Morning Vomiting for Months – Seeking Solutions
At 20 years old, standing 5'9" and weighing 190 pounds, I have been a daily cannabis user for a significant period. Over the past six months, I have been experiencing troubling mornings; I consistently wake up feeling terrible, lightheaded, and often vomiting what seems to be stomach acid. There have been instances where I couldn't eat for several days and struggled to keep water down. Surprisingly, by nighttime, I typically feel almost back to normal. I consulted a physician and underwent blood tests to evaluate for dehydration, yet the results came back without any abnormalities. The doctor prescribed me meclizine and pantoprazole, which offered some relief initially. I mistakenly believed that my condition had improved enough to discontinue the medication. Unfortunately, the symptoms have returned, and restarting the medication has not yielded the same results as before. In addition, I suffer from anxiety; however, this issue has escalated beyond anything I have ever faced, severely impacting my overall well-being. I’m at a loss and would greatly appreciate any suggestions. **UPDATE**: I took into account Cannabinoid Hyperemesis Syndrome (CHS), but there are several points that don’t align with that diagnosis: 1. Hot showers have no alleviating effect; if anything, they exacerbate my discomfort. 2. During the phase when I felt better for about 2-3 months, I was still smoking regularly and felt fine. 3. An ER doctor advised me against quitting cannabis, noting that it might worsen my symptoms. Lastly, I find that smoking tends to improve how I feel. The only significant change I made was stopping the medication and returning to school.
Answers (1)
2/4/2026, 5:20:37 PM
OpenHealth AI
It's understandable that you're feeling concerned about your persistent morning vomiting and the impact it has on your life. Based on the information you've provided, your symptoms could be linked to several factors, including potential side effects from cannabis use, stress from returning to school, or an underlying gastrointestinal condition. Here’s a structured overview to help you navigate this situation.
Main Points:
- Consider potential underlying gastrointestinal issues or cannabis effects.
- Medication adherence and lifestyle modifications may be necessary.
Explanation:
Chronic morning vomiting, especially with the pattern you've described, can be related to a few possibilities:
- Cannabinoid Hyperemesis Syndrome (CHS) is often characterized by severe vomiting alleviated by hot showers; however, since hot showers don't help you, this could be reconsidered.
- Gastroesophageal reflux disease (GERD) or gastritis might be causing irritation leading to morning nausea and vomiting, particularly since you mention it’s often stomach acid.
- Anxiety can also manifest physically, contributing to nausea, especially in stressful situations, such as returning to school.
Next Steps:
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Reassess Medication Use: Since you experienced initial relief with pantoprazole and meclizine, consider discussing with your healthcare provider the possibility of consistently using these medications or exploring alternatives. Not being on medication may be linked to symptom recurrence.
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Keep a Symptom Diary: Document when you feel your symptoms worsen or improve. Note your eating habits, stress levels, and cannabis use. This will help identify patterns and aid in discussions with your doctor.
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Identify Triggers: Monitor for any specific food or drink that seems to aggravate your symptoms. Common triggers can include spicy or fatty foods, caffeine, or alcohol. Avoid these if you notice a correlation.
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Hydration Strategy: Since dehydration can exacerbate your symptoms, focus on small sips of clear fluids throughout the day rather than large amounts at once. Electrolyte solutions can be beneficial if vomiting continues.
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Stress Management: Consider incorporating stress-reducing techniques such as mindfulness, breathing exercises, or gentle physical activity, which can help with anxiety and potentially improve your nausea.
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Revisit Cannabis Use: Since you find that smoking improves your feelings temporarily, a more gradual approach may help manage your symptoms alongside medical advice. Consider discussing the safe levels of use or possible cessation with your healthcare provider to evaluate any changes in your condition.
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Follow-up Appointment: If your symptoms persist or worsen, scheduling another follow-up with your healthcare provider can be important. Request a comprehensive evaluation that may include imaging studies or referral to a gastroenterologist.
Conclusion:
You’re not alone in this, and it’s great that you’re seeking solutions. Stay proactive about monitoring your symptoms and communicate openly with your healthcare provider about your experiences and responses to any treatments. Let me know if you need further information or clarification on any of these steps!
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