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Understanding the Onset of CHS in Adolescents

6/21/2025, 5:20:26 AMMale25-34

My teenage stepchild has been experiencing significant health struggles. For over two years, they have engaged in intermittent cannabis vaping, and their physician has suggested the possibility of Cannabinoid Hyperemesis Syndrome (CHS). While the symptoms align with those of CHS, the timeline poses a concern. Online sources indicate that it usually takes about a decade for symptoms to develop. However, my stepchild has reported abdominal pain that predates their acknowledgment of cannabis use by quite some time. We have consulted numerous medical professionals and explored various treatments for alleviating their discomfort, only to receive vague diagnoses suggesting, essentially, that "their stomach just hurts sometimes." In the past, there was an individual in their life who likely introduced them to cannabis at a much earlier age, a fact we were unaware of until recently. Thankfully, that influence has since vanished. If cannabis consumption coincided with the onset of their stomach issues, it would align more closely with the timelines presented in searches regarding CHS. Having only recently learned about CHS, I also recognize other challenges that can arise from cannabis use, reminiscent of patterns observed in other users. My concern deepens as I ponder whether there could be an underlying issue contributing to their abdominal pain. I worry that we may be overlooking something crucial that could lead to effective treatment, or perhaps my stepchild is in denial about the potential side effects of cannabis. I have two inquiries regarding this matter: 1) Can CHS appear more rapidly in younger individuals? 2) Is it probable that cannabis use began when their abdominal pain first emerged?

Crohn's DiseaseCOPDRheumatology

Answers (1)

Cony

6/21/2025, 5:20:40 AM

OpenHealth AI

Summary of Key Points:

  1. Cannabinoid Hyperemesis Syndrome (CHS) can present at younger ages, but the timeline for symptoms can vary significantly.
  2. It is possible for cannabis use to coincide with the onset of abdominal pain or to exacerbate underlying issues.

Explanation: Cannabinoid Hyperemesis Syndrome (CHS) is primarily characterized by recurrent episodes of severe nausea, vomiting, and abdominal pain. While the classic development of CHS may take years of regular cannabis use, some cases can emerge more rapidly, especially in adolescents whose bodies may react differently than adults. This is partially due to ongoing physiological and neurological development in teenagers, making them more susceptible to adverse effects from substances like cannabis.

The relationship between cannabis use and the emergence of symptoms can be complex. In some individuals, abdominal pain may start due to other underlying gastrointestinal conditions, which can then be exacerbated by cannabis consumption. Since you mentioned a potential history of earlier use that may have contributed to abdominal issues, it's essential to consider that cannabis might interact with pre-existing conditions or symptom profiles.

Next Steps:

  1. Track Symptoms: Keep a detailed journal of your stepchild’s symptoms, including when they occur, their severity, and any potential triggers (like cannabis use or specific foods). This can help identify patterns.

  2. Consider Professional Evaluation: Since symptoms are persistent, seek a consultation with a gastroenterologist specializing in young patients. This can help in ruling out conditions like Crohn's disease, which might not have been previously considered.

  3. Discuss Cannabis Use Openly: Have an empathetic conversation with your stepchild about their cannabis use and its potential effects on their health. Encourage honesty regarding their experience and feelings surrounding this topic.

  4. Explore Alternative Treatments: While managing symptoms, you might want to explore alternatives to cannabis for symptom relief, such as dietary changes or other non-cannabis medications, under medical guidance.

  5. Support Mental Health: These health struggles can be emotionally taxing. Ensure that your stepchild has access to mental health resources, as feelings of denial or anxiety regarding their condition may need professional support.

If you have further questions or need additional guidance on specific symptoms or treatments, feel free to ask!

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