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  3. Why more youth are landing in the ER with vomiting from cannabis use

Why more youth are landing in the ER with vomiting from cannabis use

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  • S showroom7561@lemmy.ca

    Cannabis, totally safe, they said. Nobody ever gets hurt, they said. It’s not habit-forming, they said. 🫤

    V This user is from outside of this forum
    V This user is from outside of this forum
    Victor Villas
    wrote on last edited by villasv@lemmy.ca
    #5

    Not really what serious advocates ever said. Maybe what random people on the Internet sometimes said?

    S 1 Reply Last reply
    6
    • V Victor Villas

      Not really what serious advocates ever said. Maybe what random people on the Internet sometimes said?

      S This user is from outside of this forum
      S This user is from outside of this forum
      showroom7561@lemmy.ca
      wrote on last edited by
      #6

      Before legalization, pretty much every cannabis magazine and website was being cited as saying it was totally safe. Even mocked people for thinking otherwise.

      That changed public opinion, and experts were ignored. These risks were known many years ago, so why has the industry been allowed to keep selling stronger strains, marketing to young people, and making these drugs available everywhere?

      Now that the consequences are being seen, what are we going to do about it? This shit is being sold at every street corner, sometimes multiple cannabis shops at the same intersection. It’s nuts.

      B V F 3 Replies Last reply
      4
      • S showroom7561@lemmy.ca

        Before legalization, pretty much every cannabis magazine and website was being cited as saying it was totally safe. Even mocked people for thinking otherwise.

        That changed public opinion, and experts were ignored. These risks were known many years ago, so why has the industry been allowed to keep selling stronger strains, marketing to young people, and making these drugs available everywhere?

        Now that the consequences are being seen, what are we going to do about it? This shit is being sold at every street corner, sometimes multiple cannabis shops at the same intersection. It’s nuts.

        B This user is from outside of this forum
        B This user is from outside of this forum
        brendansimms@lemmy.world
        wrote on last edited by
        #7

        Education! Real, honest education to school age kids. Prohibition just creates a more dangerous black market, and lying (by hyperbole) about drug effects makes kids not believe the warnings which is just as bad (see: US’s failed D.A.R.E. Program in the 90s where they said marijuana is as bad as heroin)

        S 1 Reply Last reply
        7
        • S showroom7561@lemmy.ca

          Before legalization, pretty much every cannabis magazine and website was being cited as saying it was totally safe. Even mocked people for thinking otherwise.

          That changed public opinion, and experts were ignored. These risks were known many years ago, so why has the industry been allowed to keep selling stronger strains, marketing to young people, and making these drugs available everywhere?

          Now that the consequences are being seen, what are we going to do about it? This shit is being sold at every street corner, sometimes multiple cannabis shops at the same intersection. It’s nuts.

          V This user is from outside of this forum
          V This user is from outside of this forum
          Victor Villas
          wrote on last edited by villasv@lemmy.ca
          #8

          Ah ok, “they” meant cannabis magazines.

          experts were ignored

          The experts were on the side of legalization, so they weren’t really ignored. If by experts you mean people who study public health policy and narcotrafficking.

          Now that the consequences are being seen, what are we going to do about it?

          What are these experts saying nowadays? What I see is a consensus that legalization was a pretty good move. There’s probably more we should do, but it’s stuff that builds on top of legalization.

          S 1 Reply Last reply
          12
          • V Victor Villas

            Ah ok, “they” meant cannabis magazines.

            experts were ignored

            The experts were on the side of legalization, so they weren’t really ignored. If by experts you mean people who study public health policy and narcotrafficking.

            Now that the consequences are being seen, what are we going to do about it?

            What are these experts saying nowadays? What I see is a consensus that legalization was a pretty good move. There’s probably more we should do, but it’s stuff that builds on top of legalization.

            S This user is from outside of this forum
            S This user is from outside of this forum
            showroom7561@lemmy.ca
            wrote on last edited by
            #9

            Ah ok, “they” meant cannabis magazines.

            Before legalization, there really weren’t many other places promoting cannabis (maybe there was, but marketing back then was very different from now), so the promotion of their safety came from those sources (unfortunately).

            Worse yet, as the plans to legalize were getting closer, I remember a massive push on social media by people promoting cannabis as a cure-all for just about anything: mental health, cancer, anxiety, bowel problems, etc. They used the Trojan horse of “medicinal use” to bring it into everyone’s life.

