Full recovery, marked by the complete absence of CHS symptoms, can take several weeks or even months after stopping cannabis use. Cannabinoid Hyperemesis Syndrome (CHS) is a condition that leads to repeated and severe bouts of vomiting. But for some people, chronic https://ecosoberhouse.com/ use can make this whole timing system discombobulated.

ECS and CHS
When ligand concentration is high, TRP is anti-emetic, and when ligand concentration is low, TRP is pro-emetic. Chronic cannabis use leads to downregulation of TRP channels, which results in an increase in nausea and vomiting. As cannabinoids are highly lipophilic and accumulate in adipose tissue, what is chs weed patients with chronic use accumulate cannabis in their body fat over time. Eventually, sufficiently high concentrations may be achieved to stimulate TRP channels to their emetic threshold (9). In several clinical trials, the most common adverse events in patients on cannabidiol included diarrhea, loss of appetite, and less commonly vomiting.
Cannabinoid Hyperemesis Syndrome: A Case Report and Review of Pathophysiology
- The Rome IV diagnostic criteria of CHS require cannabinoid use and persistence of N/V symptoms for at least the past 6 months.
- As recovery progresses, patients are initially given clear liquids and gradually advance to a regular diet as tolerated.
- Catching CHS early can prevent multiple ER visits , avoid unnecessary medications, and restore quality of life.
Cleveland Clinic’s primary care providers offer lifelong medical care. From sinus infections and high blood pressure to preventive screening, we’re here for you. It’s a drug addiction condition that can lead to serious health complications if you don’t get treatment for it.
Cannabinoid Hyperemesis Syndrome Diagnosis
THC is what’s responsible for the “high” most people feel when they use marijuana. While researchers are still working to understand the mechanisms behind CHS fully, evidence suggests that chronic cannabis use disrupts the endocannabinoid system. This system regulates various bodily functions, including nausea and vomiting.


These symptoms lower the quality of life, leading to physical exhaustion, emotional stress, and social isolation. Diagnosing Cannabinoid Hyperemesis Syndrome (CHS) can be challenging because its symptoms, like severe nausea and vomiting, are common in many conditions. However, certain patterns can help doctors identify CHS more accurately. Here’s how CHS is diagnosed and how it differs from other conditions. Cannabinoid Hyperemesis Syndrome (CHS) is a condition that affects some people who use cannabis for a long time. While cannabis is often used to relieve nausea, in the case of CHS, it has the opposite effect, making symptoms worse.
A key sign of CHS is compulsive hot bathing , which temporarily relieves symptoms. Only 2 RCTs have investigated topical capsaicin and haloperidol use in patients with CHS 22, 32. Three retrospective studies were short-term, with small sample sizes, without a standardized reporting of outcomes and subject to the risk of bias found in Tables 3 and 4 24, 25, 28.