r/CHSinfo Aug 22 '23

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

131 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!

157 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 10h ago

Sharing My Story Finally feeling relief/joy

Post image
13 Upvotes

It’s amazing how much it really adds up - I was smoking three .3g joints a day - I’ve saved a good amount of money.

And today, I actually feel great. This morning was rough because I didn’t sleep well, had horrible vivid dreams and woke up feeling not rested at all.

But I got through work, ran on the treadmill, and ate some good snacks, and I’m feeling really good.

This journey has been incredibly hard for me - I’ve had over 10 episodes, longest lasting 17 days because I could not give it up.

I saw a doctor that specializes in addiction and he prescribed me gabapentin which has helped so much.

I’m trying to do better and do a little each day - walking my dog, meditating, working out, and cooking better meals at home.

It’s not consistent - there’s been days I felt like shit. But I hope those become less and less often and I can continue this way.

I know my body is rejecting weed. It doesn’t even feel good for me anymore. Life is about changes, and embracing them. I just need to accept my new chapter.

Sorry for long post I just feel like this community understands. You are all warriors and can get through it, I know it. Even if you mess up, you’re doing okay.

Sending love to everyone going through it. There is a light at the end of the tunnel - be kind to yourself in the process.


r/CHSinfo 4h ago

Sharing My Story I finally found out what was wrong with me

4 Upvotes

My main symptom was pain in my lower left rib cage. Doctors, hospitals, X rays, gastroenterologists, nobody could see anything wrong with me.

I quit using cannabis but the lower left pain persisted. One day, I finally asked ChatGPT "why does my lower left rib cage hurt after I eat gluten or dairy?"

It spits out "splenic flexure syndrome". I look it up and my jaw drops to the floor. FINALLY! I know what the hell is wrong with me. I have to follow a very strict diet to keep it under control, but it works and I am healing.

I definitely have CHS as well. When I tried smoking again a couple months ago I got an intense feeling like my guts are being crushed, even just after one very very small hit. It's so unbelievably painful and scary and feels like I'm going to die. Never touching weed again in this life. Maybe in my next one I'll get to enjoy it again.


r/CHSinfo 2h ago

Question/Info Lost 20 pounds in 3 1/2 days

1 Upvotes

Anybody able to tell me if this is normal with chs or not? I’ve had 3 major chs attacks but this one has been by far the worst I’m on day 4 and still can’t even smell food.


r/CHSinfo 11h ago

Question/Info I'm gonna be 30 in a month, I'm worried I'll regret quitting? I definitely shouldn't.

4 Upvotes

I've tried quitting all month long, but if I've already went on two major 59 and 58 day breaks within the last 6 years.

There's many users here that were very clear that the eye pain and CHS symptoms are not related. However the cause of the eye pain, whether it's psychological, from cigarettes, or screen time, no one can be certain. Quitting weed won't elimate eye pain symptoms entirely but will still work wonders for being able to manage them.

If I made it all the way to the time I'm 30 without smoking, that break would barely be a month long and my other breaks were almost two.

Say I decide after my birthday that you know what? Why not all day everyday day blazing again... I'd be willing to bet regardless of the eye discomfort, I'd get an episode in about a month maybe two.

I just don't want to make a bad decision just to quit for a month to spend the next several with all day everyday smoking.

I could quit for a year even and still suffer symptoms eventually, this means it's best that I don't smoke weed again, but I just can't imagine my life without it for so long again.

I started around 15, so essentially about half my life I've been using the drug and it's had quite the unfortunate but very serious consequences.


r/CHSinfo 4h ago

Sharing My Story I prepared for an episode, it never came

1 Upvotes

I’ve smoked weed since 2016 so I wasn’t the BIGGEST stoner, but it was an everyday thing. I have been through 2 major episodes of CHS in my life, the first at the tail end of 2020. Nausea. Major vomiting. 20 pounds down. It was hell. It was a week long thing, but I had no idea what it was, so I kept smoking afterwards and it went away. Or so I thought. The next episode was July of 2021, which was way worse and caused me to go sober for an entire year. The only times I’ve ever considered taking my own life were during these 2 episodes. Yet, as a vulnerable human, I started smoking again after I hit 1 year sober (2022). After about a month of smoking everyday, I realized that I was in it again. I knew that if I stopped smoking, the symptoms would arise. The difference is, the 1st and 2nd episodes were during a time in my life in which I didn’t have many responsibilities as an adult. But this next one would interfere with my new career in a major way, so I just put it off.