            I’m sure there was industry influence, because it was extremely rare to see people pointing out the harms of cannabis back then.

            The experts were on the side of legalization, so they weren’t really ignored. If by experts you mean people who study public health policy and narcotrafficking.

            Decriminalization is one thing, and experts were certainly in support of decriminalization.

            But legalization, as in “allow stores to sell these everywhere and to everyone”, just like alcohol and cigarettes, became a fucking disaster, and now we are seeing the result of what the experts warned us about.

            What are these experts saying nowadays? What I see is a consensus that it has a pretty good move.

            Again, they still agree that decriminalization was the right move. But experts, doctors, law enforcement, educators… all see what a disaster this has become.

            We knew that normalizing cannabis and selling it everywhere would lead to more DUI, more hospitalizations, more poisoning of small children, lower academic performance in teens… just wait until the wave of long-term harm begins to surface. How will our healthcare system even handle that burden? Experts have warned us for decades, and still do.

            V AmnesigenicA 2 Replies Last reply
            1
            • S showroom7561@lemmy.ca

              Ah ok, “they” meant cannabis magazines.

              Before legalization, there really weren’t many other places promoting cannabis (maybe there was, but marketing back then was very different from now), so the promotion of their safety came from those sources (unfortunately).

              Worse yet, as the plans to legalize were getting closer, I remember a massive push on social media by people promoting cannabis as a cure-all for just about anything: mental health, cancer, anxiety, bowel problems, etc. They used the Trojan horse of “medicinal use” to bring it into everyone’s life.

              I’m sure there was industry influence, because it was extremely rare to see people pointing out the harms of cannabis back then.

              The experts were on the side of legalization, so they weren’t really ignored. If by experts you mean people who study public health policy and narcotrafficking.

              Decriminalization is one thing, and experts were certainly in support of decriminalization.

              But legalization, as in “allow stores to sell these everywhere and to everyone”, just like alcohol and cigarettes, became a fucking disaster, and now we are seeing the result of what the experts warned us about.

              What are these experts saying nowadays? What I see is a consensus that it has a pretty good move.

              Again, they still agree that decriminalization was the right move. But experts, doctors, law enforcement, educators… all see what a disaster this has become.

              We knew that normalizing cannabis and selling it everywhere would lead to more DUI, more hospitalizations, more poisoning of small children, lower academic performance in teens… just wait until the wave of long-term harm begins to surface. How will our healthcare system even handle that burden? Experts have warned us for decades, and still do.

              V This user is from outside of this forum
              V This user is from outside of this forum
              Victor Villas
              wrote on last edited by
              #10

              Looks like we have different groups of experts in our respective informational sources

              S 1 Reply Last reply
              6
              • B brendansimms@lemmy.world

                Education! Real, honest education to school age kids. Prohibition just creates a more dangerous black market, and lying (by hyperbole) about drug effects makes kids not believe the warnings which is just as bad (see: US’s failed D.A.R.E. Program in the 90s where they said marijuana is as bad as heroin)

                S This user is from outside of this forum
                S This user is from outside of this forum
                showroom7561@lemmy.ca
                wrote on last edited by
                #11

                Prohibition

                I don’t think prohibition is the way to go. But we (society) should treat these drugs like we treat cigarettes: keep them out of view (i.e. “behind the counter”) and stop allowing them to be marketed at every street corner.

                I view it from the perspective of someone who might never want to get into drugs, or may have recently become sober: they see cannabis shops at every turn, they are being primed to fail, and that’s not right.

                We were able to get sensible people to stop smoking once we stopped allowing cigarettes to be displayed and marketed everywhere. I feel we need to do the same for cannabis (and alcohol) because of the harm we are causing to the most vulnerable in our society (youth and the poor).

                1 Reply Last reply
                2
                • V Victor Villas

                  Looks like we have different groups of experts in our respective informational sources

                  S This user is from outside of this forum
                  S This user is from outside of this forum
                  showroom7561@lemmy.ca
                  wrote on last edited by
                  #12

                  The “experts” looked a lot different on 2016 Social Media… and that’s what drove much of the public support.

                  The real experts would have never wanted cannabis to be sold and promoted the way it has been.

