My(25f) boyfriend(27) can't smoke

[u/Indigoez]

I smoke a lot, generally I clear a gram of wax every 5-6 days if I'm conservative. My boyfriend is a complete sweetheart, and doesn't mind hanging out with me when I bake up, but he has Cannabis Hyperemesis Syndrome and can't smoke anything without puking. I can tell he really misses it and I wish he could enjoy it too.

I was wondering if anyone knew of a safe, legal alternative. He's said he can take a hit of a cart once in a while but if he overdoes it he ends up puking anyway. Drinking isn't something either of us are big fans of, so that's out. I don't think either of us need substances to enjoy ourselves but I was wondering if anyone has advice on this topic, it would still be nice if I could have something for him to enjoy too. Thanks to anyone who replies 💜

[u/Illustrious-Golf9979]

Cannabis Hyperemesis Syndrome (CHS): Summary Report

Definition and Common Characteristics

CHS is a form of hyperemesis (severe vomiting) associated with prolonged cannabis use. While there is no official diagnostic criteria, common characteristics include:

• Age under 50 at symptom onset
• Regular cannabis use for over 1 year (at least weekly)
• Severe cyclical nausea and vomiting recurring over months
• Abdominal pain
• Symptom resolution upon stopping cannabis use
• Compulsive hot showering/bathing that provides relief
• Resistance to traditional anti-nausea medications
• Weight loss

Case Characterization

Based on 29 case reports covering 36 unique individuals: - Age range: 15-47 years - Usage frequency: Majority (58%) used cannabis daily - Duration of use: 36% used for 10+ years, 25% used for 1-10 years

Treatment Approaches and Effectiveness

Pharmacological Treatments

Most commonly tried medications included: - Antiemetics (most frequently tried but often failed) - Antipsychotics - Anti-reflux medications - Hydration therapy

Key finding: No pharmacological treatment provided complete symptom relief consistently.

Behavioral Treatments

Most effective approaches: 1. Hot showers/baths (100% success rate in documented cases) 2. Behavior modification (68% success rate) - Including cannabis reduction - Complete cessation - Switching cannabis formulations

Less successful approaches: - Cognitive behavioral therapy - Drug rehabilitation - Motivational enhancement therapy

Clinical Implications

Risk Assessment

• All documented cases were under 50 years old
• Most frequent users (daily consumption) showed highest risk
• Failed response to antiemetics may indicate CHS

Management Recommendations

1. Consider CHS in young adults with unexplained cyclic vomiting
2. Recommend hot showers/baths for immediate symptom relief
3. Advise behavior modification regarding cannabis use
4. Use validated cannabis risk screening tools for assessment
5. Provide patient education about CHS risks 6.Long-term treatment of CHS is abstinence from cannabis, but acute symptomatic management has been a struggle for many clinicians. The present report highlights the use of haloperidol as an agent that successfully and safely treats the unrelenting symptoms of CHS.

Research Status

• Mechanism remains unclear, though theories involve:
  • THC binding to brain receptors in vomiting center
  • Potential genetic mutations affecting cannabinoid metabolism
• Further research needed for formal diagnostic criteria
• More guidance needed on risk communication

Recent Developments

The US Surgeon General (2021) issued warnings about: - CHS risk in chronic cannabis users - Special caution needed with edibles due to delayed effects - Potential overconsumption risks

[u/PrizeConsistent → u/Illustrious-Golf9979]

Thank you!

I find the hot showers thing kind of ridiculous though. I thought most people took hot showers to help all kinds of stomach aces? I've done it for stomach bugs, migraine nausea, celiac, literally any stomach ache I get. A hot shower always helps :,).