Cannabinoid hyperemesis syndrome, or CHS, appears to occur in people She learned to progressively heat the water, preferring to stay in the bath as long as she could. . But in the meantime, Habboushe is concerned. Many cannabis patients have called us asking about cannabinoid hyperemesis syndrome (CHS), as this syndrome has been reported in the. Is it something you should truly worry about? In this report, the symptoms of CHS included vomiting, abdominal pain, and nausea. Individuals.
About CHS? I Worry Should
Always inform a doctor if a person is on a course of selective serotonin reuptake inhibitors SSRIs medication before taking sumatriptan. SSRIs increase the levels of serotonin in the brain, a property which sumatriptan shares. Using two serotonergic medications, agents which increase serotonin levels, simultaneously can lead to serotonin syndrome: CH attacks can be physically exhausting.
Although the pain of a cluster headache will alleviate after using an abortive agent, the affected person is likely to benefit from a period of recovery, which may involve resting, spending time in a calm, quiet room and drinking water to stay hydrated.
If a person is likely to be affected by CH attacks at work, it is recommended that they inform their workplace, so that their employers understand the nature of the condition and can accommodate their needs. During a bout of CHs, these may include working from home or taking several breaks to manage attacks.
For people who experience cluster headaches so frequently that they cannot manage the condition effectively using oxygen therapy or sumatriptan injections, additional treatments may be recommended.
This treatment involves providing the affected person with a small, handheld device which they can use to treat CH attacks when they occur.
The device can also be used in between attacks to reduce their frequency. The TVNS device works by emitting a low-voltage electrical current, which, when applied to the skin on the neck near the vagus nerve, will stimulate it, relieving tension and pain. However, TVNS can, in rare cases, cause a CH attack to develop, and this treatment option may therefore be unsuitable for some people.
The sphenopalatine ganglion is a nerve bundle which is located behind the nose. SPG stimulation requires the implantation of a device — which is smaller than an almond — into the side of the face. General anaesthetic is used to implant the device, and a small incision is made in the upper gum on the side most affected by CHs.
The implantation procedure takes around an hour, and there is no visible scarring. After implantation, people affected by CHs can activate the device to stimulate the SPG by using a handheld monitor when they feel an attack coming on. The SPG can also be stimulated between attacks to reduce their frequency. The causes of cluster headaches are unknown, so it is not possible to prevent the development of the CHs disorder itself.
People who are affected by CHs can take measures to prevent headache attacks, including avoiding triggers and making healthy lifestyle choices. The affected person can then make lifestyle choices aimed at avoiding triggers, e. Many known triggers of CHs only cause a person to develop a headache if they are experiencing a bout. During a period of remission, a person may be able to encounter these triggers — such a drinking alcohol in moderation or smelling a strong scent — without being struck by a CH.
Preventative medications for CHs vary in effectiveness between people, and a person may need to try several different forms of medication to find the one that is right for them. A person may take preventative medication all year round in the case of chronic cluster headaches, or periodically to prevent headache attacks during a bout. The first-line medication for preventing CHs is a type of medication regularly used in the treatment of high blood pressure, called a calcium channel blocker.
In this case, it works to reduce vasoconstriction, which helps prevent CH attacks. Other medications which may be prescribed to as preventative treatments for CHs include: These medications are usually used in bursts of weeks, generally to help break a cycle of CHs or in conjunction with other therapies that take longer to take effect. Due to the side-effects associated with long-term use, such as high blood sugar and the thinning of bones, these medications are suitable for short-term use only.
This treatment involves injecting an anaesthetic and steroid medication into the nerves that supply the scalp, at the back of the head. It is carried out in hospital by a doctor and can bring about periods of remission in people with CH disorder lasting a month or more. The procedure takes around a minute to perform and can be repeated every two months.
Most often prescribed to treat chronic cluster headaches, this oral medication can help to re-regulate hormonal imbalances within the brain, reducing the frequency of CH attacks. However, use of this medication must be accompanied by regular blood tests to measure the levels of lithium in the blood.
Having elevated levels of lithium for prolonged periods can cause problems such as kidney damage. Problems such as this can be avoided with close medical supervision. These kinds of medication have been found to be effective in inducing periods of remission in people affected by CHs and in reducing the frequency of attacks when taken long-term.