                  I 1 Reply Last reply
                  0
                  • S showroom7561@lemmy.ca

                    The “experts” looked a lot different on 2016 Social Media… and that’s what drove much of the public support.

                    The real experts would have never wanted cannabis to be sold and promoted the way it has been.

                    I This user is from outside of this forum
                    I This user is from outside of this forum
                    ilikeboobies@lemmy.ca
                    wrote on last edited by ilikeboobies@lemmy.ca
                    #13

                    Only marketing I’ve seen is anti-drug ads

                    And per the above article, drinking until you puke seems to be worse

                    S 1 Reply Last reply
                    3
                    • Otter RaftO Otter Raft

                      As cannabis use among youth rises in Canada — and THC potency reaches record highs — emergency departments are seeing a surge in cases of a once-rare condition: cannabis hyperemesis syndrome (CHS).

                      Characterized by relentless vomiting, abdominal pain and temporary relief through compulsive hot showers or baths, CHS is increasingly affecting adolescents and young adults. Yet few people — including many clinicians — know it exists.

                      Canada ranks among the highest globally for youth cannabis use, with 43 per cent of 16-19-year-olds reporting use in the past year. Usage peaks among those 20–24 years, with nearly half (48 per cent) reporting past-year use.

                      This rise in regular, heavy use coincides with a 400 per cent increase in THC potency since the 1980s. Strains with THC levels above 25 per cent are now common. As cannabis becomes more potent and accessible, clinicians are seeing more cases of CHS, a condition virtually unheard of before 2004.

                      CHS unfolds in three phases:

                      1. Prodromal phase: Nausea and early morning discomfort begin. Users increase cannabis consumption, thinking it will relieve symptoms.

                      2. Hyperemetic phase: Intense vomiting, dehydration and abdominal pain follow. Hot showers or baths provide temporary relief — a hallmark of CHS.

                      3. Recovery phase: Symptoms resolve after stopping cannabis entirely.

                      Diagnosis is often delayed. One reason is because CHS mimics conditions like gastroenteritis or eating disorders, leading to costly CT scans, MRIs and gastric emptying tests. One telltale sign — compulsive hot bathing — is frequently overlooked, despite its strong diagnostic value.

                      Youth face unique risks. The brain continues to develop until about age 25, and THC exposure during this critical window can impair cognitive functions like memory, learning and emotional regulation. Heavy cannabis use is associated with heightened risks of anxiety, depression, psychosis and self-harm.

                      Edit, the link in the article goes to this study:

                      Just a moment...

                      favicon

                      (jamanetwork.com)

                      Results There were 12 866 ED visits for CHS from 8140 individuals during the study. Overall, the mean (SD) age was 27.4 (10.5) years, with 2834 individuals (34.8%) aged 19 to 24 years, 4163 (51.5%) females, and 1353 individuals (16.6%) with a mental health ED visit or hospitalization in the 2 years before their first CHS ED visit. Nearly 10% of visits (1135 visits [8.8%]) led to hospital admissions. Monthly rates of CHS ED visits increased 13-fold during the 7.5-year study period, from 0.26 visits per 100 000 population in January 2014 to 3.43 visits per 100 000 population in June 2021. Legalization was not associated with an immediate or gradual change in rates of ED visits for CHS; however, commercialization during the COVID-19 pandemic period was associated with an immediate increase in rates of CHS ED visits (incidence rate ratio [IRR], 1.49; 95% CI, 1.31-1.70). During commercialization, rates of CHS ED visits increased more in women (IRR, 1.49; 95% CI, 1.16-1.92) and individuals older than the legal age of cannabis purchase (eg, age 19-24 years: IRR, 1.60; 95% CI, 1.19-2.16) than men (IRR, 1.08; 95% CI, 0.85-1.37) and individuals younger than the legal age of purchase (IRR, 0.78; 95% CI, 0.42-1.45).

                      Link Preview Image
                      Why more youth are landing in the ER with vomiting from cannabis use

                      Cannabis hyperemesis syndrome — with severe vomiting, abdominal pain and temporary relief through compulsive hot bathing — is increasingly affecting adolescents and young adults.

                      favicon

                      The Conversation (theconversation.com)

                      D This user is from outside of this forum
                      D This user is from outside of this forum
                      DriftingLynx
                      wrote on last edited by
                      #14

                      Any comparison to alcohol?