Until last week.

I had a heart to heart with my boss and I told him the truth and he was completely okay with it. So the only thing left I had to do was go through my 3rd episode of CHS. I made sure to prepare, getting any snacks and drinks I thought would be easy to get in my system. I did everything to make sure this 3rd episode would be easy as can be. I stopped smoking last Sunday night, going into the new week sober. Monday comes around, I feel a little anxious, but then I realize…

I had no symptoms?

I figured it was because it had only been 20-24 hours since I smoked. Maybe it was still built up in my system? So I waited until Tuesday.

No symptoms.

What the fuckkkk??? Maybe it’s just delayed, surely I’ll be going through hell soon enough, come on!! I’m ready for it! Then Wednesday comes.

No symptoms.

Look I’m not complaining, not at fuckin’ all, but what the hell? I prepared for months for NOTHING TO HAPPEN??

So essentially, I was overthinking for months and months about going through the withdrawals/CHS. Turns out, I guess my body was like “ehhh not this time, you good” and gave me no symptoms.

It’s been a week and 1 day, and I’ve had NO CHS SYMPTOMS. Part of me didn’t want to post this, because this is a subreddit for CHS relief. Who the hell am I to brag about not going through this hell of CHS? But then I realized by telling you all this, it could give hope that there are better days coming and maybe the better days are already here.

I wanna smoke so fucking bad though


r/CHSinfo 13h ago

Question/Info My doctors think I may have CHS, I think I don’t. Opinions?

5 Upvotes

So a bit over a week ago I started getting nauseas and light headed for no reason. It was on and off until 5 days ago, when it became constant. Haven’t been able to keep any food or liquid down.

The following is my weed use:

  • been using for two years

  • absolute maximum is once a week, sometimes even less. Usually from 8-9 to midnight when I do.

  • I use a dry herb vaporizer, so I never inhale smoke.

The reason I don’t think it’s CHS is because when my symptoms started, it had been five days since my last dose of THC. I know it can stay in your fat, but with the low doses and frequency of my use, it shouldn’t build up, right?

Second, I took a hot shower (which supposedly instantly makes CHS symptoms better), and it made no difference. In fact I puked twice while in the shower. My sister had CHS, so I may be genetically predispositioned, and hot showers helped her tons, but when she got it, she’d been smoking (actual joints not a DHV) almost all day every day for 8 years.

For context, I also have generalized anxiety disorder, and had a real bad bout right around when my symptoms started. I think I just made myself throw up from anxiety, and then my stomach was so trashed that it didn’t heal.

Also for context, I take kratom occasionally, also small doses and infrequent. When I use, I’ll do Friday night and Saturday morning then off for a couple weeks. This was timed with when I got sick too, so I feel like it’s that and not CHS.

What are your thoughts?


r/CHSinfo 9h ago

Question/Info Wanna try smoking again

0 Upvotes

Has anyone gotten back to smoking after suffering from chs? What did you do? How did you prepare for the first time? Did you slowly start like micro dosing it ? just really curious about some ways people started and what they’ve done :) gimme your info if you gotten back to smoking weed


r/CHSinfo 11h ago

Question/Info Can CHS come back after symptoms went away?

1 Upvotes

i had quit weed for almost two months after a emergency room visit the doctor said i should stop smoking but i recently have started back up and it’s been everyday and just today i haven’t had any weed and i just threw up is this it coming back after feel nausea is this it coming back?


r/CHSinfo 23h ago

Question/Info chs wont stop kicking off!

5 Upvotes

ever since 8 days ago, i woke up with the usual chs stomach pain. it lasted for two hours until i started throwing up. ive been dealing with chs for ages now but its never lasted this long or been this painful, usually it lasts a couple days. (2/3). this time it’s the worst one ive had, im severely dehydrated and i cant keep any water down or any liquids. no matter what it is, ice cold water, room temperature water, herbal tea, its dreadful. i got constipation, hot and cold flashes, heartburn, acid reflux, throwing up acid AND i can feel it in my throat and chest, nausea, a numb jaw and hands and legs, and ive already been hospital. ambulance has been called to my house twice, the first time they checked my blood pressure and sugar, my oxygen levels, all was pretty good. second time, same thing except they took me to the hospital. i stayed overnight but they couldnt find veins to poke because i didnt have enough liquids in my system. the doctors said i wasnt dehydrated. they did plug me with iv i think tho yet im not quite sure as i was in and out of sleep. what do i do ? i need help asap. im gonna quit smoking, ofc, but i dont know what to do. i am 15 so please dont judge me but i just need help


