Compulsive showering and marijuana use – the cannabis hyperemisis syndrome

Abstract

Patient: Male, 26Final Diagnosis: Marihuana addictionSymptoms: Compulsive showering • nausea • vomitingMedication: —Clinical Procedure: —Specialty: ToxicologyObjective:Unexpected drug reactionBackground:The use or misuse of Cannabis is well recognized in the Caribbean region. Recently, the cannabinoid hyperemesis syndrome has been described. The triad is characterized by chronic marijuana use, cyclical vomiting, and compulsive bathing. With the extensive use to marijuana as a recreational drug and also the increased use as prescription medication, a patient presenting with this symptomatology needs to be assessed appropriately and this syndrome needs to be one of the differential diagnoses.Case Report:To our knowledge, we report the first such case in the Caribbean region. Here, we report on the case of a 26-year-old Caucasian male with a 3-week history of nausea and week of epigastric pain and vomiting. The patient was known to use marijuana daily for 2 years and had similar complaints for the last 6 months.Conclusions:Because this popular recreational drug is now being used with increased frequency as a prescribed medication, it is crucial that clinicians be aware of this condition, which can present as a diagnostic dilemma.

A Case of Cannabinoid Hyperemesis Syndrome with Heliobacter Pylori and Preeclampsia during Pregnancy

“…32 The most common syndrome of pregnancy, hyperemesis gravidarum, although it has many features and complications in common with CHS, is not relieved by hot water bathing. [33][34][35] In a population of pregnant women in Hawaii, severe nausea during pregnancy was associated with marijuana usage during pregnancy. 36 CHS should also be differentiated from cyclic vomiting syndrome, 7 characterized by cyclic vomiting and abdominal pain.…”

Cannabinoid Hyperemesis Syndrome: A Paradoxical Cannabis Effect

“…To our knowledge, this is the second case report of cannabinoid hyperemesis in the Caribbean and the first case reported in Puerto Rico [ 10 ]. Few case reports have been described in the medical literature.…”

Cannabis Hyperemesis Syndrome: What Do We Know?

“…From 29 case reports and case series identified on CHS presentation as of 2024, representing 36 unique individuals, the ages of people represented in cases ranged from a low of 15 years old to a high of 47 years old [6‒34]. Most reports (21 | 29) described frequency of cannabis use as daily or multiple times per day in cases.…”