                      Cause I’m hearing that youth are suffering from nausea, which sounds a lot better than dying of alcohol poisoning.

                      Maybe if the world wasn’t burning these youth’s future in plain sight they’d be less stressed and depressed?

                      Substance abuse is a symptom of, not a cause of, mental health problems.

                      1 Reply Last reply
                      17
                      • Otter RaftO Otter Raft

                        As cannabis use among youth rises in Canada — and THC potency reaches record highs — emergency departments are seeing a surge in cases of a once-rare condition: cannabis hyperemesis syndrome (CHS).

                        Characterized by relentless vomiting, abdominal pain and temporary relief through compulsive hot showers or baths, CHS is increasingly affecting adolescents and young adults. Yet few people — including many clinicians — know it exists.

                        Canada ranks among the highest globally for youth cannabis use, with 43 per cent of 16-19-year-olds reporting use in the past year. Usage peaks among those 20–24 years, with nearly half (48 per cent) reporting past-year use.

                        This rise in regular, heavy use coincides with a 400 per cent increase in THC potency since the 1980s. Strains with THC levels above 25 per cent are now common. As cannabis becomes more potent and accessible, clinicians are seeing more cases of CHS, a condition virtually unheard of before 2004.

                        CHS unfolds in three phases:

                        1. Prodromal phase: Nausea and early morning discomfort begin. Users increase cannabis consumption, thinking it will relieve symptoms.

                        2. Hyperemetic phase: Intense vomiting, dehydration and abdominal pain follow. Hot showers or baths provide temporary relief — a hallmark of CHS.

                        3. Recovery phase: Symptoms resolve after stopping cannabis entirely.

                        Diagnosis is often delayed. One reason is because CHS mimics conditions like gastroenteritis or eating disorders, leading to costly CT scans, MRIs and gastric emptying tests. One telltale sign — compulsive hot bathing — is frequently overlooked, despite its strong diagnostic value.

                        Youth face unique risks. The brain continues to develop until about age 25, and THC exposure during this critical window can impair cognitive functions like memory, learning and emotional regulation. Heavy cannabis use is associated with heightened risks of anxiety, depression, psychosis and self-harm.

                        Edit, the link in the article goes to this study:

                        Just a moment...

                        favicon

                        (jamanetwork.com)

                        Results There were 12 866 ED visits for CHS from 8140 individuals during the study. Overall, the mean (SD) age was 27.4 (10.5) years, with 2834 individuals (34.8%) aged 19 to 24 years, 4163 (51.5%) females, and 1353 individuals (16.6%) with a mental health ED visit or hospitalization in the 2 years before their first CHS ED visit. Nearly 10% of visits (1135 visits [8.8%]) led to hospital admissions. Monthly rates of CHS ED visits increased 13-fold during the 7.5-year study period, from 0.26 visits per 100 000 population in January 2014 to 3.43 visits per 100 000 population in June 2021. Legalization was not associated with an immediate or gradual change in rates of ED visits for CHS; however, commercialization during the COVID-19 pandemic period was associated with an immediate increase in rates of CHS ED visits (incidence rate ratio [IRR], 1.49; 95% CI, 1.31-1.70). During commercialization, rates of CHS ED visits increased more in women (IRR, 1.49; 95% CI, 1.16-1.92) and individuals older than the legal age of cannabis purchase (eg, age 19-24 years: IRR, 1.60; 95% CI, 1.19-2.16) than men (IRR, 1.08; 95% CI, 0.85-1.37) and individuals younger than the legal age of purchase (IRR, 0.78; 95% CI, 0.42-1.45).

                        Link Preview Image
                        Why more youth are landing in the ER with vomiting from cannabis use

                        Cannabis hyperemesis syndrome — with severe vomiting, abdominal pain and temporary relief through compulsive hot bathing — is increasingly affecting adolescents and young adults.

                        favicon

                        The Conversation (theconversation.com)

                        G This user is from outside of this forum
                        G This user is from outside of this forum
                        godoflies@lemmy.ca
                        wrote on last edited by
                        #15

                        This is just the symptom of a much bigger underlying issue. We can talk about regulation all we want or even banning it, but it won’t solve the big problem of what young adults have to face today in society at large. They are ill prepared for the real world, bombarded by social media influences 24/7, this is just another coping mechanism they’ve turned to.

