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Cannabis and cyclical vomiting

Published online by Cambridge University Press:  23 March 2020

M. Canccino Botello
Affiliation:
Consorcio Hospital General Universitario, Conselleria de Sanitat, Valencia, Spain
M.M. Machado Vera
Affiliation:
Consorcio Hospital General Universitario, Conselleria de Sanitat, Valencia, Spain
J.M. Hernández Sánchez
Affiliation:
Consorcio Hospital General Universitario, Conselleria de Sanitat, Valencia, Spain
F. Molina López
Affiliation:
Consorcio Hospital General Universitario, Conselleria de Sanitat, Valencia, Spain

Abstract

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Introduction

Traditionally, cannabis is associated with antiemetic action after acute consumption. However, in 2004 the cannabinoid hyperemesis as paradoxical effect of chronic users, after years of exposure described.

Objectives

Description of the cannabinoid hyperemesis.

Method

OLOGYA case is presented.

Results

Clinical case of a woman who repeatedly comes to the emergency service because of abdominal, nausea and vomiting pain.

This is cyclical and hardly controllable. The gastroenterology service studied in depth with negative results. She was followed up by mental health borderline personality disorder and she consumed cannabis at an early age, 20–30 joints daily.

When she reaches abstinence in short periods, ceases digestive discomfort. However, aprece digestive symptoms with each relapse. The present case showed improvement with cessation of cannabis so it probably was the cannabinoid hyperemesis syndrome.

Conclusions

The cannabinoid hyperemesis is characterized by recurrent episodes of nausea, vomiting, abdominal pain, and chronic cannabis use. Temporary relief is achieved with hot baths. Ceases when abstinence is achieved. It is a clinical entity that does not have much information and requires further study.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV10
Copyright
Copyright © European Psychiatric Association 2016

References

Further readings

Sullivan, S. Cannabinoid hyperemesis. Can J Gastroenterol 2010;24(5):284–5.CrossRefGoogle Scholar
Enriqueta, Ochoa-Mangado, Gimenez, Monica Jimenez, Salvador, Vadillo, Augustine Star Madoz-Gurpide. Vomitos side to cannabis cyclic. Gastroenterol Hepatol 2009;32(6):406–9.Google Scholar
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