They found that indeed, cannabinoid hyperemesis syndrome (CHS)—which can include a symptom colloquially called “scromiting,” a portmanteau of “screaming” and “vomiting”—seemed to be on the rise in emergency departments nationwide. In 2025, the condition even got its own ICD 10 code, allowing doctors to enter it more specifically into medical records. The condition is still poorly understood, and recently, physicians publishing in JAMA wrote a primer on the disorder.
CHS was first described in 2004 in Australia, when doctors carefully followed patients with cyclical vomiting who were habitual cannabis users. It presents similarly to CVS and usually occurs after people have been using marijuana for some time, sometimes as a treatment for other disorders, and involves abdominal pain and vomiting that recedes after people stop cannabis use. The pain can be so intense for some people that they may scream while they vomit. (About the “scromiting” label: Venkatesan doesn’t use it and calls it “a fairly derogatory term.”)
Why is cannabinoid hyperemesis syndrome on the rise?
It’s possible that some of the increase in documented cases comes from more ER doctors recognizing what they’re seeing as a cohesive syndrome, says Venkatesan. But the rise seems to coincide with a sharp increase in the potency of the forms of cannabis now available and an increase in cannabis use generally. Concentrations of THC, the primary psychoactive compound in marijauna, used to be around 1-3% in dried plants, and now they may be higher than 15%—and as high as 95%.
What should people know about cannabinoid hyperemesis syndrome?
Although most people with CHS tend to be young adults, there are patients of all ages. The main risk factors are prolonged use of cannabis with high concentrations of THC.
The rise of legalized cannabis has also been accompanied by an increase in schizophrenia cases, research has found; one study in Ontario found that cases associated with cannabis-use disorder nearly tripled in recent years. Even before legalization, there was a known link between psychosis and prior cannabis use in young people, suggesting that in some, there may be a genetic predisposition to schizophrenia that is exacerbated by cannabis. Daily use of high-potency cannabis is associated with a nearly five-fold increase in schizophrenia risk, another study found.
Quitting cannabis isn’t always an easy process, Swartz says, even with a motivation as strong as resolving CHS. “It's more complicated than, ‘Hey, just stop,’” he says. “The question is: ‘Why are you using?’ And let's think of some other way you can address that, other than cannabis.”
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