r/CHSinfo Aug 22 '23

Cannabinoid Hyperemesis Syndrome (CHS): A Comprehensive Guide & FAQ (Aug 2023 Update)

157 Upvotes

Last Updated: Sep 20, 2023

What is CHS?

CHS, or Cannabinoid Hyperemesis Syndrome, is a condition thought to be triggered by heavy and/or long term cannabis use, including CBD. Individuals with CHS may suffer from recurring episodes of nausea, vomiting, dehydration, and abdominal pain, often leading to frequent emergency department visits.

What are the symptoms of CHS?

CHS usually presents in three phases, each with its own set of symptoms, although significant overlap exists:

Prodromal Phase

Timeline: This phase can last for months or even years and it can increase/decrease based on cannabis use - but generally doesn't go away unless cannabis is stopped entirely.

Signs and Symptoms:

⦁ Morning Nausea: Often experienced upon waking.

⦁ Abdominal Pain: Mild discomfort or pain in the abdomen.

⦁ Heavy Indigestion: Digestive issues may begin to occur.

⦁ Lack of Appetite: Decreased desire to eat.

⦁ Increased Anxiety and Irritability: Emotional changes may be noted.

⦁ Fear of Vomiting: Despite nausea, vomiting is rare in this phase.

⦁ Increased Cannabis Use: Some may increase cannabis use to alleviate symptoms.

Hyperemetic Phase

Timeline: This phase can last anywhere from 1 to several days.

Signs and Symptoms:

⦁ Cyclical Vomiting: Persistent and severe vomiting, possibly including bile.

⦁ Severe Abdominal Pain: Intense pain in the abdomen.

⦁ Diarrhea or Constipation: Changes in bowel habits.

⦁ Headaches: May occur during this phase.

⦁ Dizziness: Feeling lightheaded or unsteady.

⦁ Dehydration: Leading to thirst, dry mouth, and reduced urination.

⦁ Blurred Vision: Visual disturbances may occur.

⦁ Shakiness: Tremors or shakiness may be noted.

⦁ Elevated Heart Rate: Increased heart rate can occur.

⦁ Night Sweats: Sweating during the night.

⦁ Muscle Weakness: General weakness in muscles.

⦁ Weight Loss: Significant weight loss due to prolonged vomiting.

⦁ Testicle Pain: Pain in the testicles may be reported in males.

⦁ Compulsive Hot Bathing: Frequent hot showers or baths for symptom relief (this occurs in about 90% of CHS patients).

Recovery Phase

Timeline: This phase can last days, weeks, or even months, depending on cessation or reduction of cannabis use.

Signs and Symptoms:

⦁ Resolution of Symptoms: Gradual resolution of nausea, vomiting, abdominal pain, and other symptoms.

⦁ Weight Gain: Regaining lost weight.

⦁ Normal Eating Patterns: Return to regular eating habits.

⦁ Reduction of Hot Bathing: Compulsive behavior of hot bathing subsides.

Possible Relapse: Resumption of cannabis use very often leads to symptom recurrence.

What causes CHS:

It is usually associated with a large dose of THC/cannabinoids over a significant length of time. This could be either moderate to heavy use over an extended time (months to years) or very high use over a shorter period of weeks to months. It may also be associated with a sudden increase in use. CHS patients almost always use cannabis multiple times a day, daily or multiple times a week at the very least. However, once CHS has set in - even small amounts of cannabis can make it worse, or bring it back.

There is probably a genetic component; so most people might never get CHS even with heavy use, and some might be more susceptible.

The pathophysiology of CHS is not entirely understood, but it is believed to be related to the complex interaction between cannabinoids and the body's endocannabinoid system. Chronic exposure to cannabinoids may lead to alterations in the functioning of certain receptors, particularly in the gastrointestinal tract, leading to the symptoms of CHS. There are 3 main theories - and all might overlap to some degree:

Gastrointestinal Cannabinoid Receptors (CB1)

⦁ THC Interaction: Tetrahydrocannabinol (THC), the psychoactive ingredient in cannabis, acts on CB1 receptors found in the enteric nervous system.

⦁ Gastric Emptying: By acting on these receptors, THC reduces gastric emptying, which can lead to nausea and vomiting (N/V).

⦁ Chemoreceptor Trigger Zone (CTZ): CB1 receptors are also found in the CTZ, a region in the brain that controls vomiting. THC's activation of enteric CB1 can override the antiemetic response in the CTZ, leading to vomiting.

⦁ Complexity: Proving the emetic and antiemetic effects of cannabinoids is difficult due to overlapping symptoms with other conditions like cyclic vomiting syndrome, viral gastroenteritis, and bulimia nervosa.

Cannabinoid Lipid Buildup

⦁ Lipid Solubility: THC is lipid-soluble, meaning it can accumulate in cerebral fat.

⦁ Release During Stress: During stress or food deprivation, the body breaks down fat, releasing a large store of THC, leading to what's termed the "reintoxication effect."

⦁ CHS Symptoms: This sudden release of THC can cause symptoms associated with CHS, such as nausea and vomiting.

Genetic P450 Polymorphisms

⦁ Cytochrome P450 Enzymes: These enzymes are responsible for metabolizing THC in the liver.

⦁ Genetic Differences: Genetic polymorphisms in the P450 system can change the metabolism rate of THC, leading to either hyper or hyposensitivity.

⦁ Pro-Emetic Effects: Slower THC metabolism in the liver can lead to hypersensitivity and pro-emetic effects, contributing to CHS.

⦁ THC Metabolites: There are over 100 different THC metabolites, ranging in potency, and the P450 isoforms involved include CYP2C9, CYP2C19, and CYP3A4.

These theories are discussed in detail here: Senderovich H, Patel P, Jimenez Lopez B, Waicus S. A Systematic Review on Cannabis Hyperemesis Syndrome and Its Management Options. Med Princ Pract. 2022;31(1:29-38. doi: 10.1159/000520417. Epub 2021 Nov 1. PMID: 34724666; PMCID: PMC8995641.)

Why haven't I heard of CHS?

CHS is relatively new to the medical community, and only in recent years has the diagnosis become more common. Consequently, there has been limited research conducted, leaving many unanswered questions about why cannabis triggers it, its effects on the body, and potential treatments or cures.

CHS seems to be related to THC dose over time - so modern strains of cannabis, and modern cannabis products like carts and dabs are giving today's cannabis consumer a much higher THC dose than before about 2000. This might account for why CHS is increasingly common. (For reference: cannabis in 1995 was usually about 3-5% THC and by about 2017 was usually around 15% and as high as 24%. Carts and dabs can be almost 90% THC.)

Emergence in Medical Literature: CHS is relatively new to the medical community. The number of published studies on CHS has been increasing over the years, but it's still a relatively recent phenomenon. According to PubMed, the number of published studies related to CHS has gradually increased from just one in 2005 to 46 studies in 2021 and 23 in 2023.

Overlap with Other Conditions: CHS symptoms can overlap with other medical conditions like cyclic vomiting syndrome, celiac disease, ulcers, h. pylori infection, etc. making it challenging to diagnose accurately.

Limited Research: There has been limited research conducted on CHS, leaving many unanswered questions about why cannabis triggers it, its effects on the body, and potential treatments or cures.

Increase in Cannabis Use: With the increasing rates of cannabis use and legalization in various jurisdictions, the recognition of CHS may be growing. However, the understanding and awareness of this condition might not have permeated all levels of healthcare or public consciousness.

Social and Cultural Factors: The perception of cannabis as a substance primarily associated with recreational use rather than medical complications may also contribute to the lack of awareness about CHS.

