Proposed Clinical Diagnostic Criteria forCannabinoid Hyperemesis Syndrome12 |
Essential for diagnosis |
Long-term cannabis use: more than 1 year |
Major features |
Severe cyclic nausea and vomiting |
Resolution with cannabis cessation |
Relief of symptoms with hot showers or baths |
Epigastric or periumbilical abdominal pain |
Weekly use |
Supportive features |
Age younger than 50 years |
Weight loss over 5 kg |
Morning predominance of symptoms |
Normal bowel habits |
Negative laboratory, radiographic, and endoscopic test results |