‘Scromiting’: Marijuana study warns users of ‘scream-vomiting’

Key Points:

• A new study published in JAMA Insights identifies cannabinoid hyperemesis syndrome (CHS), characterized by uncontrollable scream-vomiting or "scromiting," as a severe gastrointestinal condition caused by chronic marijuana use, with sustained abstinence as the only definitive cure.
• The study highlights the rise in CHS cases linked to increased THC potency in cannabis products and notes that standard anti-nausea treatments provide only temporary relief, recommending addiction counseling and gradual reduction in use to aid quitting.
• Emergency department visits related to CHS have surged significantly, especially among young adults aged 18-35, with some experts estimating that about 6% of marijuana users experience scromiting annually, ranging from mild symptoms to life-threatening complications.
• Some marijuana advocates dispute the findings, arguing that alcohol poses greater harm and that CHS symptoms may be confused with cyclical vomiting syndrome, calling for further research into the condition and its triggers.
• Experts emphasize the need for better public education on cannabis risks, improved product labeling, and balanced information to help users understand potential harms, as rising marijuana use and potency contribute to increasing CHS cases.