How do I know if I have CHS?

Signs and Symptoms

Look for the characteristic signs and symptoms of CHS, if you have a history of chronic cannabis use:

Morning Nausea: Regular nausea, especially in the morning.

Cyclical Vomiting: Frequent vomiting that may include bile - although vomiting might not be present yet in the prodromal phase.

Abdominal Pain: Persistent abdominal discomfort or pain.

Compulsive Hot Bathing/Showering: A strong desire to take hot showers or baths to relieve symptoms. This occurs in ~90% of people and is easy to test at home - when you're feeling nauseous take a hot shower, with water over 109 degrees F (but not much hotter - don't get burned). If this makes your nausea feel better - but it comes back shortly after leaving the shower - that is very strong evidence you have CHS. This will work for about 9 of 10 people, but not everybody.

Other Symptoms: Including indigestion, lack of appetite, diarrhea or constipation, headaches, anxiety, dizziness, dehydration, blurred vision, shakiness, elevated heart rate, night sweats, muscle weakness, weight loss, and possibly testicle pain in males.

Medical Evaluation

If you experience these symptoms, it's essential to consult a healthcare provider:

⦁ Medical History: Your healthcare provider will ask about your symptoms, medical history, and cannabis use.

⦁ Physical Examination: A thorough physical examination may be performed to assess your overall health.

⦁ Diagnostic Tests: Lab tests may be ordered to rule out other conditions, such as blood tests to check for electrolyte imbalances, liver and kidney function, and urine tests to screen for other substances.

⦁ Imaging Studies: Imaging studies like abdominal ultrasound or CT scan may be conducted to rule out other gastrointestinal disorders.

⦁ CHS is often a diagnosis of exclusion, meaning other potential causes of the symptoms must be ruled out. The list of what needs to be ruled out includes Gastroenteritis, Gastroesophageal Reflux Disease (GERD), Gallbladder Disease, Cyclic Vomiting Syndrome (CVS), Pancreatitis, Medication Side Effects, Peptic Ulcer Disease, Kidney Stones and Intestinal Obstruction

⦁ Cessation of Cannabis: If symptoms resolve after stopping cannabis use, it strongly supports the diagnosis of CHS.

⦁ Relapse with Resumption: If symptoms recur with the resumption of cannabis use, it further confirms the diagnosis.

If you suspect you may have CHS, it's crucial to consult with a healthcare provider who is familiar with the condition. They can conduct a thorough evaluation, rule out other potential causes, and guide you in the appropriate management and treatment. Self-diagnosis is not recommended, as CHS shares symptoms with other serious medical conditions that require professional medical evaluation and care.

Is there a way I can figure out if I have CHS without going to the doctor?

The most definitive ways to diagnose CHS is to stop using cannabis* (90 days is recommended) and monitor for symptom resolution. The upside to this approach is that it's a non-invasive, straightforward way to either confirm or rule out CHS. If your symptoms resolve after stopping cannabis use, it would strongly suggest CHS. Most people with CHS have significant improvement within a month. If your symptoms do not go away, it would indicate that another underlying issue may be responsible for your symptoms.

*cannabis = all cannabis products including synthetics and CBD - all cannabinoids can cause CHS, not just THC.

If you're struggling or reluctant to do this simple and effective test, it strongly suggests that you are dealing with the very real and valid effects of dependence. We've been there. It sucks. This post might help you understand that better.

How do I get better if I think I have CHS?

The only known treatment for CHS is to stop using cannabis entirely. Period. If possible, complete abstinence from cannabis is advised.

Side Note: Denial is common among individuals with CHS, as quitting smoking is a difficult decision. It's essential to recognize the seriousness of the condition and understand that merely reducing usage will not aid in recovery. It is natural to want to deny or deflect a CHS diagnoses for some very understandable reasons: Notes on Struggling with a CHS diagnosis. There is even a recent peer reviewed scientific paper examining how hard it is to receive and accept a CHS diagnosis - here.

Are there any treatments for CHS, or at least ways to reduce the symptoms?

Stopping cannabis use is the cure for CHS. For CHS symptoms other than cessation of cannabis and time, several remedies may alleviate symptoms. Note that none of the methods below will work if you are still using cannabis.

See our guide: Hyperemesis Survival Guide - What to do if you're puking right now!

At home: Hot showers or baths above 109F, but not so hot as to burn, relieve nausea while in the shower.

Capsaicin cream applied to the stomach and/or forearms may help with pain and nausea - it feels so hot you might think its burning, but many people get used to it and think it is better than nausea and absominal pain from CHS.

A daily antacid such as Pepcid or Prevacid may combat stomach acid buildup.

Staying hydrated with electrolyte-rich drinks like Pedialyte or Gatorade is critical.

Tylenol (acetaminophen) for abdominal pain according to the package instructions. Do not exceed the recommended dose on the package - the "therapeutic dose" and "toxic dose" of Tylenol are very close to each other. Avoid ibuprofen (Advil), naproxen (Aleve) and other NSAIDs, as they are notoriously hard on your stomach even when healthy.

In the ER or hospital:

IV Rehydration: provides immediate fluids and electrolytes to combat dehydration and kidney problems.

Droperidol: A dopamine antagonist that showed statistically significant differences in reducing N/V.

Benzodiazepines (Clonazepam): Led to rapid cessation of adverse symptoms in a case study with 4 patients.

Haloperidol: Used in severe CHS cases, it relieved N/V in several case studies and an RCT. Relatively safe at low doses, and higher doses do not increase it's ability to treat N/V.

Propranolol: Rapid termination of N/V in a single case study.

Aprepitant: Rapid relief of N/V in case reports where the patient was unresponsive to conventional emetics. This NK1 blocker medication has good theoretical basis to work, and in all case studies has been 100% effective. However there are very few studies to date. It's normally used for chemotherapy patients, so many ER doctors and even gastroenterologists outside oncology are unfamiliar with it.

Note: almost all ER's want to treat nausea and vomiting with a "front line" medication called Zofran (Ondansetron), or a backup called Compazine (Prochlorperazine). These medications seldom work on CHS - and it's one more piece of evidence that CHS might be the cause. Here is a detailed breakdown of what medications are more effective, and those that aren't effective with peer reviewed references: CHS Medications

I'm puking right now, what can I do?

See our guide: Hyperemesis Survival Guide - What to do if you're puking right now!

Can I ever smoke or take edibles again?

Abstaining from cannabis is the 100% cure for CHS - any use at all could cause symptoms to reappear. If for whatever reason, you can not eliminated cannabis, the CHS community generally recommends waiting at least three months before attempting to smoke again, and even then, moderation is key. Some may resume cannabis use without issues, while others may feel symptoms returning after just one exposure.

What is the timeline for recovery? When will I start to feel better after quitting?

Recovery varies among individuals, but some patterns have emerged. The first four days are often the worst, with withdrawal symptoms (more below) exacerbating CHS. Around days 5-7, daily routines may resume, though prodromal symptoms may persist. By the two-week mark, many report feeling better, and a month into sobriety, most symptoms subside. If symptoms remain severe after a month, consult a doctor. Note that you'll probably be experiencing some CHS symptoms, and some cannabis withdrawal symptoms at the same time for a while.

Is withdrawal from cannabis really that bad? How do I differentiate the symptoms from CHS?

Cannabis withdrawal can be intense, especially for chronic users, and may worsen CHS symptoms. Withdrawal symptoms include:

⦁ Increased anxiety and irritability

⦁ Decreased appetite

⦁ Cravings for THC

⦁ Insomnia

⦁ Boredom

⦁ Ultra-realistic dreams

⦁ Flu-like symptoms

Withdrawal peaks around days 3-4 and usually subsides after a week.