                        Excessive use of alcohol, vapes, sugar etc. are all just as bad. But hey, the stats are saying 16-19 year olds at 43 percent - last I checked the legal age to purchase cannabis was 19 in Canada. So, anything under that would be considered illegal and I’d solely place the blame on the parents - just like any other substance abuse. Alas, that still doesn’t solve the mental pressures that these young adults will need to face (housing, employment opportunities, global factors - climate change etc.). We can educate all that we can, but it won’t change the reality. The reality is that it takes real political will and a strong mandate from voters (we all know our federal government is like a bunch of companies in a trench coat and that needs to change) to actually FIX the money side of problems. I am not surprised that the 20-24 year old’s use cannabis (48% claimed by the article) - record inflation anyone? high groceries? lack of good livable wage employment? housing?

                        Here’s my hot take, cannabis gets more bad rep than alcohol when alcohol, IMO, is worse.

                        1 Reply Last reply
                        10
                        • Otter RaftO Otter Raft

                          As cannabis use among youth rises in Canada — and THC potency reaches record highs — emergency departments are seeing a surge in cases of a once-rare condition: cannabis hyperemesis syndrome (CHS).

                          Characterized by relentless vomiting, abdominal pain and temporary relief through compulsive hot showers or baths, CHS is increasingly affecting adolescents and young adults. Yet few people — including many clinicians — know it exists.

                          Canada ranks among the highest globally for youth cannabis use, with 43 per cent of 16-19-year-olds reporting use in the past year. Usage peaks among those 20–24 years, with nearly half (48 per cent) reporting past-year use.

                          This rise in regular, heavy use coincides with a 400 per cent increase in THC potency since the 1980s. Strains with THC levels above 25 per cent are now common. As cannabis becomes more potent and accessible, clinicians are seeing more cases of CHS, a condition virtually unheard of before 2004.

                          CHS unfolds in three phases:

                          1. Prodromal phase: Nausea and early morning discomfort begin. Users increase cannabis consumption, thinking it will relieve symptoms.

                          2. Hyperemetic phase: Intense vomiting, dehydration and abdominal pain follow. Hot showers or baths provide temporary relief — a hallmark of CHS.

                          3. Recovery phase: Symptoms resolve after stopping cannabis entirely.

                          Diagnosis is often delayed. One reason is because CHS mimics conditions like gastroenteritis or eating disorders, leading to costly CT scans, MRIs and gastric emptying tests. One telltale sign — compulsive hot bathing — is frequently overlooked, despite its strong diagnostic value.

                          Youth face unique risks. The brain continues to develop until about age 25, and THC exposure during this critical window can impair cognitive functions like memory, learning and emotional regulation. Heavy cannabis use is associated with heightened risks of anxiety, depression, psychosis and self-harm.

                          Edit, the link in the article goes to this study:

                          Just a moment...

                          favicon

                          (jamanetwork.com)

                          Results There were 12 866 ED visits for CHS from 8140 individuals during the study. Overall, the mean (SD) age was 27.4 (10.5) years, with 2834 individuals (34.8%) aged 19 to 24 years, 4163 (51.5%) females, and 1353 individuals (16.6%) with a mental health ED visit or hospitalization in the 2 years before their first CHS ED visit. Nearly 10% of visits (1135 visits [8.8%]) led to hospital admissions. Monthly rates of CHS ED visits increased 13-fold during the 7.5-year study period, from 0.26 visits per 100 000 population in January 2014 to 3.43 visits per 100 000 population in June 2021. Legalization was not associated with an immediate or gradual change in rates of ED visits for CHS; however, commercialization during the COVID-19 pandemic period was associated with an immediate increase in rates of CHS ED visits (incidence rate ratio [IRR], 1.49; 95% CI, 1.31-1.70). During commercialization, rates of CHS ED visits increased more in women (IRR, 1.49; 95% CI, 1.16-1.92) and individuals older than the legal age of cannabis purchase (eg, age 19-24 years: IRR, 1.60; 95% CI, 1.19-2.16) than men (IRR, 1.08; 95% CI, 0.85-1.37) and individuals younger than the legal age of purchase (IRR, 0.78; 95% CI, 0.42-1.45).

