Cannabis hyperemesis syndrome (CHS) is characterised by cyclical vomiting, relieved by hot water bathing, in the context of chronic cannabis consumption. Many cannabis users find this hard to accept given that cannabis is often promoted as a treatment for vomiting. Stopping cannabis is the best and only effective way to manage the condition. We report a case showing that CHS remains under recognised 15 years after it was first described.
AllenJH, De MooreGM, HeddleR. Cannabinoid hyperemesis: cyclical hyperemesis in association with chronic cannabis abuse. Gut2004: 53: 1566–70.
2.
SimonettoDA, OxentenkoAS, HermanML. Cannabinoid hyperemesis: a case series of 98 patients. Mayo Clin Proc2012; 87: 114–9.
3.
SorensenCJ, DeSantoK, BorgeltL. cannabinoid hyperemesis syndrome: diagnosis, pathophysiology, and treatment – a systematic review. J Med Toxicol2017; 13: 71–87.
4.
BlumentrathCG, DohrmannB, EwaldN. Cannabinoid hyperemesis and the cyclic vomiting syndrome in adults: recognition, diagnosis, acute and long-term treatment. Ger Med Sci2017; 15: Doc06.
5.
SrivastavaP, PattanayakRD, MehtaM. Chronic unexplained vomiting: a case report with focus on issues relevant for international classification of disease (ICD)-11. ASEAN J Psychiatry2017; 18: 114–8.
BajgoricS, SamraK, ChandrapalanS. Cannabinoid hyperemesis syndrome: a guide for the practicing clinician. BMJ Case Rep2015; bcr-2015-210246.
12.
RichardsJR, LapointJM, Burillo-PutzeG. Cannabinoid hyperemesis syndrome: potential mechanisms for the benefit of capsaicin and hot water hydrotherapy in treatment. Clin Toxicol2018; 56: 15–24.
13.
HabbousheJ, RubinAS, LiuH. The prevalence of cannabinoid hyperemesis syndrome among regular marijuana smokers in an urban public hospital. Basic Clin Pharmacol Toxicol2018; 122: 660–2.