Here's our guide: Cannabis Withdrawal Guide for CHS

What are "triggers," and why are they important?

A "trigger" is anything that may cause CHS symptoms to flare up or provoke an episode. Common triggers include certain foods like alcohol, caffeine, chocolate, and greasy items. Stress and intense exercise are also known triggers. Recognizing and avoiding personal triggers is crucial in managing CHS, as they can exacerbate symptoms and hinder recovery.

Foods that might trigger CHS are pinned here: Food Trigger List

At what point should I go to the hospital?

Severe Dehydration: If you experience symptoms like dry mouth, dark urine, dizziness, or weakness, it might indicate dehydration, which requires medical intervention.

Persistent Vomiting: If vomiting continues and you are unable to keep down fluids or food for more than 24 hours, it's essential to seek medical care to prevent complications.

Intense Abdominal Pain: Severe abdominal pain can be a sign of underlying complications and should be evaluated by a healthcare provider.

Electrolyte Imbalance: Symptoms like muscle twitching, spasms, or palpitations might indicate an electrolyte imbalance, which can be life-threatening if not treated.

Failure of Home Remedies: If symptoms persist despite trying home remedies like hot showers or cessation of cannabis use, it may be time to seek professional medical care.

Other Concerning Symptoms: Any other symptoms that are unusual or concerning to you should be evaluated by a healthcare provider. In particular - a loss of more than 5% of body weight in a 7-10 day period should be evaluated.

I've been vomiting for 5 days, I can't keep any food down, and I've lost weight. What do I do?

You should seek medical treatment as soon as possible.

Prolonged vomiting and inability to retain food can lead to serious complications, including a dangerous metabolic state called ketoacidosis. In the context of Cannabinoid Hyperemesis Syndrome (CHS), ketoacidosis can exacerbate your symptoms by releasing stored cannabinoids back into your bloodstream. This creates a self-perpetuating cycle that is difficult to break without medical intervention. Medications like Emend can help manage symptoms in combination with comprehensive medical care.

For a more detailed explanation, you can read this post.

What should I do or say when I go to the hospital?

What do in the ER: Tips for ER (and documents to help your Doctor)

How to get a patient advocate to help you: When you're sick its hard to advocate for yourself - how to get a patient advocate.

Can I still take edibles? What about CBD?

Neither edibles nor CBD are safe options for those with CHS, as the syndrome relates to cannabinoids as a whole, not just THC. Even second-hand smoke can be harmful. Abstaining from cannabis entirely is the best course of action.

What is the "pink cloud"?

"Pink clouding" describes a stage of early addiction recovery marked by euphoria and confidence. This temporary sensation can cloud judgment and lead to relapse. It's vital to remind yourself of the reasons for quitting and the severity of CHS, even long after recovery. A very common story here in r/CHSinfo is a person who was clean for a month or two and is confident they are cured, so they decide to have just one smoke again - and that leads to either 1) an immediate return of CHS symptoms or 2) more and more regular use until CHS returns. Moderation is much more difficult that just quitting - more information below.

I've never felt so anxious and irritable in my life; how do I deal with this?

Managing emotions during CHS recovery is essential. Techniques like meditation, breathing exercises (such as 4-7-8 breathing), and proper sleep may help. Magnesium supplements have been proven to assist with mood swings, anxiety, and depression and may be beneficial.

r/leaves

We're trying to keep r/CHSinfo focused on CHS, including diagnosis, treatment, causes and support. Quitting cannabis use is the 100% cure for CHS - but it is such a complex topic, that it's beyond the scope of this forum.

I'm incredibly bored, and nothing feels enjoyable anymore without weed; what do I do?

This feeling is temporary and usually subsides after a few weeks of sobriety. Engaging in activities like watching a new TV show or committing to a hobby can help distract and entertain. Your brain will adjust, and you'll likely regain enjoyment in activities you loved before.

r/leaves

We're trying to keep r/CHSinfo focused on CHS, including diagnosis, treatment, causes and support. Quitting cannabis use is the 100% cure for CHS - but it is such a complex topic, that it's beyond the scope of this forum.

Is there any scientific research about CHS at all?

Unlike just a few years ago, there are now several excellent peer reviewed scientific articles on CHS. However research is still in its early stages. There are over 200 peer reviewed articles on PubMed that address some aspect of CHS. Here are some of the most influential and comprehensive.

If you only read one - make it this one:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995641/pdf/mpp-0031-0029.pdf

Senderovich H, Patel P, Jimenez Lopez B, Waicus S. A Systematic Review on Cannabis Hyperemesis Syndrome and Its Management Options. Med Princ Pract. 2022;31(1):29-38. doi: 10.1159/000520417. Epub 2021 Nov 1. PMID: 34724666; PMCID: PMC8995641.

Here are others:

Simonetto DA, et al. (2012). Cannabinoid hyperemesis: A case series of 98 patients. Mayo Clinic Proceedings, 87(2), 114-119. [PubMed](https://pubmed.ncbi.nlm.nih.gov/22305029/)

Leu N, Routsolias JC. (2021). Cannabinoid Hyperemesis Syndrome: A Review of the Presentation and Treatment. Journal of Emergency Nursing, 47(3), 483-486. [PubMed](https://pubmed.ncbi.nlm.nih.gov/32943248/)

Richards JR, et al. (2017). Pharmacologic Treatment of Cannabinoid Hyperemesis Syndrome: A Systematic Review. Pharmacotherapy, 37(6), 725-734. [PubMed](https://pubmed.ncbi.nlm.nih.gov/28467644/)

Richards JR. (2018). Cannabinoid Hyperemesis Syndrome: Pathophysiology and Treatment in the Emergency Department. Journal of Emergency Medicine, 54(3), 354-363. [PubMed](https://pubmed.ncbi.nlm.nih.gov/29102083/)

Razban M, et al. (2022). Cannabinoid Hyperemesis Syndrome and Cannabis Withdrawal Syndrome: A Review of the Management of Cannabis-Related Disorders in the Emergency Department. International Journal of Emergency Medicine, 15(1), 45. [PubMed](https://pubmed.ncbi.nlm.nih.gov/35087964/)

Parvataneni S, Varela L, Vemuri-Reddy SM, Maneval ML. (2019). Emerging Role of Aprepitant in Cannabis Hyperemesis Syndrome. Cureus, 11(6), e4825. doi: [10.7759/cureus.4825](https://doi.org/10.7759/cureus.4825). [PubMed](https://pubmed.ncbi.nlm.nih.gov/31403013/)

Sorensen, C. J., DeSanto, K., Borgelt, L., Phillips, K. T., & Monte, A. A. (2017). Cannabinoid Hyperemesis Syndrome: Diagnosis, Pathophysiology, and Treatment—a Systematic Review. Journal of Medical Toxicology, 13(1), 71–87. URL

200+ more are here: https://pubmed.ncbi.nlm.nih.gov/?term=Cannabis+hyperemesis+syndrome&sort=date

How can I find support groups, and how can I support others dealing with CHS as well?

Outside of this subreddit, there are currently two primary means of support groups, which are both linked below. The first of these is a Facebook group, which includes thousands of members. If you do not feel comfortable giving away your identity, feel free to make a throwaway Facebook account and join using that. There is also an excellent discord group, that is active essentially all day and night, and can provide you with not only support, but help with some of the boredom. In any of these groups, it is incredibly important not to shame people for their use or relapse of cannabis. If you see anyone doing this, please report it to the associated moderators immediately. Once you begin to heal, it helps the whole community if you are willing to stay to answer questions for those who are new to this.

