Pathophysiology
1. Associated with chronic Marijuana use
2. Related to cerebral fat deposition of lipophilic Marijuana metabolites
Diagnosis
1. Essential criteria
  1. Chronic Marijuana use
2. Major criteria
  1. Severe cyclical Nausea or Vomiting
  2. Abdominal Pain
  3. Weekly Marijuana use
  4. Resolves with Marijuana cessation
  5. Hot showers or baths help to relieve Nausea
3. Supportive criteria
  1. Age under 50 years
  2. Weight loss over 5 kg
  3. Symptoms predominant in morning
  4. Normal bowel habits
  5. Negative diagnostic evaluation
Management
1. Marijuana cessation
2. Symptomatic relief with hot showers or bath
References
1. Oxentenko (2011) Mayo Internal Medicine Review

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 1/28/2011 and last published on 5/17/2012.

This is one of 5740 pages in the Family Practice Notebook