Articles that were clearly not relevant based on title and abstract were excluded. The full text of all relevant articles were obtained and reviewed. The articles were then segregated into diagnosis, pathophysiology, or treatment categories. When the two reviewers disagreed on article eligibility, a consensus was reached through discussion. Cannabinoid Hyperemesis Syndrome is a new and under recognized clinical entity. Although its prevalence is unknown, numerous publications have preliminarily established its unique clinical characteristics.
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Cannabinoids are found in the cannabis plant and bind to cannabinoid receptors found in our brains, gastrointestinal tracts and immune cells. Cannabinoids include tetrahydrocannabinol (THC), cannabidiol (CBD) and cannabigerol (CBG). This can help you avoid more severe problems as your body is robbed of food and water from https://ecosoberhouse.com/ constant vomiting. While symptoms begin as mild, they can intensify and increase your risk of severe problems. As a somewhat new problem, CHS is often mistaken for other problems with the same symptoms. When combined with the fact that people may not reveal they use cannabis, getting the right diagnosis can take years.
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With the liberalization of marijuana laws since 2009, investigators retrospectively evaluated 2,574 ED visits in Colorado and identified 36 patients diagnosed with cyclic vomiting; this occurred in 128 visits. Episodes of cyclic vomiting nearly doubled in prevalence, increasing from 41 per 113,262 ED visits/year to 87 per 125,095 ED visits per year after marijuana laws were liberalized [74]. Finally, there have been cannabinoid hyperemesis syndrome anecdotal reports that changing the variety or strain of botanical marijuana can mitigate or even alleviate CHS. It has been suggested that CHS may − in whole or in part − be the result of pesticides, toxins, or other substances accumulated on the plants during growth and harvest [67]. Chemical residues on the plant can transfer to mainstream smoke with up to 60 or 70% inhaled via unfiltered glass pipes [68].
How Common Is CHS?
Doctors also noticed that individuals with CHS would take frequent hot showers and baths. The reviewers assigned each included article to nonexclusive groups of diagnosis, pathophysiology, or treatment. Relevant study characteristics were abstracted including study design and primary findings.
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- Cannabinoids are compounds in the Cannabis sativa plant that bind to cannabinoid receptors in your brain, spinal cord, gastrointestinal tract and other body tissues.
- 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.
- 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].
- Next, after exclusion of duplicate cases, the individual case reports were combined with data from the case series and summarized as a single larger cohort (cumulative synthesis).