Case Report
 
Cannabinoid-induced cyclic vomiting; what every clinician needs to know
Anas K. Gremida1, Antonio Cheesman1, Julie Gammack1
1Department of Internal Medicine.Saint Louis University Hospital. Saint Louis, Missouri. USA .

doi:10.5348/ijcri-201581-CR-10542

Address correspondence to:
Anas Khalifa Gremida
Department of Internal Medicine
Saint Louis University Hospital
Saint Louis, Missouri
USA

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How to cite this article
Gremida AK, Cheesman A, Gammack J. Cannabinoid-induced cyclic vomiting; what every clinician needs to know. Int J Case Rep Images 2015;6(8):485–487.


Abstract
Introduction: According to the National Survey on Drug Use and Health (NSDUH), marijuana is the most commonly used illicit drug worldwide. In the United States and Europe, prevalence of regular marijuana use among adults reaches 4%. Despite the common belief that cannabinoids have an antiemetic effect, chronic use of cannabinoids can result in paradoxical bouts of abdominal pain, nausea and vomiting. Cannabinoid hyperemesis syndrome (CHS) is still an under recognized clinical entity and its diagnosis can be challenging to many clinicians due to the similarity of its clinical presentation to other more common disorders.
Case Report: We found that patients who were diagnosed with CHS have usually undergone an extensive clinical evaluation before the diagnosis was made. We are presenting a case of cannabinoid hyperemesis syndrome related to chronic and heavy marijuana use.
Conclusion: Compared to the increasing use of marijuana worldwide, cannabinoid hyperemesis syndrome is still an under recognized condition.

Keywords: Cannabinoid hyperemesis syndrome, Compulsive bathing, Cyclic vomiting, Marijuana


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Author Contributions
Anas K. Gremida – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Antonio Cheesman – Analysis and interpretation of data, Revising the article for important intellectual content, Final approval of the version to be published
Julie Gammack – Analysis and interpretation of data, Revising the article critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Anas K. Gremida et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.