Cannabinoid Hyperemesis Syndrome (CHS) is a condition that affects some individuals who use cannabis long-term. It is characterized by recurring episodes of severe nausea, vomiting, and abdominal pain. This article addresses the common question of whether it is possible to resume cannabis use after experiencing the syndrome.
Understanding Cannabinoid Hyperemesis Syndrome
The condition typically progresses through three phases. The prodromal phase involves early morning nausea and abdominal discomfort, which can last for months or even years. This often leads individuals to mistakenly believe that continued cannabis use might alleviate their symptoms.
The hyperemetic phase is marked by intense and persistent nausea and vomiting, which can be severe enough to cause dehydration and weight loss. During this phase, individuals often find temporary relief from symptoms through frequent hot showers or baths. The recovery phase begins once cannabis use is stopped, leading to a gradual reduction and eventual cessation of symptoms. CHS is primarily associated with chronic, heavy cannabis use.
The Risk of Smoking Cannabis Again
For individuals who have experienced Cannabinoid Hyperemesis Syndrome, resuming cannabis use, even after a period of abstinence, carries a very high likelihood of symptom recurrence. The body develops a lasting sensitivity or adverse reaction to cannabinoids once CHS has manifested. This means that even small amounts or occasional cannabis use can trigger a relapse of symptoms. The underlying mechanism of CHS is still being researched, but it is understood that chronic exposure to cannabinoids, such as THC, can disrupt the body’s natural regulation of nausea and vomiting. This disruption persists, making the individual susceptible to future episodes if cannabis is reintroduced.
What Happens During a CHS Relapse?
A CHS relapse typically involves a rapid and intense return of severe symptoms, often mirroring or exceeding the severity of the initial episode. Individuals may experience overwhelming nausea, persistent vomiting, and excruciating abdominal pain. These episodes can last for several days. The forceful and recurrent vomiting can result in severe dehydration and electrolyte imbalances, which may require emergency medical attention. Other serious complications can include kidney issues, esophageal injuries, and in rare cases, aspiration pneumonia or brain swelling.
Achieving Lasting Relief from CHS
Complete and sustained abstinence from all cannabis products is the only proven method to achieve lasting relief from Cannabinoid Hyperemesis Syndrome. This includes edibles, concentrates, and synthetic cannabinoids, as any form of cannabis can trigger a recurrence of symptoms. Symptoms typically begin to resolve within days to weeks after stopping cannabis use, though full recovery can sometimes take a few months.
During the recovery period, medical advice is important for managing acute symptoms. Treatments may include intravenous fluids to combat dehydration, anti-nausea medications, and pain relievers. Many individuals also find temporary relief from hot baths or showers, and capsaicin cream applied to the abdomen may offer similar comfort. For those who find stopping cannabis challenging, seeking support systems or counseling can be a valuable step towards maintaining abstinence and overall well-being.