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Scromiting (Cannabinoid Hyperemesis Syndrome – CHS): What It Is, Why It’s Rising in the USA, and How to Spot the Warning Signs

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Scromiting (Cannabinoid Hyperemesis Syndrome – CHS): What It Is, Why It’s Rising in the USA, and How to Spot the Warning Signs





Scromiting is a slang term that combines “screaming” and “vomiting”. It describes extreme bouts of nausea, vomiting and abdominal pain linked to heavy, long-term cannabis use. In medical terms, scromiting is known as Cannabinoid Hyperemesis Syndrome (CHS).

In the United States, emergency departments are seeing more cases of CHS as cannabis becomes easier to access and THC levels in products increase. Understanding what scromiting looks like – and how to address it – is essential for anyone who uses marijuana regularly.

For general health and recovery support, you can also explore nutrition guides such as top anti-aging foods for youthful health and our in-depth review of magnesium tablets and joint recovery on TulipRecipes.com.

What Is Scromiting / Cannabinoid Hyperemesis Syndrome?

According to clinical sources such as Cleveland Clinic and WebMD, Cannabinoid Hyperemesis Syndrome (CHS) is a condition seen in people who have used cannabis heavily and frequently for a long time (often weekly or daily for months or years).

Typical features of CHS / scromiting include:

  • Severe, recurrent bouts of nausea
  • Frequent, sometimes uncontrollable vomiting
  • Cramping or burning abdominal pain
  • Temporary relief with very hot showers or baths

The paradox is that cannabis is commonly used to relieve nausea, yet in CHS it appears to trigger extreme nausea and vomiting instead. Reviews on NCBI/NIH highlight that CHS is an increasingly recognised side effect of chronic cannabis exposure.

Why Is Scromiting Becoming More Common in the USA?

Doctors in the United States report a steady rise in CHS cases over the last decade. Several factors likely contribute:

  • Increased availability of cannabis as more states legalize recreational and medical marijuana.
  • Higher THC concentrations in modern products compared with earlier decades.
  • Daily or near-daily use, including vaping and high-potency edibles and concentrates.
  • Low awareness among users and healthcare providers, leading to misdiagnosis as food poisoning, stomach flu or other digestive issues.

Because CHS is a relatively new and evolving diagnosis, many people suffering from scromiting go through multiple hospital visits and tests before anyone connects their symptoms to chronic cannabis use.

Scromiting Symptoms: How to Recognize CHS

The symptoms of scromiting often appear in phases and can become more severe over time. You can read more about typical patterns in summaries from Mayo Clinic and other academic reviews.

Early (Prodromal) Phase

  • Morning nausea and queasiness
  • Abdominal discomfort or cramping
  • Fear of vomiting but often no actual vomiting yet
  • Continued cannabis use because it seems to “help” nausea at first

Hyperemetic (Crisis) Phase

  • Intense, persistent nausea
  • Repeated vomiting – sometimes multiple times per hour
  • Severe abdominal pain and cramping
  • Inability to keep food or fluids down
  • Complications such as dehydration, electrolyte imbalance, weight loss and extreme fatigue
  • Compulsive hot showers or baths that temporarily relieve the discomfort

Recovery Phase

  • Symptoms gradually improve once cannabis use stops
  • Appetite and weight slowly return to normal
  • Relapse often occurs if the person resumes heavy cannabis use

If you or someone you know has these symptoms and uses marijuana regularly, scromiting / CHS should be considered and discussed with a medical professional or an addiction specialist. The WebMD CHS overview provides further clinical details.

What Causes Scromiting?

Researchers are still learning exactly why some heavy cannabis users develop CHS while others do not, but current theories focus on:

  • Overstimulation of cannabinoid receptors in the gut and brain by long-term, high-dose THC exposure.
  • Changes in how the nervous system regulates nausea, vomiting and abdominal pain.
  • Potential genetic or individual susceptibility that makes some people more vulnerable.

According to expert summaries on NIH/NCBI, CHS is strongly associated with long-term, frequent cannabis use and usually improves only when cannabis is completely discontinued.

How Is CHS / Scromiting Diagnosed?

