Waning Effect of Compulsive Bathing in Cannabinoid Hyperemesis

Bagdure, Satish; Smalligan, Roger D.; Sharifi, Houman; Khandheria, Bharat

doi:10.1111/j.1521-0391.2011.00209.x

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…Three patients re-challenged themselves with marijuana and relapsed within months. Since then, multiple reports have been published and the disorder has been increasingly recognized 13–21 . However, the true prevalence of this disorder is unknown.…”

Section: Introductionmentioning

confidence: 99%

Emergency Department Burden of Nausea and Vomiting Associated With Cannabis Use Disorder

Bollom

Austrie

Hirsch

et al. 2018

Journal of Clinical Gastroenterology

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Section: Introductionmentioning

confidence: 99%

Emergency Department Burden of Nausea and Vomiting Associated With Cannabis Use Disorder

Bollom

Austrie

Hirsch

et al. 2018

Journal of Clinical Gastroenterology

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“…Subsequent cases have been published worldwide in the medical literature. [5][6][7][8][9][10][11][12][13] 14 It is important for health care providers and pharmacists to conduct focused history taking and consider CHS in the differential diagnosis of patients presenting with intractable cyclic nausea and vomiting plus abdominal pain as this may reduce the need for costly and invasive testing. The purpose of this brief review is to present a practical overview of CHS and to provide appropriate information to clinical pharmacists to effectively manage the hyperemetic phase of CHS in patients presenting to the emergency department (ED).…”

mentioning

confidence: 99%

Cannabinoid Hyperemesis Syndrome

Sun

Zimmermann

2013

Hosp Pharm

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Background: The purpose of this review is to describe cannabinoid hyperemesis syndrome (CHS), which is thought to be induced by long-term cannabis use, and provide clinical pharmacists with information to manage the hyperemetic phase of CHS. Method: Published literature was searched and reviewed using PubMed. Results: CHS is characterized by intractable nausea and vomiting without an obvious organic cause and associated learned compulsive hot water bathing behavior. Patients often seek care in the emergency department (ED) for symptomatic relief. Conclusion: CHS is potentially underrecognized and underdiagnosed in the ED, and it should be considered in the differential diagnosis in long-term cannabis use patients with CHS symptoms to avoid unnecessary extensive diagnostic workup including invasive radiologic imaging. Pharmacists have an important role in CHS recognition, education, and symptom management.

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“…We found three cases in which synthetic cannabis (K2, Kryptonite) was the cause of CHS 5 30 36. All of the patients were counselled about ceasing cannabis use at discharge.…”

Section: Discussionmentioning

confidence: 99%

Cannabinoid hyperemesis syndrome

et al. 2016

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SUMMARYThe antiemetic properties of marijuana are well known, but there is increasing evidence of its paradoxical hyperemetic effects on the gastrointestinal tract and central nervous system, known as 'cannabinoid hyperemesis syndrome' (CHS). We report a case of CHS encountered in our outpatient clinic. We also completed a review of the literature using PubMed in patients over 18 years of age with CHS. Understanding the diagnostic criteria and risk factors associated with CHS may reduce the ordering of unnecessary and expensive investigations, and pursuing inappropriate medical and surgical treatments. Ultimately, abstaining from cannabis use leads to resolution of symptoms in the majority of patients. BACKGROUND

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Waning Effect of Compulsive Bathing in Cannabinoid Hyperemesis

Cited by 6 publications

References 6 publications

Emergency Department Burden of Nausea and Vomiting Associated With Cannabis Use Disorder

Emergency Department Burden of Nausea and Vomiting Associated With Cannabis Use Disorder

Cannabinoid Hyperemesis Syndrome

Cannabinoid hyperemesis syndrome

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