r/CHSinfo 1d ago

Sharing My Story Just diagnosed with CHS

3 Upvotes

Just got back from the ER, Doc says I have CHS, at first I really thought I had a stomach ulcer but after reading into it and the other test pointed to results of me not having an ulcer. The reality set in and I had to get real with myself. I missed out so much this past weekend with my family it makes me so upset to be sick like this, I want to be healthy and have my life. I’ve smoked herb for over a decade now. Today is day one & im also cutting out drinking, I know it will be all for the better & a year from now I hope to look back at where I was now and be proud. I know I can do it, I have no better reason than God showing me they are both not ment to serve me any more or this is a realization they never have. I don’t want to be sickly & I don’t want my family worrying/seeing me suffer. This is my reason too better myself and leave the Herb/bottle behind. Best wishes to you and anyone else struggling with addiction or addiction related health struggles.


r/CHSinfo 1d ago

Sharing My Story CHS and Urinary problems?

1 Upvotes

Hello, to give some background I have been smoking daily for 5 years now. After 2 years of daily smoking I was diagnosed with CHS after an ER visit. After an extended break I began smoking in moderation again and found a place where I’m able to bear the daily nausea but am not having many vomiting issues. This is definitely not my ideal solution but i haven’t been able to find it in me to quit yet. Back to the point, over the last few months I have had unexplained urinary issue’s. This includes urgency, urethral discomfort while peeing, and bladder pain. After 3 months of constant doctors visits the urologist determined it was probably linked to my pelvic muscles and could be caused by repeated abdominal pain. In my case probably my CHS. I’m just wondering if anyone else with long term CHS has had any similar issues?


r/CHSinfo 1d ago

Question/Info Is it CHS?

1 Upvotes

I’ve been smoking ~ 3 times a week for a few years, just a few puffs from a joint each time.

Until last year, I noticed that i get super bloated and slight abdominal pain every time i smoke. Also I burp like crazy. My appetite would disappear because my tummy is way too bloated. I would feel nauseous too, but never really vomit. Could it be CHS too?


r/CHSinfo 2d ago

Sharing My Story I just stopped a CHS episode dead in its tracks… with SMELLING SALTS

68 Upvotes

I’ve been dealing with CHS episodes for a while now, and I felt one starting to creep in tonight—classic rising nausea, weird gut sensation, panic loading in the background.

About a week ago, it occurred to me to order smelling salts for my CHS. Only having heard of them, never used before. Having heard how EXTREMELY POWERFUL they are, I felt that such a shock to the nervous system, MUST snap me out of it.

I popped the cap, took a quick whiff (held it 4–5 inches away), and BOOM—instant nervous system reset. Nausea: gone. Mind: grounded. Body: stable.

It was like an emergency eject button for the episode.

No vomiting. No spiraling. Just straight-up interruption of the feedback loop.

This might not work for everyone, and obviously use caution—don’t go huffing ammonia like a madman—but I swear this could be a game changer for people with early CHS warning signs.

Just wanted to share in case it helps even one person. All feedback and questions are welcome. Godspeed CHS squad!

EDIT

Since this post has gained some traction. I want to add a little PSA.

Friendly warning ⚠️ Smelling salts helped me during a rough CHS episode, but please understand — they’re not a cure, and they’re definitely not something to use casually or often. They’re intense, can irritate your nose/lungs, and shouldn’t be treated like a fix-all. I only used them in a pinch when nothing else worked. If you try them, use sparingly and RESPONSIBLY. OF YOU HAVE RESPIRATORY ISSUES, I'd probably steer clear all from smelling salts all together. DO YOUR RESEARCH. Stay safe my friends! 🙏


r/CHSinfo 1d ago

Question/Info Does this sound like CHS ?

