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.
Worry Should About CHS? I
If you are worried about your symptoms, see your doctor or go to the hospital. If you have nausea and vomiting that lasts for a long time, you may need to take medicine or have intravenous IV fluids to help you feel better.
Some people may also need medicine to treat anxiety. It is important to know what makes your symptoms worse or better, so you get the best care possible when looking for help. When you use cannabis regularly, your body and brain get used to having it so you may become dependent on it. If you are dependent on cannabis, you may have symptoms of withdrawal when you stop taking it.
This may cause you to feel nervous, angry and depressed. You may find it hard to relax, feel very tired, have trouble sleeping or have trouble concentrating. You may have chills, shake, sweat a lot, and have headaches or stomach pains.
But not using cannabis is the only way to prevent CHS. This material is for information purposes only. It should not be used in place of medical advice, instruction, or treatment. If you have questions, talk with your doctor or appropriate healthcare provider. This information may be printed and distributed without permission for non-profit, education purposes. The content on this page may not be changed without consent of the author. 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.
In the evidence-based guidelines on treatments for cluster headaches devised by the American Headache Society, melatonin supplements are rated at grade C, i. If a person wishes to incorporate natural remedies such as these into their treatment plan for CHs, they should consult a doctor before choosing natural products or beginning to use them. These treatments may not be suitable for everyone. Furthermore, some natural products may contain ingredients which do not combine safely with other treatments or medications.
About us Medical Library. Trigeminal refers to the trigeminal nerve, responsible for sensation in the face and motor functions such as biting and chewing. Correspondingly, the area affected by CHs is the facial area and the eye area in particular.
CHs can affect either the left or the right side of the head, but most people find that they are usually affected on the same side each time. Autonomic refers to the fact that the boyd performs the symptoms of CHs automatically, e. Other symptoms of CHs which may be present during an attack include: Episodic cluster headaches In people with episodic cluster headaches, CHs will occur every day for periods of weeks or months; six to twelve weeks is normal.
Chronic cluster headaches For 20 percent of people affected by CHs, the condition is chronic, meaning that the headaches occur all year round rather than in periodic or seasonal cycles. Triggers In people who are affected by cluster headaches, certain triggers have been identified which may bring on a bout of cluster headaches. Weather changes Exertion Drinking alcohol Smoking tobacco Stress Exposure to allergens, such as pollen and pet dander Strong smells, such as paint, petrol or perfume Temperature changes - hot towels, hot showers High altitudes - air travel, trekking Nitroglycerin, a chemical compound which is used in some medications for chest pain Foods high in nitrates, e.
Diagnosis Anybody who thinks they may have experienced a cluster headache should seek medical attention without waiting for a repeat occurrence. To diagnose CHs, a doctor will assess the following criteria: Having at least one symptom which is ipsilateral on the same side of the head as the pain in the eye, nose or face Restlessness or agitation A duration of 15 minutes to three hours without effective response to medication or painkillers A frequency of between one attack every other day or eight attacks per day and an incredibly severe pain Avoiding misdiagnosis Doctors will be aware that a person may be affected by other primary headache disorders , which may result in them experiencing headaches that are similar to cluster headaches.
A chronic pain disorder affecting the same nerve that is involved in cluster headaches. Some headache attacks can feature autonomic features such as teary eyes. Migraines can also often occur in bouts, which leads to the widespread misconception that a person is experiencing cluster headaches, when they are in fact experiencing clusters of migraines.
A chronic, persistent headache that usually occurs on the same side of the face and head, usually consisting of a constant dull pain which intermittently becomes piercing. Short-lasting, unilateral, neuralgiform headache attacks with conjunctival injection and tearing SUNCT. Like CHs, SUNCT headaches are a subtype of trigeminal autonomic cephalalgia headaches, but their duration is much shorter than cluster headaches.
Treatment People who have been diagnosed with CHs are usually treated by a type of doctors specialising in brain and nerve conditions called a neurologist. Those affected by CHs will require both short and long-term treatment in order to manage their headache disorder: Short-term treatment for CHs focuses on relieving headache attacks themselves by reducing their pain and duration Long-term treatment of CHs aims to reduce the frequency of headache attacks and to prolong the periods of remission between bouts.
With effective treatment, a person affected by chronic CHs may be able to reduce the frequency of their headaches to the point at which their CH disorder becomes episodic. Oxygen therapy This treatment involves breathing in pure oxygen through a mask at the start of a CH attack. Sumatriptan triptan class medication injections Sumatriptan is a medication which is used in the treatment of migraines and cluster headaches.
Recovery after a CH attack CH attacks can be physically exhausting. Prevention The causes of cluster headaches are unknown, so it is not possible to prevent the development of the CHs disorder itself. Preventative medications 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. Greater optical nerve block This treatment involves injecting an anaesthetic and steroid medication into the nerves that supply the scalp, at the back of the head.
Lithium carbonate 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. Relaxation Practicing relaxation skills such as yoga and deep breathing can help to diffuse stress and aid muscle relaxation.
Resting well 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. Exercising regularly Exercise releases beta-endorphins in the body, which can relieve stress.
Cluster Headaches (CHs)
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.