Cyclic vomitin in Adults and Cannabinoid hyperemesis

<strong>Patients present with heavy nausea, vomiting and frequently abdominal pain. Approximately 50% of the patients display compulsory bathing behaviour as hot showering results in symptoms relief. Chronic marihuana abuse is a prerequisite for suspicion of CHS. Prompt and adequate treatment of an episode of vomiting shortens the recovery phase and prolongs the inter-episodic phase of comparative wellbeing. Treatment of the acute phase consists of intravenous application of lorazepam, proton pump inhibitors, and sodium chloride solution. Detailed information on diagnostic criteria and treatment recommendations: Tables 1 and 3 in: Blumentrath et al. Cannabinoid hyperemesis and the cyclic vomiting syndrome in adults: recognition, diagnosis, acute and long-term treatment. GMS Ger Med Sci. 2017;15:Doc06.