Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use
Introduction. Cannabinoid Hyperemesis Syndrome (CHS) is a rare condition that includes cyclic severe vomiting in subjects who have been consuming large doses of cannabis for several years. One of the major diagnostic criteria is the alleviation of symptoms by hot showers. The syndrome was first desc...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/2815901 |
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| author | Julia Hermes-Laufer Lola Del Puppo Ihsan Inan François-Xavier Troillet Omar Kherad |
| author_facet | Julia Hermes-Laufer Lola Del Puppo Ihsan Inan François-Xavier Troillet Omar Kherad |
| author_sort | Julia Hermes-Laufer |
| collection | DOAJ |
| description | Introduction. Cannabinoid Hyperemesis Syndrome (CHS) is a rare condition that includes cyclic severe vomiting in subjects who have been consuming large doses of cannabis for several years. One of the major diagnostic criteria is the alleviation of symptoms by hot showers. The syndrome was first described in 2004 and is so far neither completely understood nor well known. The latter leads to continued morbidity in concerned subjects and unnecessary expenses for futile investigations. Standard treatments of vomiting as 5-HT3 or D2-receptor antagonists have been shown to be ineffective in alleviating the symptoms. The only long-term satisfying treatment option is the complete abstinence from cannabis consumption. Case Summary. In this case report we describe a 26-year-old male Caucasian long-term cannabis consumer who repeatedly presented in our emergency room with cyclic severe nausea and vomiting ceased by hot showers and resistant to all other treatments. The final diagnosis was not established until his third visit to the ER. Conclusion. CHS is an important differential diagnosis in patients who present with cyclic vomiting and abdominal pain with a history of long-term cannabis use. Recognition of this syndrome is important in order to avoid unnecessary clinical testing and to help the patients break the cycle of drug use. |
| format | Article |
| id | doaj-art-f42e40384a8e4cb4bb8ed2d244e9aa3e |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-f42e40384a8e4cb4bb8ed2d244e9aa3e2025-02-03T05:44:00ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/28159012815901Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis UseJulia Hermes-Laufer0Lola Del Puppo1Ihsan Inan2François-Xavier Troillet3Omar Kherad4Department of Internal Medicine, Hôpital de La Tour, Avenue J.-D.-Maillard 3, 1217 Geneva, SwitzerlandDepartment of Internal Medicine, Hôpital de La Tour, Avenue J.-D.-Maillard 3, 1217 Geneva, SwitzerlandDepartment of Visceral Surgery, Clinique Générale Beaulieu, Chemin de Beau Soleil 20, 1206 Geneva, SwitzerlandDepartment of Gastroenterology, Hôpital de La Tour, Avenue J.-D.-Maillard 3, 1217 Geneva, SwitzerlandDepartment of Internal Medicine, Hôpital de La Tour, Avenue J.-D.-Maillard 3, 1217 Geneva, SwitzerlandIntroduction. Cannabinoid Hyperemesis Syndrome (CHS) is a rare condition that includes cyclic severe vomiting in subjects who have been consuming large doses of cannabis for several years. One of the major diagnostic criteria is the alleviation of symptoms by hot showers. The syndrome was first described in 2004 and is so far neither completely understood nor well known. The latter leads to continued morbidity in concerned subjects and unnecessary expenses for futile investigations. Standard treatments of vomiting as 5-HT3 or D2-receptor antagonists have been shown to be ineffective in alleviating the symptoms. The only long-term satisfying treatment option is the complete abstinence from cannabis consumption. Case Summary. In this case report we describe a 26-year-old male Caucasian long-term cannabis consumer who repeatedly presented in our emergency room with cyclic severe nausea and vomiting ceased by hot showers and resistant to all other treatments. The final diagnosis was not established until his third visit to the ER. Conclusion. CHS is an important differential diagnosis in patients who present with cyclic vomiting and abdominal pain with a history of long-term cannabis use. Recognition of this syndrome is important in order to avoid unnecessary clinical testing and to help the patients break the cycle of drug use.http://dx.doi.org/10.1155/2016/2815901 |
| spellingShingle | Julia Hermes-Laufer Lola Del Puppo Ihsan Inan François-Xavier Troillet Omar Kherad Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use Case Reports in Gastrointestinal Medicine |
| title | Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use |
| title_full | Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use |
| title_fullStr | Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use |
| title_full_unstemmed | Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use |
| title_short | Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use |
| title_sort | cannabinoid hyperemesis syndrome a case report of cyclic severe hyperemesis and abdominal pain with long term cannabis use |
| url | http://dx.doi.org/10.1155/2016/2815901 |
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