As marijuana becomes more available and socially accepted, many people see it as a natural way to relax, sleep, or manage pain. But for some frequent, long‑term users, marijuana can trigger a little‑known condition called cannabinoid hyperemesis syndrome (CHS); it is characterized by repeated episodes of severe nausea, vomiting, and belly pain that can be frightening and disabling.
CHS usually appears after years of regular cannabis use, often daily or near‑daily. Early on, people may notice morning nausea, decreased appetite, or vague stomach discomfort, but still go about their day. Over time, symptoms can progress into sudden hyperemetic episodes: relentless vomiting, intense stomach pain, and an inability to keep down food or fluids. Many people with CHS discover that very hot showers or baths briefly relieve their symptoms, sometimes leading them to bathe compulsively.
Because cannabis is often used to ease nausea, people and providers may not immediately suspect it as the cause. That means many individuals with CHS bounce between emergency rooms and specialists, undergoing multiple tests without clear answers. During severe episodes, dehydration and electrolyte imbalances can become medical emergencies requiring IV fluids and monitoring.
The most important thing to know: the only proven way to stop CHS for good is to stop using cannabis. Hot showers, over‑the‑counter remedies, and even prescription anti‑nausea medications may offer only partial or temporary relief. Once cannabis is stopped completely, most people improve over days to weeks, and the vomiting episodes usually do not return unless cannabis use resumes.
If you think you might have CHS, be honest with your health care provider about how often and how long you have used cannabis. This information helps them make an accurate diagnosis, rule out other serious conditions, and offer safer, more effective care.
Possible symptoms of Cannabinoid Hyperemesis Syndrome (CHS)
- Persistent or morning nausea
- Repeated vomiting or “scromiting” (screaming while vomiting)
- Intense belly (abdominal) pain
- Episodes of severe vomiting that come and go over time
- Temporary relief with very hot showers or baths
- Loss of appetite and weight loss
- Signs of dehydration (dry mouth, dark urine, dizziness, feeling very weak)
When to get help
- Go to the nearest emergency room or call 911 if vomiting is severe, you cannot keep fluids down, or you feel faint, confused, or have chest pain.
- Call or text 988 if you are in emotional distress, having thoughts of self‑harm, or feel overwhelmed and need to talk to someone right away.
- In Philadelphia, call Community Behavioral Health (CBH) Member Services at 888‑545‑2600 to get connected to mental health or substance use treatment if you have Medicaid.
- If you do not have insurance or are unsure where to start, Behavioral Health Special Initiative (BHSI) at 215‑546‑1200 can help connect you to treatment options.
- Check out resources page for more options.
Philadelphia Resources and Support
Call 988 any time for mental health, substance use, or emotional crises to be connected to local support.
For help finding treatment, counseling, or other health and social services (including substance use services), you call 211 or visit the PA 211 website to get connected to options in your neighborhood. Many community organizations and clinics across the city provide low‑ or no‑cost behavioral health care for individuals and families
Healthy Minds Philly offers online screening tools, education, and connections to local providers, helping Philadelphians access care early and reduce the harms of substance use and mental health challenges.