                          Link Preview Image
                          Why more youth are landing in the ER with vomiting from cannabis use

                          Cannabis hyperemesis syndrome — with severe vomiting, abdominal pain and temporary relief through compulsive hot bathing — is increasingly affecting adolescents and young adults.

                          favicon

                          The Conversation (theconversation.com)

                          kbalK This user is from outside of this forum
                          kbalK This user is from outside of this forum
                          kbal
                          wrote on last edited by
                          #16

                          I like how “used it in the past year” in one paragraph mysteriously becomes “regular, heavy use” in the next.

                          A 1 Reply Last reply
                          14
                          • Otter RaftO Otter Raft

                            As cannabis use among youth rises in Canada — and THC potency reaches record highs — emergency departments are seeing a surge in cases of a once-rare condition: cannabis hyperemesis syndrome (CHS).

                            Characterized by relentless vomiting, abdominal pain and temporary relief through compulsive hot showers or baths, CHS is increasingly affecting adolescents and young adults. Yet few people — including many clinicians — know it exists.

                            Canada ranks among the highest globally for youth cannabis use, with 43 per cent of 16-19-year-olds reporting use in the past year. Usage peaks among those 20–24 years, with nearly half (48 per cent) reporting past-year use.

                            This rise in regular, heavy use coincides with a 400 per cent increase in THC potency since the 1980s. Strains with THC levels above 25 per cent are now common. As cannabis becomes more potent and accessible, clinicians are seeing more cases of CHS, a condition virtually unheard of before 2004.

                            CHS unfolds in three phases:

                            1. Prodromal phase: Nausea and early morning discomfort begin. Users increase cannabis consumption, thinking it will relieve symptoms.

                            2. Hyperemetic phase: Intense vomiting, dehydration and abdominal pain follow. Hot showers or baths provide temporary relief — a hallmark of CHS.

                            3. Recovery phase: Symptoms resolve after stopping cannabis entirely.

                            Diagnosis is often delayed. One reason is because CHS mimics conditions like gastroenteritis or eating disorders, leading to costly CT scans, MRIs and gastric emptying tests. One telltale sign — compulsive hot bathing — is frequently overlooked, despite its strong diagnostic value.

                            Youth face unique risks. The brain continues to develop until about age 25, and THC exposure during this critical window can impair cognitive functions like memory, learning and emotional regulation. Heavy cannabis use is associated with heightened risks of anxiety, depression, psychosis and self-harm.

                            Edit, the link in the article goes to this study:

                            Just a moment...

                            favicon

                            (jamanetwork.com)

                            Results There were 12 866 ED visits for CHS from 8140 individuals during the study. Overall, the mean (SD) age was 27.4 (10.5) years, with 2834 individuals (34.8%) aged 19 to 24 years, 4163 (51.5%) females, and 1353 individuals (16.6%) with a mental health ED visit or hospitalization in the 2 years before their first CHS ED visit. Nearly 10% of visits (1135 visits [8.8%]) led to hospital admissions. Monthly rates of CHS ED visits increased 13-fold during the 7.5-year study period, from 0.26 visits per 100 000 population in January 2014 to 3.43 visits per 100 000 population in June 2021. Legalization was not associated with an immediate or gradual change in rates of ED visits for CHS; however, commercialization during the COVID-19 pandemic period was associated with an immediate increase in rates of CHS ED visits (incidence rate ratio [IRR], 1.49; 95% CI, 1.31-1.70). During commercialization, rates of CHS ED visits increased more in women (IRR, 1.49; 95% CI, 1.16-1.92) and individuals older than the legal age of cannabis purchase (eg, age 19-24 years: IRR, 1.60; 95% CI, 1.19-2.16) than men (IRR, 1.08; 95% CI, 0.85-1.37) and individuals younger than the legal age of purchase (IRR, 0.78; 95% CI, 0.42-1.45).

                            Link Preview Image
                            Why more youth are landing in the ER with vomiting from cannabis use

                            Cannabis hyperemesis syndrome — with severe vomiting, abdominal pain and temporary relief through compulsive hot bathing — is increasingly affecting adolescents and young adults.

                            favicon

                            The Conversation (theconversation.com)

                            rivalarrival@lemmy.todayR This user is from outside of this forum
                            rivalarrival@lemmy.todayR This user is from outside of this forum
                            rivalarrival@lemmy.today
                            wrote on last edited by
                            #17

                            Heavy cannabis use is associated with heightened risks of anxiety, depression, psychosis and self-harm.