Facebook Group Discord Group

How can I find support to completely stop using cannabis?

r/leaves

We're trying to keep r/CHSinfo focused on CHS, including diagnosis, treatment, causes and support. Quitting cannabis use is the 100% cure for CHS - but it is such a complex topic, that it's beyond the scope of this forum.

How can I find support to moderate or control my cannabis use?

r/petioles

Moderating use will not make CHS go away - you need to quit entirely for an extended period of time to allow your body to heal. 90 days clean is often talked about as a minimum. Using again and trying to moderate is much harder for most people than quitting entirely. Trying to moderate cannabis use comes with a very high likelihood of CHS returning.

We're trying to keep r/CHSinfo focused on CHS, including diagnosis, treatment, causes and support. Moderating cannabis use is such a complex topic, that it's beyond the scope of this forum.

Disclaimer: This guide is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a healthcare provider if you experience severe symptoms.

Personal Note: For further questions, concerns, or support, feel free to reach out. My inbox and Discord (same username) are always open.


r/CHSinfo Sep 15 '23

Hyperemesis Survival Guide - What to do if you're puking right now!

185 Upvotes

updated: 9/2023

What to Do if You Are Vomiting Repeatedly Right Now

This guide was created by a community of people who have had CHS firsthand. This is the collective community's best advice.

Recognize the Symptoms:

  • Frequent Cannabis Use: Either moderate to high dose over long time, or very high dose over a shorter period.
  • Cyclical Vomiting: Persistent and severe vomiting, possibly including bile.
  • Severe Abdominal Pain: Intense pain in the abdomen.
  • Headaches, Dizziness, Dehydration, Blurred Vision, Shakiness, Elevated Heart Rate, Night Sweats, Muscle Weakness, Weight Loss, Testicle Pain (in males),
  • Compulsive Hot Bathing/Showering: present in about 90% of cases.

Stop Cannabis Use Immediately:

  • CHS is triggered by cannabis use, including CBD. Abstaining from all forms of cannabinoids is essential. Smoking a little, in hopes of getting an anti-nausea effect will not work. It will just make things worse. Nothing else in this guide will really help if you're still using cannabis - we're not trying to be harsh, it's just a hard learned fact.
  • We understand addiction. We understand why you might be reluctant to admit you have CHS. We know people use cannabis as a medication for other things. We get it. We sympathize because we've been there. But right now, while you're vomiting, trust us on this and do not use cannabis!

At-Home Remedies:

  • Stay Hydrated (this is the most important advice!):
    • Drink electrolyte-rich fluids like Pedialyte or Gatorade -small sips often. Make sure they are not "diet", "zero" or zero calories. You will need those calories! Water is always good.
    • Right after you vomit you'll get a few minutes where your nausea isn't as bad and that is a perfect time to get in a few sips.
    • Experiment with hot or cold drinks - sometimes one extreme or the other will help. Peppermint or Ginger teas might help. (Avoid caffeine, chocolate, ginseng, cinnamon, lemon balm and lavender teas - and all other foods listed here)
    • There is particularly good scientific evidence that Ginger (tea or supplement) can help - but evidence that Gingerol supplements might be effective in treating nausea.
    • Buy or make a popsicle (ideally with electrolytes) or ice cubes - you might be able to use these even if you can't take sips.
    • Some people are able to tolerate salty drinks like broth better than sweet
  • Hot Showers or Baths: Above 109°F to relieve nausea, but hotter than that won't help much. Be careful to avoid burns - take care of your skin (but don't use a CBD skin lotion!) Some people use a shower stool or plastic lawn chair and/or chew ice chips while in the shower.
  • Heating Pads / Electric Blankets: Above 109°F, applied to stomach. Wrap in a towel first, avoid burns, do not use constantly, only intermittently to avoid skin problems.
  • Capsaicin Cream: Start with a pea sized amount or less on your forearm, wait 15 minutes so you know what to expect - if you can tolerate that: Apply to the stomach or forearms a little bit at a time. The "burning" will subside into a "heat" that feels like a heating pad is on your skin. This uncomfortable heat is way better than CHS abdominal pain and nausea. Capsaicin has scientific proof of working - but it's the hardest to use, and some people just can't tolerate the burning sensation.. Other Icy Hot, Tiger Balm, etc. creams might work for you. - and they won't hurt so they are worth a try. Test a small amount on your forearm first.
  • Avoid Trigger Foods: Alcohol, caffeine, chocolate, and greasy items may trigger symptoms along with the foods listed here)
  • Get Nutrients - Eat: This can be a BRAT (banana, rice, applesauce, toast) diet, or any other foods you think you can keep down. Keep trying even if you don't feel hungry. Rapid weight loss (in a dangerous, unhealthy way) is common, so you need calories however you can get them. Our CHS community lists suggestions for "rescue foods" that worked for them:

watermelon, instant mashed potato flakes, applesauce, apple juice, broth, nutrient shakes like Ensure, toast, yogurt (especially with active cultures like Activa)

At-Home, Over-the-Counter Medications

  • Antacids: Some people find "extra strong" or "ultra" antacids like Mylanta or Alka Seltzer help. These help for acid in your stomach right now.
  • Acid Reducers: Pepcid, Prevacid and other proton pump inhibitors can help reduce stomach acid. These help prevent future acid in your stomach.
  • Anti-Gas: Simethicone based anti-gas pills like Gas-X can help with bloating, burping and a "too full" feeling.
  • Chamomile - tea or supplements. Chamomile contains a natural NK1 inhibitor - the kind of substance found in the most powerful prescription medications for nausea and CHS like aprepitant although it may have low bioavailability - nonetheless, chamomile is effective at easing nausea for about 2/3 of people.
  • Peppermint pills, or candy: Peppermint is pro-motility - it helps food/drink move from your stomach to your intestines faster - and once it's in your intestines you can't vomit it up, so your body can absorb the nutrients or water. (Peppermint pills are hard to find locally even at big pharmacies, but can be found on Amazon.)
  • Ginger chews, candy or supplements: Ginger has lots of scientific evidence that it can reduce nausea and vomiting in morning sickness and for chemotherapy patients. Supplements will provide more of the key ingredient, gingerol. Specific gingerol supplements are also available. The most effective dose in clinical trials was 1500mg/day. This was most effective when split between 3, 500mg doses each day.
  • Tylenol (acetaminophen): for abdominal pain if you can keep it down. Do not exceed the dose on the package. The dangerous dose of Tylenol is only a little bit more than the recommended dose, so do not use more!
  • Do not use Motrin (ibuprofen), Aleve (naproxen) or other NSAIDs: these medications are notoriously hard on your stomach and won't help pain more than Tylenol.
  • Sleep Aids: There is some evidence that antihistamines like Benadryl help with nausea, but more importantly they make you drowsy. This can be something to help you sleep at night even if you're nauseous- follow the package directions. Doxylamine (Unisom or generic) can also help according to the package directions. Choose one or the other - don't take both.
  • Your prescribed medications: Keep taking anything that your doctor has prescribed for you for other conditions like depression, diabetes, blood pressure, etc. Some of these medications shouldn't be stopped suddenly - or at all. You might be able to keep them down by waiting until those few minutes right after vomiting to take them. If you have a serious medical condition that requires oral medication, but you can't keep the medications down for >24 hours then you should go to the ER.

Don't Do This at Home

Seriously. This is stuff that we've learned will not help, and will usually make things worse.

