Science What Is Scromiting and Why Are More Teens Developing It?

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Scromiting is a new term for a disturbing health trend related to teen marijuana use. It combines two words: screaming and vomiting. Teens suffering from this marijuana-induced condition experience episodes of violent vomiting, which are often so severe and painful that they cause the person to scream.

When teens use marijuana daily or regularly over a long period of time, the risk of scromiting increases. With daily marijuana use among teens now at the highest level recorded since 1991, a growing number of teens are visiting emergency rooms with these bizarre symptoms.

What Is Scromiting?

The official name for scromiting is cannabinoid hyperemesis syndrome, or CHS. It was first included in scientific reports in 2004. Since then, researchers have determined that scromiting is the result of ongoing, long-term use of marijuana—particularly when the drug contains high levels of THC, marijuana’s main psychoactive ingredient. Some experts believe that the receptors in the gut become overstimulated by THC, thus causing the repeated cycles of vomiting.

A 2018 national research review on CHS called the syndrome “an increasingly prevalent and complicated problem for health care providers and patients.” The review also noted that scromiting is “becoming a commonplace and costly occurrence in hospitals nationwide.” Research also shows that people who begin using marijuana as teenagers are most likely to experience scromiting.

Symptoms of Scromiting

The primary cannabinoid hyperemesis syndrome symptoms include:
  • Recurrent nausea, which progresses to severe nausea
  • Excessive vomiting, as often as five times an hour
  • Abdominal pain
  • Sweating
  • Dehydration
  • Fluctuations in body temperature
  • Weight loss over time, as symptoms repeat.
CHS is sometimes described as cyclical vomiting because the severe cannabinoid hyperemesis syndrome symptoms usually go away and then return after a period of days, weeks, or months. While a hot bath or shower can provide temporary relief for symptoms, only stopping cannabis use entirely will prevent recurrence of scromiting.

The Link Between THC Levels and Scromiting

The high levels of THC in marijuana contribute to the increasing number of teens suffering from scromiting. Whereas the THC levels in cannabis products 20 years ago were around 2 or 3 percent, levels today can be as high as 90 percent.

Moreover, the availability of cannabis gummy edibles makes it easy for teens to ingest extreme amounts of THC. Cannabis gummy edibles take longer to act, which means teens may consume more of them, and the THC also stays in the system longer. Weekly or more frequent vaping and smoking can also cause scromiting episodes.

Consequently, marijuana legalization may be a factor in the increase in scromiting. One study found that reports of CHS doubled in two different emergency rooms in Colorado shortly after legalization in the state.

How Common Is Scromiting?

Statistics on the frequency of CHS are not easily available. In one survey of ER patients, about a third of those who smoked marijuana at least 20 days a month had experienced cannabinoid hyperemesis syndrome symptoms.

Almost all teens who develop the condition use marijuana at least once a week. A 2017 review of studies found that 97 percent of those who experienced scromiting reported using marijuana weekly, and three-quarters had consumed cannabis regularly for more than one year.

It’s not yet known why some frequent marijuana users develop CHS while others do not. Another strange aspect of the condition is the fact that marijuana is often used to alleviate the symptoms of nausea.

The Long-Term Effects of Chronic Teen Marijuana Use

Teens who abuse marijuana regularly, particularly marijuana with high THC levels, have a more significant risk for a number of physical and mental health conditions in addition to scromiting. Below is some of the research on the long-term impact of teen marijuana use.

Consuming cannabis with THC levels over 10 percent increases the likelihood of a marijuana-related psychotic episode, according to a 2019 study.
Teen marijuana use can have damaging effects on adolescent brain development.

A review study published in September 2020 found that cannabis use in adolescents is associated with an increased likelihood of suicidal thoughts and attempts.

People who use marijuana prior to the age of 12 are more likely to experience a serious mental illness, including anxiety, depression, and schizophrenia, compared to those who first use marijuana at age 18 or older, according to SAMHSA.

An American Academy of Pediatrics report noted that heavy teenage marijuana use is associated with a higher risk of psychotic, mood, anxiety, and substance use disorders.
Participants in a study that followed 1,000 people from birth to age 38 found that those who began smoking marijuana as teenagers lost an average of eight IQ points.

