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Study breakdown

When Cannabis Causes Both Psychosis and Uncontrollable Vomiting: A Psychiatric Case

Clinical ObservationLow evidence
The takeaway

A case of cannabis hyperemesis syndrome developing in a psychiatric inpatient admitted for drug-induced psychosis highlights the challenge of recognizing CHS when patients have multiple cannabis-related conditions.

Psychiatrists, emergency physicians, gastroenterologists, and heavy cannabis users experiencing unexplained vomiting

What the researchers found

A young male admitted for drug-induced psychosis developed cyclical vomiting consistent with cannabis hyperemesis syndrome, demonstrating that CHS can coexist with and complicate other cannabis-related psychiatric conditions.

Why it matters

CHS is frequently misdiagnosed, especially in psychiatric settings where cannabis-related symptoms may be attributed to other causes — recognizing the overlap between CHS and cannabis psychosis improves patient care.

The numbers in context

Single case of a young male with long-term cannabis use, recurrent ED presentations, and weight loss from cyclical vomiting while admitted for drug-induced psychosis.

How the study worked

Psychiatric case report with literature review, documenting CHS presentation in an inpatient psychiatric setting with recurrent emergency department presentations, weight loss, and medical complications.

What this study cannot tell us

Single case report; CHS diagnosis is clinical and lacks specific biomarkers; psychiatric comorbidities may confound symptom attribution.

How to read the evidence

Single case report with literature review provides limited evidence but illustrates an important clinical scenario.

When this study was published

Published in 2026, reflecting growing clinical awareness of CHS and its overlap with other cannabis-related conditions.

The bigger picture

As cannabis use intensifies, clinicians across all specialties need to consider CHS in the differential — it's no longer just a GI diagnosis but can emerge alongside psychiatric cannabis complications.

Questions still open

  • How common is CHS co-occurrence with cannabis-induced psychosis? Should CHS screening be routine in psychiatric admissions for cannabis-related conditions?

Common questions

Can cannabis cause both psychosis and vomiting?
Yes — this case shows that heavy cannabis use can simultaneously trigger drug-induced psychosis and cannabis hyperemesis syndrome (CHS), a condition causing cyclical severe vomiting.
Why is cannabis hyperemesis syndrome hard to diagnose?
CHS symptoms (nausea, vomiting, abdominal pain) mimic many other conditions, and in psychiatric settings, symptoms may be attributed to medications or anxiety rather than CHS.

Read the original research

Cannabis Hyperemesis Syndrome: A Psychiatric Approach.

Cureus, 18(1), e102152

Citation

Anibueze, Bibian K; Emmanuel, Adebayo. (2026). Cannabis Hyperemesis Syndrome: A Psychiatric Approach.. Cureus, 18(1), e102152. https://doi.org/10.7759/cureus.102152