ER visits for 'scromiting' disorder up nearly 400% since October
Key Points:
- Cannabis hyperemesis syndrome (CHS), characterized by severe nausea, abdominal pain, and frequent vomiting known as "scromiting," is increasingly being identified in emergency rooms, with cases rising sharply since October 2025.
- The introduction of a specific ICD-10-CM diagnosis code for CHS in October 2025 has led to a 370% increase in reported ER visits related to the condition, improving awareness and diagnosis.
- CHS can develop more quickly than previously thought, potentially within the first year of cannabis use, and affects younger people, particularly females aged 15 to 24, disproportionately.
- Vaping cannabis, especially through electronic cartridges, is linked to a faster onset of CHS symptoms compared to smoking or edibles, coinciding with rising vape use among teens.
- Complications from CHS can be severe, including tooth enamel erosion, kidney injury, dehydration, and in extreme cases, seizures or death, highlighting the need for greater medical recognition and patient education.