There is no single blood test or scan that proves someone has CHS. Instead, clinicians use a combination of history, symptoms and exclusion of other diseases, as outlined by Cleveland Clinic:

  • History of chronic cannabis use (often weekly or daily for years)
  • Repeated episodes of severe nausea and vomiting
  • Typical behavior of taking very hot showers or baths for temporary relief
  • Normal or nonspecific findings on blood tests, scans and endoscopy
  • Clear improvement of symptoms after stopping cannabis

Doctors must also rule out other causes of vomiting, such as infections, gallbladder disease, pancreatitis, pregnancy, ulcers, bowel obstruction and more. A multidisciplinary approach – including emergency physicians, gastroenterologists and mental health or addiction specialists – is often helpful.

Treatment: How Do You Stop Scromiting?

1. Immediate Care During an Episode

  • Rehydration with oral fluids or intravenous (IV) fluids
  • Correction of electrolyte imbalances (for example, low potassium)
  • Medications to reduce nausea, vomiting and stomach pain as prescribed
  • Monitoring for complications such as kidney injury or damage to the esophagus

2. Long-Term Solution

The only proven long-term treatment for CHS is to stop using cannabis completely. Once cannabis is discontinued, most people gradually recover over days to weeks. However, if they resume heavy use, scromiting episodes frequently return.

3. Support for Quitting Cannabis

  • Consultation with a healthcare provider or addiction specialist
  • Counseling, behavioural therapy or outpatient rehab programs
  • Support groups or helplines focusing on cannabis use disorder

For overall recovery and to rebuild strength, some people pay attention to diet, sleep and gentle exercise. Guides like anti-aging foods that support cellular repair can be useful when planning a healthy routine post-CHS.

Important: This article is for information only and does not replace professional medical advice. Anyone with severe nausea, vomiting or abdominal pain should seek urgent medical care.

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Frequently Asked Questions About Scromiting (CHS)

1. What exactly is scromiting?

Scromiting is a slang term for Cannabinoid Hyperemesis Syndrome (CHS), a condition of severe nausea, abdominal pain and repeated vomiting in people who use cannabis heavily over a long period. The word combines “screaming” and “vomiting” to show how intense the episodes can feel.

2. What are the first warning signs of CHS?

Early warning signs include morning nausea, stomach discomfort and a pattern of feeling sick after cannabis use. Many people ignore this phase because they believe marijuana is helping their nausea, even though it may be setting up the cycle of scromiting.

3. Does every cannabis user get scromiting?

No. Only a minority of long-term, heavy cannabis users appear to develop CHS. However, because we cannot predict exactly who is at risk, anyone who uses cannabis regularly should be aware of the symptoms and seek medical help if they develop persistent nausea or vomiting.

4. Why do hot showers help with scromiting?

People with CHS often find that very hot showers or baths temporarily relieve their nausea and pain. Heat likely stimulates temperature-sensitive nerves in the skin, briefly distracting the brain from signals coming from the gut. This does not cure CHS; it only masks symptoms for a short period.

5. How is scromiting treated?

Acute episodes of scromiting are treated with rehydration, electrolyte replacement and medications to ease nausea and pain, usually in an emergency department. The only proven long-term treatment is to stop using cannabis completely. Once cannabis use is discontinued, symptoms usually resolve.

6. Can scromiting cause permanent damage?

If left untreated, repeated vomiting can lead to dehydration, kidney problems, electrolyte imbalances, esophageal damage and significant weight loss. These complications may be serious and even life-threatening, which is why prompt medical care and addressing cannabis use are essential.

7. How long does it take to recover from CHS?

Many people begin to feel better within days to a couple of weeks after quitting cannabis, although full recovery can take longer if there has been severe weight loss or complications. Returning to heavy cannabis use often triggers another CHS episode.

8. Is scromiting the same as cyclic vomiting syndrome?

Scromiting and cyclic vomiting syndrome (CVS) both involve repeated vomiting, but CVS is not necessarily related to cannabis use and may be triggered by migraines, infections or other factors. CHS is specifically associated with chronic cannabis consumption and improves only when cannabis is stopped.



For additional evidence-based information on nausea, vomiting and cannabis-related conditions, you can consult:

You can also explore more health and nutrition content on TulipRecipes.com, including foods that support long-term wellness and recovery.

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