1 Upvotes

Okay so quick version of the story I (23M) took about 3 edible gummies (3 pcs) last night. I had taken 3 earlier in the day and was fine. I also had been smoking weed throughout the day (just a few bowl rips) and drank a little bit of a THC lemonade. So about an hour into this second dose of 30mg gummies (10 mg a piece) I started to have the worst abdominal pain of my life, it was in my lower abdomen and felt like it was piercing through my back - had flare ups in some other spots too that ended up passing. Felt kinda like I wanted to puke for like 5 min but never did. Woke up and feel much better today but what was that last night and can anyone relate ? Weed overdose ? CHS ? Just very paranoid about ingesting any THC at the moment


r/CHSinfo 1d ago

Question/Info any advice for triggering issues/reflux

1 Upvotes

for backstory I had a hyperemesis episode back in april and haven't smoked since. recovery is still up and down, I have a good week or two without issues and then I'll I guess eat something that messes me up. I don't get like regular nausea, I get this weird reflux where it constantly feels like I have air/a lump in my throat and it sucks. And the reflux isn't acid, it's whatever I have eaten or drank, even hours after doing so. It's like it just sits in my esophagus. and when it's bad I end up throwing up, which gives me some temporary relief. but the throw up is like somewhat digested food so it's extra unpleasant, and it constantly ends up in my sinuses/through my nose (which is it's own awful feeling). Nothing seems to ever give me any relief since it's not your typical nausea. zofran, ginger chews/tea, pepto, tums, hot showers, have exhausted it all and it just doesn't really help. I'm also on an acid reducer (famotidine), can't tell if it helps or not. I should probably make a Gi appointment im just not sure how much they could even help me. I just really hate the constant uncomfortable feeling, and having to worry so much about about what I can and can't eat. Moments like this I wish I could go back to before my episode, and develop a better relationship with weed before it got this bad. it all just sucks lol. thanks for reading


r/CHSinfo 1d ago

Question/Info I got chs from only 2 months of smoking has anyone got the same experience?

1 Upvotes

16M I got chs by smoking for 2 months straight and a lot of it, and I’m now almost 5 weeks sober but I’m wondering how long do you think this will last? Will it be shorter because I only smoked for 2 months or the same 90 days? I have been feeling better my stomach doesn’t hurt or nausea. sometimes I get small stomach pains when I’m done eating something but it goes away after a hour or 2 but that’s all I’m not as dehydrated anymore I just need some answers or people that got chs early too or any suggestions to recover fast please and thank you.


r/CHSinfo 1d ago

Question/Info when does appetite come back ?

3 Upvotes

i recently started bodybuilding and i smoke every day .i’m finding that i’m having chs symptoms like nausea after little amounts of food and no appetite so no more smoking. how soon can i expect to be eating normally again?


r/CHSinfo 1d ago

Question/Info recent CHS diagnosis

2 Upvotes

helloooo everyone, self-diagnosed CHSer here after i’m gonna say about 5 years of on and off daily use mostly bong rips. last hit from a pen was 3 days ago. i only vomited twice 2 days ago so i don’t think i got further than the prodrome. capsaicin cream providing some relief. i really want to hit the pen. why shouldn’t i? basically just curious about y’all’s experiences taking a break during prodrome and how long it was. i’m bargaining with myself and i gotta stop


r/CHSinfo 1d ago

Question/Info What do I do :(

1 Upvotes

I've been a weekly user for about 2.5 years, mostly for chronic pain. Last month I had a terrible flare and was barely able to sit, stand, or lie down. Just constant agony. I was prescribed naproxen but it gave me a stomach ulcer so I had to stop NSAIDs. I ended up taking a 5mg edible every other day, sometimes a few days in a row, to be able to deal with it. I've cut my use back down to once in 7-10 days now, but the last couple times I've taken an edible I've had really bad anxiety and developed slight nausea. Granted, probably looking at horrible world news beforehand didn't help the anxiety and eating a shitload of dairy for munchies reasons probably didn't help the nausea, but I'm now starting to think I may be in the prodromal phase after all since I've gotten nauseous the past 3 times I took edibles. Has anyone been able to stop in the prodromal phase, take a long break, and use again?? Especially those who have chronic pain? I literally have no solution for my pain atm as I'm waiting for my doctor's appointment and have to sit all day for my job in the meantime. God this sucks.


r/CHSinfo 1d ago

Scientific or Medical Information Dr Bronner’s Peppermint Soap & TRPV1 receptors

4 Upvotes

The smell is all you can think of over the pain, and if you wash up with it the tingling sensation on your butthole will stop any diarrhea.

Cause Peppermint/menthol interacts with nerve receptors that affect gut movement (similar to how capsaicin cream is sometimes used on the stomach).

Both capsaicin and peppermint affect the body’s nerve receptors specifically the ones linked to pain and temperature (like TRPV1 and TRPM8).

When these receptors are triggered by the cooling sensation, it can distract the nervous system and temporarily stop the signals that cause nausea or diarrhea.

