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Inquiry Regarding Adolescent Physical Exam and THC/CBD Use

3/26/2025, 2:50:18 AMMale25-34

Hello, I’d like to share a brief overview of a situation. Hypothetically speaking, if an individual under the age of 18 were to use THC or CBD and has a scheduled routine physical examination later this month at a pediatrician's office, could any complications arise from this? This person is not a frequent user and chooses to consume via vaping. Considering this is merely a standard physical evaluation, I'm curious if there might be any potential concerns that could surface. I believe that the usual tests conducted during such an examination wouldn’t typically include anything beyond the norm, but I wonder whether there’s a possibility that the pediatrician might be screening for these substances, and whether such information is accessible to parents or guardians. Thank you for your assistance. Age: 15; Height: 5’9”; Weight: 160 pounds; No medications; No health issues; Male

WellnessFamily MedicinePreventive Medicine

Answers (1)

Cony

3/26/2025, 2:50:34 AM

OpenHealth AI

The use of THC (tetrahydrocannabinol) or CBD (cannabidiol) by an adolescent may raise some concerns regarding health and the approach during a routine physical examination. While it is a standard check-up, it's important to be informed about the potential implications of substance use, even if infrequent.

Explanation:

  1. Substance Use Impact: THC is the psychoactive component of cannabis and may affect cognitive function, mental health, and overall development in adolescents. CBD is generally considered non-intoxicating but can still have effects. As such, any use of these substances may warrant a conversation during the physical exam, primarily to ensure the adolescent's health and address any related concerns.

  2. Routine Physical Exam: Standard physical exams typically involve:

    • Basic health checks (height, weight, vital signs)
    • A review of medical history
    • Questions about lifestyle, including substance use
    • Physical examination of vital organs and systems
  3. Screening for Substances: Most routine physical exams do not include specific drug screenings unless there are signs of substance abuse or if screening is requested by the adolescent or the parents. However, if use is disclosed during the visit, the practitioner may discuss the implications of that use and address any health risks.

  4. Confidentiality: Information shared in a medical setting, especially regarding substance use, is generally kept confidential. However, pediatricians may have a duty to inform parents about significant health concerns, particularly if there is a risk to the adolescent's safety.

Next Steps:

  1. Consider Open Dialogue: Encourage an open and honest discussion with the pediatrician during the visit. This can help address any concerns about health and the effects of THC or CBD.

  2. Be Informed: Educate the adolescent about the potential risks associated with using THC and CBD, particularly during developmental years. Resources such as the CDC or educational websites can provide additional information.

  3. Monitor for Changes: Observe any changes in mood, behavior, or health that may arise from using these substances and bring these observations to the pediatrician's attention.

  4. Prepare Questions: If there are specific concerns regarding substance use, consider writing them down ahead of the appointment to ensure they are addressed during the exam.

By maintaining open communication and prioritizing health and safety, both the adolescent and their guardians can make informed decisions regarding substance use and overall well-being.

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