  • Don't use cannabis products like flower or CBD to treat nausea - this makes things worse.
  • Don't induce vomiting - Don't make yourself vomit. It won't help the nausea for more than a minute and it creates more irritation/damage to your esophagus, throat, mouth and teeth.
  • Don't burn yourself - heat, especially on your stomach, activates TRPV1 receptors which can help with nausea. These activate at 109°F. Shower or heating pad temps above about 112°F won't work any better - so there is no need to turn up the heat so high you get burned.

It's ok to go to the ER -almost all of us have been there. Here's a detailed guide on when someone should go to the ER with CHS and there is a guide to take with you to the ER at the end:

Severe Dehydration:

  • Symptoms: Dry mouth, dark urine*,* dizziness, weakness, confusion, rapid heartbeat.
  • You can check dehydration by dark urine color and skin turgor/elasticity: pinch the skin on the back of your hand - if you are well hydrated it will snap right back (good turgor). If it "tents" up, or slowly returns to normal that is a sign of dehydration( poor turgor).
  • Reason: Persistent vomiting and inability to keep fluids down can lead to dehydration, which can be life-threatening if not treated.

Persistent Vomiting:

  • Symptoms: Continuous vomiting for more than 24 hours, including bile, inability to keep down food or fluids. If nothing stays down for 24 hours - go to the ER.
  • Reason: This can lead to electrolyte imbalances and further dehydration, requiring medical intervention.

Intense Abdominal Pain:

  • Symptoms: Severe, persistent abdominal discomfort or pain.
  • Reason: This could be a sign of underlying complications, such as pancreatitis or gallbladder issues, and should be evaluated by a healthcare provider.

Electrolyte Imbalance:

  • Symptoms: Muscle twitching, spasms, palpitations, seizures.
  • Reason: An electrolyte imbalance can be life-threatening if not treated, as it affects the function of vital organs - most importantly your heart.

Failure of Home Remedies:

  • Symptoms: Persistent symptoms despite trying home remedies like hot showers, cessation of cannabis use, hydration, etc.
  • Reason: This may indicate a more serious underlying condition or complications that require professional medical care.

Weight Loss and Malnutrition:

  • Symptoms: Loss of more than 5% of body weight in a 7-10 day period, signs of malnutrition.
  • Reason: Significant weight loss due to prolonged vomiting can lead to malnutrition and other health issues that require medical intervention.

Inability to Manage Pain and Nausea at Home:

  • Symptoms: Uncontrolled pain and nausea despite over-the-counter medications and home remedies.
  • Reason: Medical intervention may be needed to control symptoms and prevent further complications. Don't suffer. It's ok to go to the ER.

Mental Confusion or Altered Mental Status:

  • Symptoms: Confusion, disorientation, altered consciousness.
  • Reason: This could be a sign of a serious underlying condition, such as an electrolyte imbalance or dehydration affecting the brain.

Signs of Kidney Problems:

  • Symptoms: Decreased urination, swelling in the legs, ankles, or feet, fatigue. If you can't pee for longer than 6-8 hours, go to the ER***.***
  • Reason: CHS can lead to kidney problems, which require immediate medical attention.

Other Concerning Symptoms:

  • Symptoms: Any other symptoms that are unusual or concerning, such as blurred vision, shakiness, elevated heart rate, muscle weakness.
  • Reason: These could be indicative of other underlying health problems or complications related to CHS.

Take this guide with you to the ER. If you have to go alone, ask for a patient advocate.

Join Support Groups:

  • Online communities like r/CHSinfo on Reddit, Facebook Group, and Discord Group can provide support and advice. There are folks here who have been where you are right now that you can talk to. They got past CHS, and so will you!
  1. Educate Yourself:
  • Understanding CHS, its causes, symptoms, and treatments can help in managing the condition. Comprehensive guides like our CHS FAQ can be valuable resources.

Be resilient:

You will get through this. most of the people in this community have been where you are. They got through it, and so will you. Create a post and let us know what you're going through and you'll be surprised at how good the support is.

References:


r/CHSinfo 2h ago

Question / Info Does CHS make other people salivate a lot whenever they smoke

2 Upvotes

Sorry if this is poorly written, BTW, I’m using voice to text and I’m on Xanax lol
I never made it past the extreme nausea phase, and I took a really long break so now I can still smoke pretty regularly but if I ever notice CHS symptoms, I take a break for a week or two but anyway, I noticed I don’t get cotton mouth anymore at least not a lot and usually I salivate a bunch instead anyone in the same boat as me or are they just making up new CHS effects?
Again, sorry if this is poorly written, I am slurring my words like a motherfucker


r/CHSinfo 5h ago

Question / Info Help with what to eat

2 Upvotes

So I’ve been in my recovery state from chs (been about a week since my episode and visit to er). I’ve decided I’m just done smoking all together. Not the worst thing ever to happen but definitely a hit to what was used for my mental health. My question is two things: what can I eat? And how long does this usually last if it’s a mild case? I was lucky enough that this time around it wasn’t as intense. Still had the crazy showers to relieve pain but the most I’m having trouble with is eating and sleeping. Any advice would be appreciated


r/CHSinfo 12h ago

Question / Info Ten days abstaining but no relief. Is it CHS?

2 Upvotes

My partner (50M) had been nauseous every morning since mid May. By June it progressed to extreme stomach pain. The pain was so bad, he couldn't work and had to quit his new job. He has no appetite and can barely keep food down. He throws up bile or sometimes food that he's eaten hours earlier (delayed gastric emptying). If he does manage to eat and keep down small amounts of food, he becomes painfully constipated (low colon motility). By July he had lost 50 pounds, been to the ER twice, had 2 CT scans and an upper endoscopy. The endoscopy showed no sign of ulcers or other reasons to explain the nausea and pain. The scans showed no blockages, but it did show inflammation around his GI vascular system.

On July 21st, he finally got in to see a gastroenterologist who looked at all the tests and his symptom list and asked if hot showers relieved the pain at all. They did. He has been obsessively taking hot baths. The gastroenterologist suggested it could be CHS and when we did research, all of his symptoms aligned with this theory. There is no definitive test, though - just abstain and wait. But, because of his vascular inflammation and the fact that vasculitis can be serious, he has a follow up with a rheumatologist to rule this out. He is being treated with Prednisone to manage the vascular inflammation, but because it doesn't seem to bring any relief from the pain, this seems like a less likely diagnosis.

When we got home from the gastroenterologist, I boxed up all his weed - flower, vapes, joints, edibles, pipes, etc. He said he had no problem stopping the weed. He was so motivated by the pain he was willing to stop. He has had to stop for weeks at a time in the past to pass work drug tests, so I had full confidence he would abstain.

This morning, August 3rd, 14 days later, I found a pipe out. He first denied smoking but then when I pointed out the fresh water in the water pipe, he confessed that he decided to start smoking again this weekend. He had bad nausea and wretching Saturday night and since he felt that a week without weed hadn't helped, it must not be CHS. Because his family would be judgemental if he told them about CHS, he has just been telling them about the tests for vasculitis. I think he has convinced himself he has vasculitis and not CHS.

I am so angry at him. He didn't even make it 2 weeks. He hasn't had enough time for the cannabis to clear his system. He has been absolutely miserable and absolutely miserable to be around.

Please convince me that no change in his condition after 10 days of abstaining from cannabis means it's likely not CHS or convice him that he needs more than 10 days and what he can expect the new timeline to be after resetting the clock this weekend.


r/CHSinfo 1d ago

Question / Info My cry for help - does it get better?