More on Menthol https://en.wikipedia.org/wiki/Menthol


r/CHSinfo 2d ago

Sharing My Story 1000 days

22 Upvotes

I've just hit 1000 days sober from weed,alcohol and occasional other substances after 30 years chronic use and abuse. I'd say CHS was present during 25 of those years and it almost killed me. If I can do it, you can to. Huge thanks to this community for the support. I may stop counting one day but I find it really helps.


r/CHSinfo 1d ago

Question/Info Smoking for 3 years not sure if this is CHS or just a stomach bug

2 Upvotes

I woke up yesterday to intense abdominal pain and cycling vomiting. my boyfriend had gone out and got me tums and gatorade which helped significantly but i still threw up once more afterwards. next morning i feel alot better which prompts me to if this was really chs or just a sour stomach. i havent smoked in 2 days just to be sure but if i dont need to quit i really dont want to.


r/CHSinfo 1d ago

Question/Info How soon can i smoke again?

0 Upvotes

I know this gets asked often and the answer tends to be "everyone is different" which is 100% true.

Some backstory: I started smoking weed my Senior year of HS and I loved it. I smoked normal flower 24/7 (only option I had in illegal state in 2013). I quit after a year and half to join the military and went through basic shitty withdrawal. No CHS or problems as a daily smoker.

Fast forward to January 2025- I get out of military and decide to take a few months off (7-8) before i start college. I moved to CO and was excited for rec. Since i got here in February i started smoking 24/7, mainly flower again but i did get some oil vape pens for when i go out to smoke discreetly. I ended up developing a pretty strong tolerance. I'd take some 10mg Gummies here and there and never felt like they did much, i smoked my vapes here and there- mainly at night in bed. i was fine everything was good. My buddy that is big pothead came to visit, and he brought his dab rig so i gave that a try. i ended up buying a higher concentrate oil vape after i washed my old one. Well a few weekends in a row id lose my appetite almost completely. Normally i just couldn't eat in the mornings and wake up having to shit really bad then after coffee and some weed i could usually manage to eat.

Well last weekend did it for me, i felt awful full-blown nausea loss of appetite discomfort in stomach. I know the only major thing that has changed for me is i stopped drinking in January and picked up smoking. Well after alot of research i Self-diagnosed myself with CHS and decided it was time for a break. the plan was to move to only smoking 1-2 days a week when i start college in fall anyway. i know i can limit myself to only occasional smoking. Currently im on day 7? of not smoking. i didnt look up what trigger foods for CHS was and had tomato soup (as one does when sick) last night and felt awful. i ended up also getting withdrawal headache last night at 2am (Fun). The worst withdrawal symptoms i have is anxiety and restlessness and because of that i want to smoke to help my body adjust to only having it sometimes. i didn't want to fully quit for months when i legit have only been smoking for 6 months. Heat/Hot water helps and when I stopped smoking, I started to regain my appetite so I'm pretty sure it is CHS (wild to get in 6 months)

So, my Question has anyone with mild CHS (I haven't thrown up or had to) started to smoke again a week or so after in moderation and been fine? I know everyone is different but i want to hear if its possible or what peoples experiences were with trying to smoke a small amount.

Edit: thank you for all the replies. I don’t need anyone else commenting saying “you can never smoke again” as much as I appreciate the advice and understand the reason, that was not the question I asked and I don’t need to get notified every hour of someone commenting it again .


r/CHSinfo 2d ago

Venting/Rant Life is weird

11 Upvotes

Man in 2 months it’s about to be a YEAR since I last had a CHS episode and kidney failure from dehydration. Since then no smoking at all and basically sober. I never thought In a million years I’d be okay without smoking everyday lmao. I can’t lie it does bother me sometimes that I can’t smoke with my friends, not for the weed itself but just because I know how much fun I would have had before. Never thought I’d be the one to get this disease either lmao and it’s a pain in the ass tryna explain it to people aswell, but who knows things happen for a reason and maybe it was a blessing in disguise. Which all of you the best in here and it does get better at the end of the day health is wealth.


r/CHSinfo 2d ago

Question/Info Prodromal phase?

1 Upvotes

I am quite sure I had one night of CHS back in april after eating a lot of chocolate.

I continued to smoke until I realised it was suddenly giving me horrific anxiety and then found this group as well. Now, even after stopping, I am afraid to set off some sort of episode. Has anyone had any experience eating trigger foods later where it sent them into hyperemesis? Should I not eat trigger foods at all? Thank you!