With the expanding acceptance and legalization of cannabis worldwide, healthcare providers face a crucial imperative to accurately identify CHS amidst a sea of similar clinical https://ecosoberhouse.com/ presentations. The ramifications of misdiagnosing CHS can extend far beyond financial burdens, potentially obstructing the timely recognition of life-threatening conditions and compromising the quality of care and life for affected individuals. In contrast, SMA syndrome is a rare gastrointestinal illness, and clinicians should be aware of the possible relationship between it and CHS, as highlighted by this and previous case reports 4,5.
Management of CHS
Small bowel enteroscopy then showed extrinsic duodenal compression in the third portion (Figure 3). Given the findings of an aortomesenteric angle of 18.1°, aortomesenteric distance of 5.0 mm, and visualized extrinsic compression via enteroscopy, our patient met the diagnostic criteria for SMA syndrome. Cognitive errors are common in medical practice and can have serious consequences for patients related to misdiagnosis and delays in diagnosis and treatment. We report a case in which cognitive error substantially influenced a patient’s diagnosis and treatment. Cannabinoids are found in the cannabis plant and bind to cannabinoid receptors found in our brains, gastrointestinal tracts and immune cells.
Differential Diagnosis
Because CHS is a fairly new medical condition, cannabinoid hyperemesis syndrome not all doctors know about it. Or they might think it’s something else, since repeated throwing up is a sign of many health problems. You may need to see a gastroenterologist, a doctor who specializes in the digestive tract, for a proper diagnosis.
What is CHS?
Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the main cannabinoids in marijuana products. THC is what’s responsible for the “high” most people feel when they use marijuana. This case report discusses a patient who had previous CHS and continued THC use, which delayed the diagnosis of SMA syndrome and appropriate treatment. It highlights how clinicians may prematurely attribute symptoms to a familiar diagnosis and potentially overlook alternative, more accurate explanations. CHS is relatively new to the medical community, and only in recent years has the diagnosis become more common.
- A pregnancy test was negative, and urinalysis showed the presence of ketones and a specific gravity of 1.032 (reference range, 1.002–1.030).
- This dehydration can lead to a type of kidney failure that experts refer to as cannabinoid hyperemesis acute renal failure, and in severe cases, it can even result in death.
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- Around days 5-7, daily routines may resume, though prodromal symptoms may persist.
- Despite the scarcity of randomized controlled trials (RCTs) on optimal treatment approaches for CHS, a holistic care plan can significantly enhance patient outcomes and well-being.
- Previously published studies have highlighted the infrequent but serious results of weight loss due to THC-related nausea 4,5.
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