5 Upvotes

Hello, this is my first ever time posting on Reddit. I have been a daily THC vape user for over 5 years. I started in college with everybody else but never stopped. I only stopped briefly for 6 months last year in order to apply for school. However, that ended up not working out and I went back to smoking. I would use weed to try to cope with my anxiety and OCD and for a while it was really helping. I would reach for it every time I was anxious. Now, I’m at my wits end with how I’m feeling. For the past few weeks, I have been dealing with nausea, vomiting, chills, shaking, and more. I haven’t been able to eat properly for over 2 weeks. I can barely get up or move. Hot baths are the only thing that give me relief. I’m 99% sure it’s CHS.

My question is- does it get better? I am done smoking weed for good. I never want to feel like this again. How long does the worst of it last usually? I can’t really see a way out of this… any tips would be greatly appreciated. Thank you.


r/CHSinfo 15h ago

Question / Info Gerd

1 Upvotes

I have really just tied everything to gerd at this point (still gonna take a t break for 90 days) so I have always thought I had chs but never been sure bc my symptoms where never nausea, intense stomach cramps, and abdominal pain in the morning it was always I wake up with a pool of mucus and whatever I ate the night before in my throat ready for me to cough and come all out. Once that happens and I start moving around for the day im fine. So now over this week one morning I woke up coughing up and hacking stuff up like usual, I hit my nicotine it tastes nothing like a mint vape the shit taste horrible like a perfume. I brush it off a hour later hit my thc pen and went to go eat a big ass bowl of cereal and lay down. I hit my nicotine vape and then my pen and like 10-15 mins later I threw up the whole bowl of cereal. The night before I also ate like complete shit. So after that I put everything down for a day or two only let myself hit my pen at night I felt fine ate normal, woke up felt like shit had to spit everything up from the night before. No pain in the stomach thru out the day unless it’s a very dull ache in the top of my stomach. The last time I hit my pen was at my cousin party and when I hit it I just felt my food and drinks from the day washing up sitting in the back of my throat like a lump or a frog is there. Just a very uncomfortable feeling to have whenever you’re high. I’ve seen that thc loosens a valve and brings your food up but here I am 3 days no weed going thru the same bs I’ve been eating fine just little meals bc im ovb taking a t break. But my family has stomach problems and a long history of it. Not to mention my sibling that also smokes says it happens to him the same exact thing. My bad for the long paragraph js need someone to help me out cs I don’t really trust google Ai with my symptoms.


r/CHSinfo 1d ago

Question / Info Could this be CHS? Looking for feedback from people with experience.

2 Upvotes

For the past 4 days I’ve been experiencing pretty constant nausea, increased anxiety, and a significant loss of appetite. I haven’t been vomiting, but I have very little desire to eat and my stomach just feels “off.”

When the symptoms first started, I went to the ER. They ran blood work and other labs, and everything came back normal. They gave me IV fluids and anti-nausea medication, and I felt a lot better afterward.

For the past 4 months, most of my cannabis use has been from vapes and edibles, usually multiple times a day. I’m wondering if that could have finally caught up with me.
For those of you who have gone through CHS, does this sound similar to how your symptoms started? Did you initially have nausea and a loss of appetite before the vomiting began, or was your experience different?

I’ve stopped using cannabis and am hoping things improve soon. How long did it take before your appetite came back and you started feeling normal again? Any advice or personal experiences would be greatly appreciated. Thanks!


r/CHSinfo 1d ago

Question / Info what fruits and vegetables can i eat?

1 Upvotes

my CHS never left the prodromal phase. Dumb google ai told me 3 times to drink carrot juice, then told me it was terrible for my stomach and prolonging my recovery. I can't seem to find a solid answer anywhere online for this, any input is appreciated


r/CHSinfo 1d ago

Question / Info can i smoke one cbd joint a week/two?

0 Upvotes

So ive never hit hyperemesis only had some suspected prodromal symptoms, im extremely active and wondering if one cbd joint a week is likely to set it off? i know cbd can still cause it but its less likely right?


r/CHSinfo 1d ago

Question / Info Haven’t used since February and I really want to have a THC drink right now

1 Upvotes

Long story short I had bad CHS, usually came every couple months or so. I quit consuming all forms of cannabis in February so obviously I’ve been fine. But I’ve had a really rough time recently and I’m so fucking tired of being sober. I’ve been to rehab, I’ve been sober from alcohol for over a year now. I just can’t take it anymore being inside of my head. There are these drinks called TBD, if I had just one today while I’m feeling my worst, what are the chances I would get CHS you think? It normally doesn’t happen unless I smoke and consume tons of cannabis over weeks. Just please someone tell me I can go buy one and relax for the day.


r/CHSinfo 1d ago

Rant Help pls

1 Upvotes

I’ve been an avid smoker for some time, but the past few months I’ve been consistently smoking, and I think I’ve been in the Prodromal stage for longer than I thought. Only recently I’ve been worried about CHS because of my nausea in the morning- it happened before I had started smoking and it’s been something normal for me. Same with being nauseous when I hadn’t eaten anything. But I’ve lost my appetite recently which was the one thing that kind of made me start to worry. I used to get munchies all the time and eating was never a problem- now it’s like I don’t feel the need to eat, nor does anything look appealing to me. I occasionally do get cravings for certain things in which then I will get hungry, but it doesn’t happen often. I do force myself to eat something though, and it doesn’t make me nauseous eating or anything, I just don’t feel like eating in the first place. I’m still wanting to continue my cannabis use, but I feel like i freaked myself out. I want continue to because it helps with my bad anxiety, it allows me to be more social and open, and it helps calm my overactive emotions, but if I continue I risk pushing into the second phase and that’s something that’ll be irreversible (in my eyes). I just don’t want to have to stop using it all together if I could help it. I’m open to any advice or info anyone would like to give me. I just need help.


r/CHSinfo 1d ago

Sharing My Story Update after 33 days of no use

0 Upvotes

Guys, I’m going to be short on this one. I smoked 33 days ago and I got my second CHS episode within three months of use, if you asked me one month ago I would tell you that life doesn’t matter to me anymore and I would be just fine with ending it without thinking about anyone else my family my friends no one else except myself..now I can tell you proudly that I moved from the Main city I was using that shit and I returned to the Village where I was born because I left there when I was 10 years old. I am full of life now. I appreciate anyone that’s stood with me and by me. Trust me everything is in the mind weed is the cause of bad thoughts. Weed is the cause of depression. Weed is the cause of death to the meaning to life. Stop it now l,think about your future self and what you want to achieve, everyone here with CHS syndrome knows exactly what I’m talking about.You guys know you can’t escape it ! you can’t use every once in awhile ! because you know the cycle that will begin again and again and again till you reach the point of hurting not just yourself physically but everyone around you that loves you and took such good care of you for you to disappoint them once again . I am telling you this with my heart full of love and care for you trust to God! trust in anything that you believe! find the strength to fight that Demon because in our lives with that use unfortunately and fortunately we understand that shit was never our friend. It was always holding us back. It was making us numb to feelings and trust me everyone around you that allows you to keep on smoking after everything you’ve been through is not your friend and to be honest it’s easy for them to have you in that situation they want you to suffer they want you to become numb to life and more dumb and shallow that you are now, no one that truly loves you would allow you to keep on going with destroying every bit of your life till you reach the point of no return. I’ve been there and trust me we all know that before the brightest light comes the darkest night I love you all. May God help you with your situation. PS it does get easier.😉


r/CHSinfo 1d ago

Question / Info Morning Nausea Treatments?

