Cannabinoid hyperemesis syndrome

Clinical diagnosis of an underrecognised manifestation of chronic cannabis abuse

Siva P. Sontineni, Sanjay Chaudhary, Vijaya Sontineni, Stephen J. Lanspa

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Cannabis is a common drug of abuse that is associated with various long-term and short-term adverse effects. The nature of its association with vomiting after chronic abuse is obscure and is underrecognised by clinicians. In some patients this vomiting can take on a pattern similar to cyclic vomiting syndrome with a peculiar compulsive hot bathing pattern, which relieves intense feelings of nausea and accompanying symptoms. In this case report, we describe a twenty-two year-old-male with a history of chronic cannabis abuse presenting with recurrent vomiting, intense nausea and abdominal pain. In addition, the patient reported that the hot baths improved his symptoms during these episodes. Abstinence from cannabis led to resolution of the vomiting symptoms and abdominal pain. We conclude that in the setting of chronic cannabis abuse, patients presenting with chronic severe nausea and vomiting that can sometimes be accompanied by abdominal pain and compulsive hot bathing behaviour, in the absence of other obvious causes, a diagnosis of cannabinoid hyperemesis syndrome should be considered.

Original languageEnglish
Pages (from-to)1264-1266
Number of pages3
JournalWorld Journal of Gastroenterology
Volume15
Issue number10
DOIs
StatePublished - Mar 14 2009

Fingerprint

Marijuana Abuse
Cannabinoids
Vomiting
Nausea
Abdominal Pain
Cannabis
Street Drugs
Baths
Emotions

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Cannabinoid hyperemesis syndrome : Clinical diagnosis of an underrecognised manifestation of chronic cannabis abuse. / Sontineni, Siva P.; Chaudhary, Sanjay; Sontineni, Vijaya; Lanspa, Stephen J.

In: World Journal of Gastroenterology, Vol. 15, No. 10, 14.03.2009, p. 1264-1266.

Research output: Contribution to journalArticle

@article{ae0ea8803e86442da4e1f384a1ac2a86,
title = "Cannabinoid hyperemesis syndrome: Clinical diagnosis of an underrecognised manifestation of chronic cannabis abuse",
abstract = "Cannabis is a common drug of abuse that is associated with various long-term and short-term adverse effects. The nature of its association with vomiting after chronic abuse is obscure and is underrecognised by clinicians. In some patients this vomiting can take on a pattern similar to cyclic vomiting syndrome with a peculiar compulsive hot bathing pattern, which relieves intense feelings of nausea and accompanying symptoms. In this case report, we describe a twenty-two year-old-male with a history of chronic cannabis abuse presenting with recurrent vomiting, intense nausea and abdominal pain. In addition, the patient reported that the hot baths improved his symptoms during these episodes. Abstinence from cannabis led to resolution of the vomiting symptoms and abdominal pain. We conclude that in the setting of chronic cannabis abuse, patients presenting with chronic severe nausea and vomiting that can sometimes be accompanied by abdominal pain and compulsive hot bathing behaviour, in the absence of other obvious causes, a diagnosis of cannabinoid hyperemesis syndrome should be considered.",
author = "Sontineni, {Siva P.} and Sanjay Chaudhary and Vijaya Sontineni and Lanspa, {Stephen J.}",
year = "2009",
month = "3",
day = "14",
doi = "10.3748/wjg.15.1264",
language = "English",
volume = "15",
pages = "1264--1266",
journal = "World Journal of Gastroenterology",
issn = "1007-9327",
publisher = "WJG Press",
number = "10",

}

TY - JOUR

T1 - Cannabinoid hyperemesis syndrome

T2 - Clinical diagnosis of an underrecognised manifestation of chronic cannabis abuse

AU - Sontineni, Siva P.

AU - Chaudhary, Sanjay

AU - Sontineni, Vijaya

AU - Lanspa, Stephen J.

PY - 2009/3/14

Y1 - 2009/3/14

N2 - Cannabis is a common drug of abuse that is associated with various long-term and short-term adverse effects. The nature of its association with vomiting after chronic abuse is obscure and is underrecognised by clinicians. In some patients this vomiting can take on a pattern similar to cyclic vomiting syndrome with a peculiar compulsive hot bathing pattern, which relieves intense feelings of nausea and accompanying symptoms. In this case report, we describe a twenty-two year-old-male with a history of chronic cannabis abuse presenting with recurrent vomiting, intense nausea and abdominal pain. In addition, the patient reported that the hot baths improved his symptoms during these episodes. Abstinence from cannabis led to resolution of the vomiting symptoms and abdominal pain. We conclude that in the setting of chronic cannabis abuse, patients presenting with chronic severe nausea and vomiting that can sometimes be accompanied by abdominal pain and compulsive hot bathing behaviour, in the absence of other obvious causes, a diagnosis of cannabinoid hyperemesis syndrome should be considered.

AB - Cannabis is a common drug of abuse that is associated with various long-term and short-term adverse effects. The nature of its association with vomiting after chronic abuse is obscure and is underrecognised by clinicians. In some patients this vomiting can take on a pattern similar to cyclic vomiting syndrome with a peculiar compulsive hot bathing pattern, which relieves intense feelings of nausea and accompanying symptoms. In this case report, we describe a twenty-two year-old-male with a history of chronic cannabis abuse presenting with recurrent vomiting, intense nausea and abdominal pain. In addition, the patient reported that the hot baths improved his symptoms during these episodes. Abstinence from cannabis led to resolution of the vomiting symptoms and abdominal pain. We conclude that in the setting of chronic cannabis abuse, patients presenting with chronic severe nausea and vomiting that can sometimes be accompanied by abdominal pain and compulsive hot bathing behaviour, in the absence of other obvious causes, a diagnosis of cannabinoid hyperemesis syndrome should be considered.

UR - http://www.scopus.com/inward/record.url?scp=65649093999&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65649093999&partnerID=8YFLogxK

U2 - 10.3748/wjg.15.1264

DO - 10.3748/wjg.15.1264

M3 - Article

VL - 15

SP - 1264

EP - 1266

JO - World Journal of Gastroenterology

JF - World Journal of Gastroenterology

SN - 1007-9327

IS - 10

ER -