause complications such as changes in the esophageal sphincter (muscle band allowing food to enter from esophagus to stomach) and other gastrointestinal disturbances. “In North Carolina, any of the products that you can by OTC, whether it’s Delta 8 or Delta 9, which are the two most common derivatives that we’re seeing, are completely unregulated,” he said.

While CHS isn’t something most cannabis users will experience, it’s not as rare as once believed , particularly among those who use high-THC products daily or in large quantities . Awareness is growing, but many still don’t know it exists—leading to repeated misdiagnosis and unnecessary medical procedures. Psychiatric comorbidities (e.g. panic attacks, depression), history of migraine attacks and rapid gastric emptying may serve as supportive criteria for the diagnosis of CVS. Compulsive bathing behaviour, a clinical observation previously attributed only to CHS patients is equally present in CVS patients. CHS causes recurring nausea, vomiting, and abdominal pain in regular cannabis users. It’s often misdiagnosed, misunderstood, and can lead to years of suffering before the real cause is identified.

  • Nabilone, sold under the brand name Cesamet©, is a synthetic cannabinoid with therapeutic use as an antiemetic and as an adjunct analgesic for neuropathic pain.
  • CHS primarily affects daily or heavy users of high-THC cannabis, especially those using concentrates or edibles.
  • That may be because you have used it for many years without having any problems.
  • This information is neither a substitute for, nor does it replace, professional legal advice or medical advice, diagnosis, or treatment.

It also how long does it take to recover from cannabinoid hyperemesis syndrome helps maintain hydration by pairing small amounts of food with fluid intake regularly. Plain water is essential but often insufficient alone because it lacks electrolytes lost through vomiting. Replenishing sodium, potassium, and magnesium is vital to avoid complications like muscle cramps or dizziness. Living with dietary restrictions can be challenging, especially when eating out or socializing. Be prepared by researching menus in advance and identifying dishes that are likely to be safe.

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