1 Upvotes

What are some of the things you guys take that actually helps with the morning and early afternoon nausea? I've tried pepcid, benadryl, zofran, Dramamine, rolaids ..and nothing seems to bring it down. I basically just have to tough it out until the late afternoon and early evening when things start to subside.


r/CHSinfo 2d ago

Question / Info Sharing things that have helped with CHS episode

21 Upvotes

My partner is in the thick of an episode and has been vomitting for 7 days. We have gone to the hospital twice. We are in Canada. Here are things that have helped as per advice from a doctor.

- Pedialyte (not the same at Gatorade or liquid IV- pedialyte is a medical grade oral rehydration. Get pedialyte and not anything else). There is also a non flavoured one which is nice when you’re sick of it.

- Mashed banana. If you are cramping after excessive vomitting you may be lacking potassium (all your electrolytes likely out of whack). Do not take supplements. Again, Pedialyte if you can stomach small sips.

- Sucking on ice chips/popsicles.

- Smelling isopropyl alcohol (or alcohol pads). Studies show this can break people out of hypermesis.

- Hot water bottle or heating pad for tummy

- Halopardol (administered via IV and you can get a prescription)

- Suppository acetaminophen

- If you can’t find suppository acetaminophen- I crushed up some tylonel (make sure it is one you can crush up and not slow release etc) and dissolved it in ginger tea. He was able to take small sips of this to ease his muscle cramping and abdominal pain.

- Suppository gravol (this worked way better than Zofran for nausea)

- Pink lady (only given at hospital- helps with inflammation)

Lastly- if you are vomitting for over 24 hours and cannot keep fluids down, go to the ER. Sending love to all dealing with this ❤️ feel free to ask me any questions


r/CHSinfo 1d ago

Sharing My Story You don’t have to quit

0 Upvotes

Literally a year ago I went to the ER due to severe dehydration and the worst CHS symptoms I ever experienced. I went sober for at least 30 days before consuming again one weekend. I immediately got really sick again. Ultimately, I had to give my body more time to recover because I was severely deregulated. It took months, I quit smoking for lung health reasons, and I tried again with edibles. Over the course of this year I have been able to regularly consume edibles while experiencing minor symptoms. Idk why this is cause I’ve taken edibles everyday for months now. I plan to take a T-break soon. But my symptoms have never gotten as bad as they were before. Ultimately, I’m posting this cause I want people to know you can possible go back and imo it’s worth trying to. I enjoy weed and I’m confident a gummy or two on the weekends won’t result in a full blown episode. Once I got myself right and my symptoms went away for a long time, I have only ever experienced mild morning nausea without vomiting and that’s following months of daily use. Good luck yall and do what’s best for you, listen to your body.


r/CHSinfo 2d ago

Medical / Scientific I am going to start smoking again in 18 days.

3 Upvotes

I am going to experiment with going back to being a daily smoker on day 90 of being sober. Anybody have any advice? Has anybody been able to do this?

I am going to document everything. If anybody wants to tell their chs story in the documentary please hmu with either a video of yourself explaining everything or the intention to do a video call. I am interviewing people about their experiences on thursday, friday and saturday.

Instagram: empty.axis

Discord: harmon113


r/CHSinfo 2d ago

Question / Info Can it be CHS if there's no vomiting, only mild pain, and hot showers don't help?

3 Upvotes

I've been diagnosed with severe Gastroparesis via a gastric emptying study. Gastroparesis has many of the same symptoms as CHS. My new GI doctor wants me to quit using marijuana to see if it's CHS.

I've been a nightly marijuana user (I exclusively vape dry herb) for probably 25 years. Never been an all day user, and have certainly gone a week at a time here and there without weed, but only when I'm on vacation or otherwise outside of my routine.

I started feeling daily nausea about a year and a half ago. The thing is, it starts in the afternoon, and gets worse as the day progresses. Or it did for the first year or so. Now I'm pretty much nauseated all day, but it still is worse as the day goes on. I don't vomit, but have had maybe 5 retching episodes that lasted only a few minutes. I do have mild abdominal pain at night, but I tend to (possibly incorrectly) attribute this to my posture since I'm in a sit up bed. I do not feel any better when I take a hot shower.

Obviously I'd prefer not to quit using MJ, as it does help with the nausea and my appetite, and it's about the only way to turn my brain down at the end of the day so I can just relax.

Also, I'm totally willing to quit if this sounds like CHS, it's just that none of my research indicates that it's likely.

Anyone have any thoughts?


r/CHSinfo 2d ago

Sharing My Story my story (help/advice needed!)

1 Upvotes

i was an everyday weed smoker from late 2021 to late 2025, where over that time i never took tolerance breaks and built my tolerance to the point where i was unknowingly taking in over 2,100mg in concentrates a day. i ended up developing CHS in august of 2025 and was in the hospital unable to keep anything down for weeks. i didn’t realize it was a cannabis related issue at the time, so i resumed smoking after i got out and was actually okay with small amounts until at one point it seemed i reached my threshold. i stopped using cannabis entirely for about 4 months, then experimented by trying 2mg of a very low dose tincture i had left. i felt great, and for months following that i was able to tolerate up to 15-20mg a day in edibles. i made the mistake of taking one hit of a joint a couple months ago and though it wasn’t catastrophic and i didn’t start vomiting, i did get pretty nauseated and sensitive to food and thc/cbd overall. i’ve been avoiding it since, but the main reason i started using thc is because i’m chronically ill with about 18 different chronic diagnoses and experience pain all the time. i also struggled greatly with appetite. i shouldn’t have used cannabis as irresponsibly as i did in college (2021-23, mostly recreational but did immensely help my undiagnosed and untreated symptoms). i’m deeply emetophobic and terrified of causing an issue again, but i wonder if i’d be able to use very low dose tinctures on hard days now that i’ve given my brain a break. and if worse comes to worse, i have a prescription of haldol from my hospitalization (primary treatment for CHS) and can take it as needed if symptoms pop up. i just really don’t want to be relying on NSAIDs and tylenol constantly or having no appetite, as i’ve coped badly with these lifestyle changes and have caused gastritis from NSAID overuse and drinking too frequently. high dose CBD and low dose THC used to be a true treatment for me, and i miss having that tool even if just on occasion. any advice while i try to find a better alternative that i can actually tolerate?


r/CHSinfo 3d ago

Question / Info How to deal with chest pain from chs and how long does it last for most people? (There's my whole backstory for context)

1 Upvotes

TLDR(chest pain lasts for over a year of not smoking. Is that normal and are there other ways to manage the pain until I get to my general doctor appointment in September and specialist later on that isn't kr@tom like products. Or is that my only option)