Although medical treatments are usually needed in order to bring cluster headache disorder under control, many people who are affected by CHs find that making certain changes to their lifestyle can help them in managing the condition and can reduce the frequency of headache attacks.
Practicing relaxation skills such as yoga and deep breathing can help to diffuse stress and aid muscle relaxation. Setting aside periods of the day for relaxation and taking regular breaks from activities which involve sitting or standing in the same position can help to diffuse the buildups of muscle and nerve tension that contribute to CHs. Getting eight hours of sleep a night and going to bed at the same time each day can help to reduce stress, which can reduce the frequency of CHs.
Exercise releases beta-endorphins in the body, which can relieve stress. Exercising for 20 minutes, three times per week, can help to decrease the frequency of CHs and the severity of individual attacks.
Drinking eight glasses of water or other non-alcoholic, non-caffeinated beverages per day can help. For people who are affected by chronic or persistent CHs, opting for non-alcoholic beverages instead of drinks containing alcohol all year round can help to prevent CHs.
Cutting down on, or cutting out, caffeine, can also help prevent CHs. The likelihood of being affected by CHs is greater among people who consume tobacco products than those who do not. In people with CHs, quitting is recommended. Doctors will be able to provide a range of resources on quitting smoking and connect a person to support programmes suited to their needs. Although a person may worry that they are dying during a cluster headache due to the intensity of the pain, this condition is not life-threatening and does not pose any direct health risks.
However, relative to the general population, people affected by CHs may be more prone to certain behaviors which carry severe health risks, including: Diagnosing and beginning treatment for CHs is the best means of minimising these risks and avoiding complications.
For people who have been correctly diagnosed with this condition, and who are being treated effectively, the most likely negative impact of CHs is a reduced quality of life, due to having to spend time away from work, education or social events during headache attacks.
What are the key differences between a cluster headache and a migraine? Cluster headaches are unilateral affecting one side of the head. This is one of the principal factors which distinguish CHs from migraines.
Migraines involve a more generalized pain and typically affect both sides of the head at once. Additionally, the duration of a migraine is usually much longer than that of a CH, up to 72 hours.
Are any home remedies or natural products effective at treating CHs? The two most popular natural remedies for cluster headaches are:. Good to know; Not much clinical research has been carried out to establish the efficacy of either treatment in comparison to conventional treatments for cluster headache relief, such as suboptical steroid injections. I have it and its not a problem, it basically just adds 5 minutes to my morning so not a big deal.
All of a sudden, anyone who smokes cannabis and has stomach pain, has cannabinoid-hyperemesis syndrome. My friend has had stomach pain off and on for over a year, bloating, vomiting.
Ever hear of cannabinoid-hyperemesis syndrome? I went to an immediate care center last year for stomach and "chest pain" when they found out that I smoked their immediate reaction was CHS until they gave me a breath and found out that it started years before I smoked.
They just jump to it. I've had CHS before and it only lasts a few days. The people acting like it's a life-threatening permanent situation are fear-mongering. All I did was take a break, cleaned up my diet added healthy fats, magnesium and Vitamin E to my diet as I'm deficient , started doing more cardio at the gym and i haven't had symptoms of CHS reoccur since starting back up.
I feel nauseous and the salty taste comes on strong. Hot showers help immediately as well. Doesn't happen often, maybe times a month, but not ongoing. Lasts no more than 5 minutes total. Only actually got sick twice. Tolerance breaks for 30 days seems to work for 6 months or so of daily use. I don't have the symptoms, I just came across this story.
Thanks for expressing your opinion but the facts are not with you. Just in case you care about them, CHS has been a very rare syndrome in the literature since http: It gets better when the victim stops using weed so seems pretty likely related to heavy weed use. If the ER docs are seeing it and talking among themselves about it then it's probably getting less rare than it was, but it's still very, very rare so you probably won't get it. Just happens to some unlucky folks. Probably some genetic throw of the die.
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CHS was first reported in the medical literature in Symptoms include nausea What is it and should you worry about getting it? By Bonni S. Goldstein, MD. CHS = cannabinoid hyperemesis syndrome. I really only started smoking this 36th year of my life. I am hope this is something that can be. People suffering from CHS will seek help at the ER and because they are reluctant to tell the doctor about their cannabis use, they go.