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Gastroenterology

Rome IV Cannabinoid Hyperemesis Syndrome calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

months

Allowed range: 0–240 months

Quick picks

The source requires symptoms over the last 3 months and onset at least 6 months earlier.

months

Allowed range: 0–24 months

Quick picks

The source requires symptoms over the last 3 months and onset at least 6 months earlier.

Result

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Clinical inputs

  • Stereotypical episodic vomiting resembling cyclic vomiting syndrome
  • Symptoms began after prolonged excessive cannabis use
  • Vomiting episodes eased after sustained cannabis cessation
  • Months since symptom onsetAccepted range: 0 to 240
  • Months the criteria have been fulfilledAccepted range: 0 to 24

Primary source

Stanghellini V, Chan FKL, Hasler WL, et al. Gastroduodenal disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.011. PMID: 27147122. Cannabinoid hyperemesis syndrome requires stereotypical episodic vomiting resembling cyclic vomiting syndrome in onset, duration, and frequency; presentation after prolonged excessive cannabis use; and relief of vomiting episodes by sustained cessation of cannabis. Criteria are fulfilled for the last 3 months with onset at least 6 months earlier. Prolonged hot baths are supportive only. (2016)

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