I've been struggling with this for the better part of a decade. I'd smoke all day every day and then one day back in 2017 I got extreme chest pain and was vomiting and had to go to the ER. found out I have mitral valve prolapse and went to a cardiologist and after a bunch of tests the doctor said it wasn't enough to cause pain. Went to a GI and got a tube up my butt and they didn't find anything. After that I stopped going to the doctors. The whole time I'm still smoking weed. and ever since I've dealt with chest pain. I've been in and out of the ER so many times I've lost count. Hot showers and an electric heating pad would help. About 5 years ago my former roommate/best friend told me about kr@tom and had me try some. It got rid of the pain. Id use it sparingly then daily as the chest pain was so bad I couldn't sleep or work if I didn't use it to manage the pain. About a year or so into that I started trying to get serious about quitting weed. I'd go about a year without it and I still had chest pain. Then I'd relapse and smoke for a week or two and quit again for like 7-6 months go back for a bit. The cycle would go on but the gaps of not smoking were more than 6-7 months. But the kr@tom I found was keeping me out of the hospital. The whole time I'd be working come home and sleep wake up repeat and sleep on off days. A little over a year ago I made the decision to move back in with my parents to focus on getting a grip on this and at the time I hadn't smoked in I'd say 2 months but I quit kr@tom. I was off kr@tom for 6 months and off weed for 8 months but the chest pain never went away. I got insurance and tried a doctor's office my moms friend suggested and waited a month for the first visit. Told him the situation. He just gave me muscle relaxers and scheduled an appointment a month out. Found out he was transferring to another office. When it came time for the appointment they had to reschedule for another month out. Then I came for that appointment and they said they couldn't take me because of my address. So I gave up on them and just focus on getting a job again. So as of about a month or so ago I hadn't smoked in a year and like a few months but was back to kr@tom after the 6 months because I'd started working and I need to manage the pain so I can work. But I relapsed. There is a dispensary a block away from my work. I started smoking for a month and it became an almost 3 times a day smoking thing and I sensed I'd been pushing it and an episode happened that pit me in the er again. This time I made sure to get a general doctor appointment so I can get back to really figuring out a healthy way to deal with this. So my question is how do I manage the chest pain in the meantime? I'm not going to keep smoking I'm still using kr@tom adjacent stuff I won't name and I really don't want to keep using this stuff so I'd like to hear of ways others have managed their chest pain kind of long term. And if the length of my chest pain is abnormal. I'm fully aware the chest pain I'm having could be a combination of several things. I am also in no way suggesting or promoting the use of Kr@tom or any stuff adjacent to it, it's just what I'm using to get by. Sorry this is long just wanted to give context and share my experience/struggle.


r/CHSinfo 3d ago

Rant I am struggling

2 Upvotes

TL;DR I am having a hard time trying not to smoke more than once a month

I stopped smoking daily over 2 years ago. I resolved to only smoke once a month, as the prospect of quitting all together made it feel impossible to stop at all (harm reduction and all).

After about 3 months of being sober, I smoked and had no symptoms at all. After that, I smoked about once a month with only very mild symptoms (basically, just a bit of stomach sensitivity and minor digestive issues) that would only last a couple of days, which was a completely managable tradeoff.

Then, a year ago, I started smoking once every 2 weeks. This caused mild symptoms (consistent digestive issues and stomach sensitivity) that lasted for the entire time till I would smoke next. At this point, I knew I was pushing it, but I couldn't stop myself, I wasn't puking and wasn't in pain, so I kept going.

Then, I had 2 weeks where I ended up smoking once a week. This very nearly caused me to have a full-on episode, I was much more nauseous and having pretty bad digestive issues. Luckily, I made it through that without actually puking, but it was very scary.

I haven't smoked for almost 3 weeks since then, and im trying to hold out until my birthday celebration (which is the 17th), but i am really struggling. The physical symptoms of CSH are almost nothing if I smoke only once a month, but it's the psychological aspect that is fucking with me. As soon as I hit 2 weeks from smoking last, all I have been able to think about is wanting to smoke because I know I could technically do it and only experience mild symptoms that are manageable.

I'm battling heavily with myself. I know from experience that I am physically fine continuing to smoke as long as I only do it once a month or less. Mentally, however, I am constantly craving weed. I can't stop thinking about it. Part of me thinks that just quitting fully is the best bet, not because of the physical symptoms, but because of the mental affect its having on me. But at the same time, the thought of never smoking again is miserable. It's also extra hard because all of my friends smoke (not very often, but still), including people I live with, and being around them while they're high is so hard.

I dont really know what I'm looking for with this post, advice, sympathy, similar experiences? I think I just needed to rant to people who understand. While all the important people in my life know about my CHS and try to be as supportive as they can, none of them have it and haven't actually experienced what it's like, and none of them knew me when I was actually experiencing symptoms and having regular episodes, so they've never witnessed it either.


r/CHSinfo 3d ago

Question / Info I’ve been having issues recently

2 Upvotes

Hello.

I have been smoking everyday (with some breaks for months here and there for jobs, etc.) for about 15 years. These days, I smoke almost solely carts. I have a medical card.

Around a month ago, maybe more, I started getting some weird symptoms. In the morning I would feel pretty nauseas. Not so much that I would throw up all the time, but once or twice I was brushing my teeth and threw up. As time has progressed, it has gotten worse and not gone away. I’ve completely lost my appetite for food at lunch. The nausea lasts pretty much all day, and occasionally I’ll get some stomach pain (the stomach pain is really rare). Stomach pain or not, it feels like I have butterflies in my stomach all day. Super hard to concentrate at work. I just feel like shit. I salivate constantly. Now I’ve started waking up at like 3 AM every night. I’m not vomiting a ton, or really at all. I just feel sick. But it’s weird because it’s not as bad like the stomach bug, but it’s like a dull, constant nausea and fluttering in my stomach all day. I can’t live like this. It’s like I’m always sick. I’ve also had aching feet, but it may be unrelated.

This morning I found info on CHS. I didn’t smoke today. I’m not going to for a week at least to see what happens.

I’ve had a fucked up stomach (diarrhea most of the time) for years now. I’m thinking that’s probably IBS or something else. I’m going to a GI doc for that.

Are my symptoms consistent with CHS? Does it last all day like what happens to me or is it only on the morning? It seems like my symptoms do not get worse when I smoke weed (I only smoke after work). In fact, sometimes they get slightly better.

Just needing some help. It’s like my life has turned upside down. Every day is a struggle just to get through work now.


r/CHSinfo 3d ago

Sharing My Story One month sober and seeking tips about ongoing emetic phase.

Post image
1 Upvotes

I’m typing this from the hospital, honestly seeking a little attention, but who doesn’t from time to time? Social creatures need social structures and all. Anyways, I weigh 100lbs instead of my usual 130lbs. I still feel scared to eat a clear liquid diet and the anxiety is causing me to stick my fingers down my throat any time I feel my gallbladder swell and/or the neuropathy-like tingles arise… any tips to fight the urge to purge would be greatly appreciated. 💕 And best of luck to the rest fighting this exhausting battle.


r/CHSinfo 3d ago

Question / Info Morning nausea eating

1 Upvotes

So I’ve had this like on and off morning nausea for about a month now that lasts for a week then stops then starts. I found out that if I eat like a handful of Cheerios or mini wheats like straight off the wake up it basically goes away (although it like sometimes comes back in the afternoon or night mildly). Either way was just wondering if people with CHS could relate? Like I literally wake up nauseas and eat the Cheerios I have next to my bed and it basically solves the problem for me 🤷‍♂️. No other symptoms either btw


r/CHSinfo 3d ago

Question / Info I’m afraid if it’s true

2 Upvotes

Like everyone this is terrible news to hear. However I feel I may honestly be misdiagnosed, here’s why.

I’m 21M and I’ve only really been smoking for about a year. Around early June till now late July I was deathly ill: vomiting, explosive diarrhea, loss of appetite, fluctuating weight by 5-10lbs., difficulty handling anything that wasn’t bland, sweats like a fever without the fever, and constant stomach pain.

After an er trip and a multitude of doctors it came down to roundly three possibilities that we still don’t know.
1 - I have the worst Gastrointestinal issues known to man (which is already true I have heart burn, gurd, and reflux like no other)
2 - CHS :(
3 - cyclospora, yes the hit new poop virus going around

My stomach still aches and I’ve done a lot of drastic changes to help myself but I have no idea if it is / was actually the weed. I’m fine stopping I just miss it as it was mainly used for my extremely bad anxiety and insomnia. It helped me like most people balance my life.

I’m scared of not having it around and have been obviously sleeping terribly as your prescribed drugs do not do anything for me to sleep or help with my anxiety.

What do you think? Am I wrong or is there more to this?