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There seems to be a new way of intimidating marijuana users from using and it’s called marijuana vomiting. The actual medical term is Cannabinoid Hyperemesis Syndrome (CHS), which is often mistaken for Cyclical Vomiting Syndrome (CVS) because the symptoms are almost identical but the causes are different. Chronic marijuana smokers (not that chronic, we mean constant smokers) get CHS, and CVS can happen to nearly everybody from a list of causes such as food poisoning, gastritis (inflamed stomach lining), an ulcer, or bulimia among other causes. So before you get scared when someone says, “You got marijuana vomiting, man!” after you vomit from huge dab rip off your bubbler, know the symptoms, the causes, how Cannabinoid Hyperemesis Syndrome can be avoided, and how it can be treated. Cannabinoid Hyperemesis Symptoms and Causes The first thing you need to know is that CHS typically occurs in chronic smokers who have a history of cannabis abuse and have uncontrollable vomiting. Cannabinoid Hyperemesis has been described as uncontrollable spells of vomiting and nausea. Think of the feeling you get from having food poisoning. It’s like that except it’s allegedly from cannabis abuse. I say allegedly because we all know at least one friend who smokes a lot more than the others, and the ones that I know have also heard of CHS because of popularity it’s getting online. People who smoke more than eight to 10 times a day for a year or longer are usually candidates for cannabis abuse, depending on your condition. In fact, some people are under the misconception that dabs are causing Cannabinoid Hyperemesis, but this condition has been around a lot longer than concentrates. CHS disease: what do research say? According to a study conducted by Jonathan A. Galli, MD, Ronald Andari Sawaya, MD, and Frank K. Friedenberg, MD “Cannabinoid Hyperemesis Syndrome” published by the US Library of Medicine National Institutes of Health, CHS begins to develop from the way marijuana’s “paradoxical effects on the gastrointestinal tract and ” (www.ncbi.nlm.nih.gov, 2011). Here’s the good news, the chances of this condition happening to you are rare when considering the number of marijuana users. However, Galli et al. also concluded that “further initiatives are needed to determine this disease prevalence and its other epidemiological characteristics, natural history, and pathophysiology” (www.ncbi.nlm.nih.gov, 2011). Basically, this condition has grown since recreational marijuana has been legalized and there is more research needed to understand the full nature of this condition. The doctors from the study also mentioned that it is difficult to diagnose since this condition is similar to Cyclical Vomiting Syndrome (CVS). MMJ Doctors have also speculated that the type of marijuana, molded marijuana, and the consistency of its use could cause cannabinoid hyperemesis. Additionally, buying cannabis from a licensed marijuana dispensary ensures that the quality of the marijuana, which is something you cannot get on the black market. As an MMJ Doctor-patient, you have the option of consulting with an MMJ Doctor online to ask about CHS. Cannabinoid Hyperemesis Treatment Step one is to consult with a doctor before trying to diagnose yourself. There’s nothing to worry about. Treating Cannabinoid Hyperemesis Syndrome is similar to treating most spells of vomiting such as food poisoning. For instance, many people who have suffered from CHS have found relief by staying hydrated. Others have shown improvement from a hot shower or hot bath. Essentially, anything that will soothe your stomach after the vomiting stops will help you. Symptoms from Cannabinoid Hyperemesis Syndrome will eventually fade. However, you definitely need to consult with your medical marijuana doctor before continuing to smoke. Although doctors and researchers continue to study the effects and causes of Cannabinoid Hyperemesis Syndrome, more research is required to determine a suitable treatment for long-term relief from CHS while continuing to provide relief for an initial condition that one uses medical marijuana. Still, doctors have determined that there is “no reliably effective treatment regimens for patients with CHS who refuse to discontinue cannabis use, including conventional antiemetics” (www.hindawi.com, 2016). For more information on Cannabinoid Hyperemesis Syndrome and its symptoms, visit MMJ Doctor in San Jose or San Francisco or download the ZenMD application for your smartphone to consult with a medical marijuana doctor online. As an MMJ Doctor-patient, you have the option of consulting with an MMJ Doctor online to ask about CHS. Cannabinoid Hyperemesis References Galli, Jonathan A., Ronald Andari Sawaya, and Frank K. Friedenberg. “Cannabinoid Hyperemesis Syndrome.” Current drug abuse reviews 4.4 (2011): 241–249. Print. Substance Abuse & Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: National Findings, NSDUH Series H-46, DHHS Publication No. SMA 13-4795, Substance Abuse & Mental Health Services Administration, Rockville, Md, USA, 2014.

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