R11.16

Clinical Causes: Chronic, long-term use of cannabis Genetic predisposition may influence susceptibility High doses of cannabis intake over extended periods Possible alterations in the body's endocannabinoid system due to frequent use

Key Symptoms: Profound nausea and persistent vomiting Relief from symptoms through hot showers or baths Abdominal pain or discomfort Dehydration due to excessive vomiting Electrolyte imbalances from fluid loss Compulsive hot bathing behaviors to alleviate symptoms

Diagnosis Path: Diagnosing cannabis hyperemesis syndrome involves a thorough review of the patient's medical history, including detailed questions about cannabis use. Healthcare providers typically perform physical examinations and may order laboratory tests to rule out other causes of nausea and vomiting, such as gastrointestinal infections, metabolic issues, or other medical conditions. Diagnostic criteria often include recurrent episodes of vomiting in conjunction with a history of chronic cannabis use, symptom relief with hot bathing, and exclusion of alternative diagnoses.

Treatment Protocols: Managing CHS generally involves several approaches aimed at alleviating symptoms and addressing cannabis consumption. Common strategies include: - **Cessation of Cannabis Use:** The primary and most effective step is stopping cannabis intake, which may lead to symptom resolution. - **Supportive Care:** Intravenous fluids to correct dehydration, electrolyte replenishment, and medications to control nausea and vomiting. - **Symptom Management:** Use of antiemetic drugs and analgesics as recommended by healthcare providers. - **Hot Water Therapy:** Patients often find temporary relief through hot showers or baths, which should be supervised to prevent burns. - **Psychosocial Support:** Counseling or behavioral therapies can support cessation efforts. It is important to seek medical guidance for proper management, as self-treatment can sometimes mask underlying issues or lead to complications.