title: Cannabinoid hyperemesis should be recognised as an effect of chronic cannabis abuse.
abstract: Here we describe the second reported case of cannabinoid hyperemesis in UK. A 42 years old patient presented on more than one occasion with vomiting, abdominal pain, fever and dehydration and treated as sepsis with antibiotics. Extensive investigations including upper GI endoscopy, colonoscopy, chest X-ray, abdominal ultrasound, abdominal CT scan, barium swallow and echocardiogram; all reported normal. Once the diagnosis of cannabinoid hyperemesis was established, he was advised to abstain from cannabis use resulting in complete resolution of his symptoms.
authors.affiliation: Gastroenterology Department, Russells Hall Hospital, Dudley, Birmingham City University UK.
authors.forename: Sauid
authors.initials: S
authors.lastname: Ishaq
authors.affiliation: Gastroenterology Department, Russells Hall Hospital, Dudley, Birmingham City University UK.
authors.forename: Sanaa
authors.initials: S
authors.lastname: Ismail
authors.affiliation: Gastroenterology Department, Russells Hall Hospital, Dudley, Birmingham City University UK.
authors.forename: Saad
authors.initials: S
authors.lastname: Ghaus
authors.affiliation: Gastroenterology Department, Russells Hall Hospital, Dudley, Birmingham City University UK.
authors.lastname: Roop-E-Zahra
authors.affiliation: Gastroenterology Department, Worcestershire Royall Hospital, Worcestershire UK.
authors.forename: Kamran
authors.initials: K
authors.lastname: Rostami
keywords: Cannabinoid hyperemesi; Endocannabinoids; Thermoregulatory