What are the signs of cannabis hyperemesis syndrome?

Cannabis Hyperemesis Syndrome (CHS) is a condition that occurs in some people who use cannabis heavily and over a long period. It is characterized by a distinct set of symptoms that can be quite severe and distressing. The main signs of CHS include persistent and intense nausea, repeated episodes of vomiting, and severe abdominal pain. These symptoms can last for hours or even days, often leading to dehydration and the need for emergency medical care.

One of the most unusual and telling signs of CHS is the compulsive desire to take hot showers or baths. Many individuals with CHS find that hot water temporarily relieves their nausea and abdominal discomfort, even though the relief is short-lived. This behavior is so common among CHS sufferers that it is considered a hallmark of the syndrome.

The vomiting associated with CHS is often relentless and can lead to dehydration, electrolyte imbalances, and weight loss. The abdominal pain is typically crampy and located in the upper abdomen. Unlike typical cannabis effects, these symptoms do not improve with standard anti-nausea medications, which can make diagnosis challenging.

Other signs that may accompany CHS include dizziness or feeling faint, especially when standing up quickly, due to low blood pressure caused by dehydration and vomiting. Some people may also experience a general feeling of malaise or weakness.

CHS usually develops in people who have been using cannabis daily or almost daily for months or years. It is more common in those who started using cannabis at a young age and who consume high doses regularly. The syndrome tends to occur in phases: a prodromal phase with mild nausea and abdominal discomfort, followed by a hyperemetic phase with severe vomiting and pain, and finally a recovery phase after cannabis use is stopped.

The only proven way to stop the symptoms of CHS is to cease cannabis use entirely. While hot showers can provide temporary relief, they do not treat the underlying problem. If cannabis use continues, the cycle of nausea and vomiting will persist or worsen, potentially leading to serious complications such as kidney damage or electrolyte disturbances.

In summary, the key signs of Cannabis Hyperemesis Syndrome are:

– Persistent, severe nausea

– Repeated, uncontrollable vomiting

– Intense abdominal pain, often crampy and in the upper abdomen

– Compulsive hot showers or baths to relieve symptoms

– Dehydration and dizziness due to fluid loss

– Symptoms that do not respond to typical anti-nausea treatments

These signs usually appear in people with a history of heavy, long-term cannabis use and resolve only after stopping cannabis completely. Recognizing these symptoms early is important to avoid serious health risks and to seek appropriate medical care.