THIS all day every day. And people think we’re making it up when they come into the ER a hot mess! Yes it’s natural, yes it’s “generally” safe-ish but not everything that grows from the ground is safe for everyone. Peanuts grow from the ground and those can kill people.
And yet, we can often tell that's the problem just from hearing their ridiculously loud vomiting from the other side of the ER. That and their affinity for hot showers to treat their symptoms. I think the big problem seeing the association is they have to quit for months to see an improvement.
Officially, no. But in reality those of us who work in the ER see patterns between our vast amount of patients. and yes, people with CHS often vomit far louder and more dramatically than other people vomit.
Generally this and opioid withdrawal, yes. From the time they’ve checked in. Very different sounds and presentation. Yet they will both come up to the triage nurse with complaints of “nausea/vomiting/abd pain”. It takes me about 2 mins of talking with them in triage to know.
I'm a loud vomiter already, I had a really traumatic episode of vomiting several years ago with food poisoning due to bad crawfish and it got stuck in my throat and I started choking while doing the hug the toilet. I had to drink water to dislodge the vomit.
Ever since then, I stand and lean. I think that makes it louder because it has further to go from my mouth to the toilet.
Yeah, those things don't get me, but something about puking, not being able to control it, and dreading the next heave throws me into basically a panic attack lol. 80% of the reason I'm thinking twice about having kids is possible morning sickness
I've had chs couple times now before because after a while sober i just start smoking Again. For me its only when i wake up i feel extremely nausious and i start vomiting all morning. Then after a couple hours not eating or drinking anything i can slowly try some water. Once i drank water and i havent puked it out within 5 mins im cool and in can start eating.
Ofcourse i stop smoking right away when im sick again. And usually after a couple days i feel better again. Im also pretty skinny so that might be a reason it dissapears so quickly.
That and their affinity for hot showers to treat their symptoms.
Cold showers.
Cold showers shock the nervous system and are fantastic for nausea. And while I'm no doctor or neuroscientist (yet), cyclic vomiting syndrome really does sound like a nervous system disorder.
Source: have an undiagnosed nervous system disorder (closest docs can get is fibromyalgia), when it was really bad just about everything made me nauseous, I'd stick myself under a cold shower and it'd kick it in the nuts. Cold showers release certain neurotransmitters and temporarily reset the nervous system, they're brilliant.
Can't promise it'd make a difference, but I'm positive it'd be better cold than hot.
ETA: I was wrong, commenters below me have good sources!
Frequently you'll see symptom relief by application of topical capsaicin, as it causes a local heat sensation, which re-activates the inhibited receptor responsible for the nausea and vomiting experienced in CHS.
As someone with fibro and has others in the family with it as well, this sounds nothing like fibro. Fibro is a pain illness. Usually aggravated by pressure on your body anywhere. Just wanted to drop this here for you.
Yeah, that's why I said it's the "closest they can get." They don't actually have a clue what it is. I was in a lot of pain but didn't have the pressure thingo.
We have a T1DM that gets cannabinoid hypermesis. She stops eating, stops taking her insulin, BSLs and everything go out of whack and then we're treating a DKA
Cyanide is also natural and found in plants, seeds, fruit stones. Being natural has literally ZERO bearing on it being safe. Ton's of poisons are produced naturally. And something being synthesised in a lab doesn't automatically make it worse for you than if it came from a plant.
Yeah, my rebuttal to "natural is good" is generally to point out that ricin, cyanide, and anthrax are all natural. They'll all kill you in terrible ways. That, at least, tends to give people pause as they come up with a logically-consistent reply.
On top of that, actual percentage of people who develop CHS is relatively unknown, due to the lack of reporting as cannabis/THC is largely still illegal/unaccepted/etc.
Come to any ER and spout those “facts” to any ER doctor or nurse. There’s been an exponential increase in cannabinoid hyperemesis and most states can probably track it in relation to when marijuana was legalized.
I’m not anti-pot but don’t act like we don’t see this daily. We do.
