A Guide to Cannabis Hyperemesis Syndrome CHS

what are the 3 stages of chs

Some research suggests that cannabis hyperemesis syndrome is caused by the daily and long-term use of marijuana. The increased number of cases correlates with the fact that more states in the US legalized marijuana. However, the number of regular users who develop weed sickness is not high. There is a lack of evidence Twelve-step program that would fully support the current theories around CHS, which is why further research is necessary. Daily and long-term use of cannabis can cause a rare condition known as CHS cannabinoid hyperemesis syndrome. To help you transition to the recovery phase, you can try a few home remedies such as regular hot baths.

What Are the Health Consequences of Cannabinoid Hyperemesis Syndrome?

what are the 3 stages of chs

Doctors observe that when people stop using the substance, their symptoms eventually go away. While this might seem straightforward, it can be challenging for individuals who rely on cannabis for medicinal or recreational purposes. At MNGI, we understand the importance of a compassionate, non-judgmental approach and will work with you to provide the support and resources you need.

Cannabinoid Hyperemesis Syndrome (CHS): Causes, Symptoms, Treatment

The researchers also believe that these receptors may be responsible for the symptoms of CHS. As awareness of CHS continues to grow, we are committed to staying at the forefront of treatment options and providing specialized care for our patients. Reach out to MNGI Digestive Health today if you suspect CHS might be affecting you. Together, we can work toward restoring https://ecosoberhouse.com/ your comfort and quality of life.

Treatment for Cannabinoid Hyperemesis Syndrome

In the hyperemetic phase, individuals experience mild abdominal pain, dehydration, weight loss and intense nausea and vomiting. Patients with CHS usually remain misdiagnosed for a considerable time period. In one case series the average number of emergency room visits (7.1 ± 4.3) prior to diagnosis and the delay in diagnosis (for up to 9 years) was substantial 62. Not surprisingly, the early identification of patients with CHS leads to a reduction in morbidity and costs 6. The initial approach to evaluate a patient with cyclical vomiting should start by excluding these vast disorders. In this context a comprehensive history along with initial screening tests should be performed to exclude acute conditions and emergencies (e.g pancreatobiliary disease, intestinal obstruction, pregnancy, etc).

In the gastrointestinal system, CB1 receptors are found on both intrinsic and extrinsic neurons, with the enteric nervous system serving as the major site of action 9. Other organs where CB1 receptors have been identified are the spleen, heart, liver, uterus, bladder, and vas deferens 10. In comparison, much less is known about the effects of the CB2 receptor. In the gastrointestinal system, CB2 receptors are expressed by lamina propria plasma cells and activated macrophages, as well as by the myenteric and submucosal plexus ganglia in human ileum 9,12,13. CB2 receptors are likely involved in the inhibition of inflammation, visceral pain, and intestinal motility in the inflamed gut 9,14. The FHE Health team is committed to providing accurate information that adheres to the highest standards of writing.

what are the 3 stages of chs

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Furthermore, gastric emptying rates in patients with CVS are often accelerated rather than delayed 46,65. Table 2 summarizes some of the what are the 3 stages of chs epidemiological and clinical characteristics that may help distinguish CVS and CHS. This could be another contributing factor in the pathophysiology of CHS (Fig. 1). It is unclear if the relief felt by individuals with CHS by these therapies is because of direct alteration of TRPV1 receptors or because of alternative indirect mechanisms.

  • This may lead to weight loss and acute dehydration, potentially resulting in prerenal failure.17,18 The persistent nausea and vomiting can cause electrolyte abnormalities to develop.
  • Cannabis seems to stop the release of chemicals that cause nausea and, sometimes, vomiting.
  • THC is what’s responsible for the “high” most people feel when they use marijuana.
  • The direction and causality of these correlations have yet to be established and need to be investigated to understand how this might contribute to the development CHS in certain individuals.
  • In nearly all cases there is a delay of several years in the onset of symptoms preceded by chronic marijuana abuse 6.

In states where recreational marijuana is legal, some brands of marijuana contain up to 30 percent THC. As chief Clinical Officer at FHE Health, a nationally recognized behavioral health treatment provider, he ensures quality, innovation, and comprehensive treatment for patients. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Because CHS is hard to diagnose, there may be more people who have it and do not know it. Then again, in an attempt to diagnose, doctors may sometimes perform unnecessary tests. The only true treatment for CHS, according to experts, is to stop using cannabis.

Other things that are considered are morning nausea, age (if the person is younger than 50), weight loss, and disturbed eating patterns. Cannabis has several active components, and since it is very complex, it affects every user differently. One of its main ingredients is THC that features anti-nausea effects.

  • In addition, since pesticides are not exclusive to cannabis, there would be many similar cases that would not be solved with cannabis abstinence.
  • In one case series the average number of emergency room visits (7.1 ± 4.3) prior to diagnosis and the delay in diagnosis (for up to 9 years) was substantial 62.
  • At low doses, the effect of cannabis on your brain can have an antiemetic effect that suppresses nausea and vomiting.
  • It’s not clear what percentage of all heavy marijuana users have experienced CHS.
  • Similarly in Europe, cannabis use is prominent among young adults, with a prevalence that has increased from 5% in 1990 to 15% in 2005 3.
  • In two case reports, doctors used lorazepam (Ativan) to manage CHS-related nausea and vomiting.
  • It has been suggested that many of these patients increase or continue their cannabis use because of their perception that it will have beneficial effects on nausea 52.
  • The only way to prevent CHS is to avoid using any form of marijuana.
  • Primary symptoms of the prodromal phase include abdominal pain and morning nausea.

You may need to see a gastroenterologist, a doctor who specializes in the digestive tract, for a proper diagnosis. One 2018 study found that 32.9% of self-reported frequent marijuana users who’d gone to the emergency room (ER) had symptoms of CHS. And a 2022 Canadian study found that ER visits for CHS-related problems had increased 13-fold between 2014 and 2021. (Recreational use and sale of cannabis in Canada was legalized starting in 2018).

what are the 3 stages of chs

What is the treatment for cannabinoid hyperemesis treatment?

The need for several hot showers or baths throughout the day will disappear as well. If an individual decides to turn back to marijuana by any chance, the symptoms will most likely return. If you have cannabinoid hyperemesis syndrome (CHS), the best treatment is to stop using weed, even if you’ve been doing it for years with no previous side effects. Once you do that, your repeated nausea and vomiting should go away and not return. Since THC is stored in your body fat, it can take weeks to months before all the symptoms go away and you notice a difference.

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