                            So is antidepressant use.

                            B 1 Reply Last reply
                            26
                            • Otter RaftO Otter Raft

                              As cannabis use among youth rises in Canada — and THC potency reaches record highs — emergency departments are seeing a surge in cases of a once-rare condition: cannabis hyperemesis syndrome (CHS).

                              Characterized by relentless vomiting, abdominal pain and temporary relief through compulsive hot showers or baths, CHS is increasingly affecting adolescents and young adults. Yet few people — including many clinicians — know it exists.

                              Canada ranks among the highest globally for youth cannabis use, with 43 per cent of 16-19-year-olds reporting use in the past year. Usage peaks among those 20–24 years, with nearly half (48 per cent) reporting past-year use.

                              This rise in regular, heavy use coincides with a 400 per cent increase in THC potency since the 1980s. Strains with THC levels above 25 per cent are now common. As cannabis becomes more potent and accessible, clinicians are seeing more cases of CHS, a condition virtually unheard of before 2004.

                              CHS unfolds in three phases:

                              1. Prodromal phase: Nausea and early morning discomfort begin. Users increase cannabis consumption, thinking it will relieve symptoms.

                              2. Hyperemetic phase: Intense vomiting, dehydration and abdominal pain follow. Hot showers or baths provide temporary relief — a hallmark of CHS.

                              3. Recovery phase: Symptoms resolve after stopping cannabis entirely.

                              Diagnosis is often delayed. One reason is because CHS mimics conditions like gastroenteritis or eating disorders, leading to costly CT scans, MRIs and gastric emptying tests. One telltale sign — compulsive hot bathing — is frequently overlooked, despite its strong diagnostic value.

                              Youth face unique risks. The brain continues to develop until about age 25, and THC exposure during this critical window can impair cognitive functions like memory, learning and emotional regulation. Heavy cannabis use is associated with heightened risks of anxiety, depression, psychosis and self-harm.

                              Edit, the link in the article goes to this study:

                              Just a moment...

                              favicon

                              (jamanetwork.com)

                              Results There were 12 866 ED visits for CHS from 8140 individuals during the study. Overall, the mean (SD) age was 27.4 (10.5) years, with 2834 individuals (34.8%) aged 19 to 24 years, 4163 (51.5%) females, and 1353 individuals (16.6%) with a mental health ED visit or hospitalization in the 2 years before their first CHS ED visit. Nearly 10% of visits (1135 visits [8.8%]) led to hospital admissions. Monthly rates of CHS ED visits increased 13-fold during the 7.5-year study period, from 0.26 visits per 100 000 population in January 2014 to 3.43 visits per 100 000 population in June 2021. Legalization was not associated with an immediate or gradual change in rates of ED visits for CHS; however, commercialization during the COVID-19 pandemic period was associated with an immediate increase in rates of CHS ED visits (incidence rate ratio [IRR], 1.49; 95% CI, 1.31-1.70). During commercialization, rates of CHS ED visits increased more in women (IRR, 1.49; 95% CI, 1.16-1.92) and individuals older than the legal age of cannabis purchase (eg, age 19-24 years: IRR, 1.60; 95% CI, 1.19-2.16) than men (IRR, 1.08; 95% CI, 0.85-1.37) and individuals younger than the legal age of purchase (IRR, 0.78; 95% CI, 0.42-1.45).

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                              Why more youth are landing in the ER with vomiting from cannabis use

                              Cannabis hyperemesis syndrome — with severe vomiting, abdominal pain and temporary relief through compulsive hot bathing — is increasingly affecting adolescents and young adults.

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                              The Conversation (theconversation.com)

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                              socsa
                              wrote on last edited by socsa@piefed.social
                              #18

                              I don’t buy this “increased potency” argument as it sounds like the same anti-weed shit they’ve been saying since the 90s. We had concentrates and hash and vaporizers in the 2000s. Potency of the flower doesn’t matter much when you can rip volcano vapes from dawn till dusk. All these “CHS” stories also always mention the dumb “hurr Cannabis psychosis” shit which is the other Hallmark of old anti weed propaganda that makes me skeptical.

