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Homepage: EMNote.org ■ 🚩Membership: https://tinyurl.com/joinemnote 🚩ACLS Lecture: https://tinyurl.com/emnoteacls Cannabinoid Hyperemesis Syndrome (CHS) Cannabinoid Hyperemesis Syndrome Overview Cannabinoid Hyperemesis Syndrome (CHS) is a medical condition causing severe nausea, vomiting, and abdominal pain in chronic cannabis users Hot baths or showers provide temporary symptom relief Complete cannabis cessation is the only proven treatment Symptoms: Prodromal Phase Initial phase can last months or years Morning nausea and abdominal pain occur regularly Patients develop anxiety about potential vomiting Symptoms: Hyperemetic Phase Intense vomiting episodes occur up to five times per hour Episodes typically last 24-48 hours Patients often engage in compulsive bathing Food intake becomes severely restricted Symptoms: Recovery Phase Symptoms gradually decrease after stopping cannabis use Complete recovery takes days to months Symptoms fully resolve with continued cannabis abstinence Medical Understanding Exact cause remains unknown Leading theory points to endocannabinoid system disruption Long-term cannabis use overstimulates nausea/vomiting regulation Diagnosis relies on symptoms and cannabis use history Medical tests rule out other conditions Treatment Approach Complete cannabis cessation is essential for recovery Symptom relief typically begins within 10 days of quitting Full recovery may require several months Temporary relief measures Hot baths/showers (risk of dehydration) Antihistamines Capsaicin cream Pain medications Prevention and Support Only prevention method is avoiding cannabis use Professional help recommended for cannabis dependence Medical supervision may be needed during recovery Support services available through addiction treatment centers "Scromiting" Severe CHS symptom combining screaming and vomiting Indicates intense abdominal pain during vomiting episodes Requires immediate medical attention and support