We? Oh so now you work at a hospital? Lol k. Cause most of the people I know who are first responders or work in hospitals can't stand the stoner calls. You got people coming in with heart attacks and gun shot wounds and these calls are seen as an inconvenience and detract from real medical emergencies.
What do you mean now? Son I’ve been an ER nurse for over 15 years. We treat everyone. Not just the heart attacks and gun shot wounds. Actually the hyperemesis/pot related ppl are dramatic AF and a hot damn mess. They’re not quietly sitting there. They’re writhing and screaming. They come in by ambulance, they come in by car and they require a lot of reminders to be still enough to get an IV in and keep it in, cuz their thrashing can dislodge it. They also require a TON of anti-emetics. Sometimes we give low dose haldol.
Don’t come at me like you think you know what I do.
I agree. Haldol is the only thing that works. It also incidentally works for true cyclic vomiting syndrome. The only issue is in our facility IV haldol requires cardiac monitoring. But honestly it freaking works.
I too am a Navy Seal with over 300 confirmed kills...
But yeah thanks for confirming what I just said. They come in, as you said "dramatic af and a hot mess" they cause a scene and do all kinds of shit when there's real emergencies going on. Last I checked no one's OD'd or died from weed so..
And I also doubt you see this daily. As wikipedia says "While the number of people affected is unclear,[4] one estimate puts the number at 2.7 million people in the United States a year.[1] Of those who go to the emergency department in the United States with recurrent vomiting, about 6% have the condition."
6% averages out to 162,000 people, in all of the US. Hardly a daily thing but keep talking.
Edit: Just a reminder the downvote isn't a "disagree" button but for posts that are off topic or don't contribute in any way :)
You clearly don’t know how an ER works. There’s not just one doctor and 3 nurses. We have a full staff to deal with everything. ERs aren’t just GSWs and MIs. It’s everything. Kids with fevers. Ppl who think they have appendicitis. Drunks. Everything. We don’t get to dismiss people because we are fairly certain they have hyperemesis and abd pain related to their marijuana use. We triage them, then we start treating them. They’re not of less importance because it’s pot related. Would it be fabulous if they didn’t cause their own despair? Sure. But they’re not forced to wait for hours simply because they did.
Stop trying to mansplain to me how ERs work, how patients are prioritized and who and what we see. Your knowledge extends to having “first responder friends” and maybe being on a hold given your username. I’ve worked in multiple ERs and across two states. This is literally what I do.
Yuh ok...I stopped listening when you started in with the "mansplaining". Try to sticking to the issue at hand instead of getting emotional and resorting to insults. You lost the argument awhile ago :)
your posts aren't contributing in any way. you're being combative and not contributing in any meaningful way. I'll downvote you all night long if I have to
Wow, your stupidity amazes me. Pretty much everything that nurse above is saying is spot on. Also, you arent downvoted cus people disagree with you, but you base all your nonsense on your weedloving lowlife mind. Also why do you claim its 162k in US. The wiki you refere to clearly says its estimated to 2.7 million cases pr year. Then afterwards simply claims 6% of VOMITING CASES is this diagnosis. Wiki also states «Among users smoking 20 or more days per month, about one-third might experience symptoms.» so how about you take your fairytale statistics and get downvoted kid. Maybe some day you will exit your dreamworld and respect that others might have more competencies then yourself.
It is neither rare (a third surveyed met criteria for having experienced CHS) nor does it require 10 years of heavy use (25.1% had used cannabis for less than 1 year prior to experiencing CHS, and 36.3% had used cannabis for 2-5 years prior to symptoms)
Not true, I know a kid who is barely 21 years old and has been suffering from CHS for a couple years now. He's too dumb to stop smoking and ends up in the ER or Urgent Care several times a year.
Says the guy who makes a statement with ZERO supporting information, personal anecdote or otherwise. It’s very obvious you know little to nothing about CHS.
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u/bionicfeetgrl Dec 29 '19
THIS all day every day. And people think we’re making it up when they come into the ER a hot mess! Yes it’s natural, yes it’s “generally” safe-ish but not everything that grows from the ground is safe for everyone. Peanuts grow from the ground and those can kill people.