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. 2013 Sep 17;48(8):650–655. doi: 10.1310/hpj4808-650
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