                              Idk, it kind of feels like hysteria or some related comorbidity with munchies. I’ve definitely known people who make themselves sick over and over again from eating too many Doritos

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                              • S showroom7561@lemmy.ca

                                Before legalization, pretty much every cannabis magazine and website was being cited as saying it was totally safe. Even mocked people for thinking otherwise.

                                That changed public opinion, and experts were ignored. These risks were known many years ago, so why has the industry been allowed to keep selling stronger strains, marketing to young people, and making these drugs available everywhere?

                                Now that the consequences are being seen, what are we going to do about it? This shit is being sold at every street corner, sometimes multiple cannabis shops at the same intersection. It’s nuts.

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                                fireretardant@lemmy.world
                                wrote on last edited by
                                #19

                                One could argue it is safe in reasonable moderation. CHS devlops due to extreme and excessive daily use of cannabis. Enjoying a joint every now and then is far safer than toking every 30 minutes.

                                If i ate 30 chocolate bars everyday for weeks on end, I’d have some serious health issues, but one every weekend would be nearly unnoticeable from a health perspective.

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                                • I ilikeboobies@lemmy.ca

                                  Only marketing I’ve seen is anti-drug ads

                                  And per the above article, drinking until you puke seems to be worse

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                                  showroom7561@lemmy.ca
                                  wrote on last edited by
                                  #20

                                  Only marketing I’ve seen is anti-drug ads

                                  Recently, or around the time of legalization? Even pulling up Google Maps will highlight the cannabis shops, which is an insidious way to promote them.

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                                  • F fireretardant@lemmy.world

                                    One could argue it is safe in reasonable moderation. CHS devlops due to extreme and excessive daily use of cannabis. Enjoying a joint every now and then is far safer than toking every 30 minutes.

                                    If i ate 30 chocolate bars everyday for weeks on end, I’d have some serious health issues, but one every weekend would be nearly unnoticeable from a health perspective.

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                                    showroom7561@lemmy.ca
                                    wrote on last edited by
                                    #21

                                    Enjoying a joint every now and then is far safer than toking every 30 minutes.

                                    The problem is, what Health Canada once labelled as “heavy use” is pretty much normal use these days. Daily use, or using multiple times a day, is very common.

                                    If people (and teens) were only consuming once in a while, I doubt we’d be in this mess.

                                    They consume often, partly because they’ve been told “it helps with XYZ”, so they self-medicate, which leads to greater problems. But also because they believe it’s “safe”.

                                    Single cannabis use can also lead to acute impairment and puts stresses on the body. I’ve never heard of someone getting in a car and killing someone because they were impaired on having chocolate that afternoon. 😆

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                                    • S showroom7561@lemmy.ca

                                      Only marketing I’ve seen is anti-drug ads

                                      Recently, or around the time of legalization? Even pulling up Google Maps will highlight the cannabis shops, which is an insidious way to promote them.

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                                      ilikeboobies@lemmy.ca
                                      wrote on last edited by
                                      #22

                                      Both? But I only use maps to find addresses I know

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                                      • I ilikeboobies@lemmy.ca

                                        Both? But I only use maps to find addresses I know

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                                        showroom7561@lemmy.ca
                                        wrote on last edited by
                                        #23

                                        You’re lucky, I guess. Even just driving/riding around, I see cannabis shop signs everywhere. And I don’t want to see them, so I can only imagine how they stick out to an addict or vulnerable person.

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                                        • S showroom7561@lemmy.ca

                                          You’re lucky, I guess. Even just driving/riding around, I see cannabis shop signs everywhere. And I don’t want to see them, so I can only imagine how they stick out to an addict or vulnerable person.

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                                          walktheplank@lemmy.world
                                          wrote on last edited by walktheplank@lemmy.world
                                          #24

                                          Alcoholic here. Booze at every restaurant, at every corner store, empty cans in the ditch, at every sporting event, liquor stores everywhere, every adult gathering I go to and most family ones too has booze, concerts, music venues even the movies have booze now. It need to all go. I don’t want to see it. I also don’t want to see maple magats, huge diesel trucks idling with no one in them, indigenous people being arrested,killed and harassed for existing, churches…I hate fucking churches…every single one needs to go. Google maps also has all those places. They’re promoting hatred and alcoholism.

                                          You sound like a child.

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