{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:18Z","timestamp":1756339458766,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,13]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Cannabis use is legalised in many countries. We present a patient in their 40s who complained of recurrent abdominal pain and associated nausea and vomiting. The patient was previously seen in various hospitals, treated symptomatically, and discharged with a diagnosis of non-specific abdominal pain. The patient had a chronic history of smoking cannabis and nicotine and drinking alcohol. Abdominal examination revealed no masses, and abdominal X-ray was normal. Blood tests and gastroduodenoscopy revealed no obvious aetiology. Intravenous fluids, together with antiemetics and proton pump inhibitors, were administered. The patient also received counselling and was advised to stop cannabis use. At discharge, the patient was well and asked to come back for review in 2\u2009weeks, and, thereafter monthly for a period of 6\u2009months after stopping cannabis use. The patient reported no recurrent symptoms despite continued cigarette and alcohol use. A suspected cannabinoid hyperemesis syndrome (CHS) became a consideration. Awareness of cannabis-related disorders such as CHS may assist in avoiding costly hospital workups.<\/jats:p>","DOI":"10.1136\/bcr-2023-256921","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T11:55:53Z","timestamp":1714478153000},"page":"e256921","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cannabinoid hyperemesis syndrome"],"prefix":"10.1136","volume":"17","author":[{"given":"Ali","family":"Elnagar","sequence":"first","affiliation":[{"name":"University of Pretoria Faculty of Health Sciences, Pretoria, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9068-5477","authenticated-orcid":false,"given":"Mpho","family":"Kgomo","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Pretoria Faculty of Health Sciences, Pretoria, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Modise","family":"Mokone","sequence":"additional","affiliation":[{"name":"University of Pretoria Faculty of Health Sciences, Pretoria, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Badreldin","family":"Yousif","sequence":"additional","affiliation":[{"name":"University of Pretoria Faculty of Health Sciences, Pretoria, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"2025082707274004000_17.4.e256921.1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2003.036350"},{"key":"2025082707274004000_17.4.e256921.2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.03.035"},{"key":"2025082707274004000_17.4.e256921.3","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.011"},{"key":"2025082707274004000_17.4.e256921.4","doi-asserted-by":"publisher","DOI":"10.1002\/cne.10801"},{"key":"2025082707274004000_17.4.e256921.5","doi-asserted-by":"crossref","DOI":"10.14309\/crj.2018.3","article-title":"Successful treatment of cannabinoid hyperemesis syndrome with topical capsaicin","volume":"5","author":"Moon","year":"2018","journal-title":"ACG Case Rep J"},{"key":"2025082707274004000_17.4.e256921.6","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226524","article-title":"Cannabis hyperemesis syndrome","volume":"2018","author":"Sharma","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082707274004000_17.4.e256921.7","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/15563650.2017.1349910","article-title":"Cannabinoid hyperemesis syndrome: potential mechanisms for the benefit of capsaicin and hot water hydrotherapy in treatment","volume":"56","author":"Richards","year":"2018","journal-title":"Clin Toxicol"},{"key":"2025082707274004000_17.4.e256921.8","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2017.11.36368"},{"key":"2025082707274004000_17.4.e256921.9","unstructured":"Royal College of Emergency Medicine . Suspected cannabinoid hyperemesis syndrome in emergency departments. 2022. Available: https:\/\/rcem.ac.uk\/wp-content\/uploads\/2024\/02\/RCEM_Cannabinoid_Hyperemesis_Syndrome_v5.0.pdf"},{"key":"2025082707274004000_17.4.e256921.10","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1159\/000520417","article-title":"A systematic review on cannabis hyperemesis syndrome and its management options","volume":"31","author":"Senderovich","year":"2022","journal-title":"Med Princ Pract"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-256921","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:27:50Z","timestamp":1756304870000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-256921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,30]]},"published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1136\/bcr-2023-256921"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-256921","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}