The CDC reports that students who use marijuana are more likely to do poorly in school and to drop out of high school.

Treatment for Teen Scromiting

The only way for teens to avoid or recover from scromiting is to stop smoking marijuana or consuming cannabis gummy edibles. Because CHS typically occurs after regular use over several years, teens who develop the syndrome most likely have become addicted to marijuana. Therefore, they will need treatment not only to stop using the drug, but also to address the root causes of their marijuana abuse.

At Newport Academy, we guide teens to uncover the trauma, anxiety, depression, and lack of self-worth that catalyze marijuana abuse. Teens in our outpatient and residential programs also learn healthy coping mechanisms for dealing with the inevitable stressors of life. In addition, our clinical model focuses on healing the family system, so that teens feel safe turning to their parents for support when they are struggling.
 
cannabinoid hyperemesis syndrome

Ignored the rest of the article, this has been known about for ages. It and other pot related problems are a somewhat regular occurrence in the local ER department and it's always the same people, because they refuse to stop using pot when you tell them it's the problem.

The people who need to see this and know it exists are the very people who will go out of their way to pretend it's not a real thing, even denying it when they end up on a bed in the ER.
 
Sounds like someone couldn't handle their weed. :smug:

But seriously though how in the fuck does this stuff happen to people? I personally have not witnessed people freak out over being high on weed, and if they do have some fucked up thing happen to them I just assume they're already a schizophrenic or something else, considering weed can complicate some mental illnesses.
I knew one person who had the issue of marijuana on its own making them severely sick, to the point that hospitalization was needed to keep her fluids up. She was fucking retarded though because she'd get out of the hospital and immediately smoke more. It's like someone with a peanut allergy just eating peanut butter with their hands.
 
Scromiting? Is this like those crazy made up teen crazes you'd see on Oprah? I think the only real one was chubby bunny because a kid did actually die doing it. But for all we know she got the idea from Oprah.

Stop doing drugs kids. You aren't opening the doors of perception. You are making your brain malfunction.

No way there's consequences for smoking weed. It comes from the Earth, and that make it good for us. Dude, weed

I can't wait for the inevitable lawsuits against Big Weed in the coming decades. Oh well. Be careful what you wish for. :roll:
 
At one point I was throwing up 4 or 5 times a day and the doctor told me "are you sure you're not just smoking weed?" because I was about 18 at the time and apparently looked like the type. Turns out the real problem is that my gallbladder wasn't working right (as a result of being infected with cystoisospora belli parasites that nobody could determine the origin of) and had to be removed. Whoops!

Ironically I actually ended up getting a medical marijuana card after that and it pretty much took care of any lingering stomach problems. Don't get me wrong, the stuff's not for everyone and I'm not gonna do the whole "from the earth" spiel but I don't think it should be restricted from the people who can handle it just because some can't lmao
 
From the article (which may be full of shit), it sounds like the problem is new-fangled, high-THC, industrial revolution weed.
My father in law packed up and went to Colorado a few years ago and he's gone full on weed farmer. Came into town yesterday and gave me an edible. I've never been a hardcore pot smoker and my heaviest usage was during the early to mid 00's and even then I'd only smoke once or twice every 2-3 days. I was not prepared for this and the high kept alternating between super relaxtion and high level agitation with a mild stomach ache. This is some MKUltra shit they're growing now, I'll stick with the occasional low to mid-grade joint, thanks.
 
Not to brag, but I’ve gotten pretty toked up before and I’ve never scromited.
Though I don’t know what kind of weapons-grade chronic these kids are smoking these days.
 
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Here's a wacky idea. Don't do recreational drugs as a teenager. Wait until you're 18.
I got reported to HR for "scaring people" because some stoners were trying to get me to smoke and I told them no. They tried to go the "it's all natural, it won't hurt you" route to which I had to sperg about how hard nature will fucking kill you and use your remains as fertilizer to grow more dangerous plants (added in Nightshade, Oleander, and more). Nevermind I work on a base, where marijuana isn't allowed, they didn't even do a test for the stoners, and just told me to behave.

I really fucking hate stoners.
Shouldn't the stoners be the ones going to HR in this situation? Those guys were trying to pressure you into doing a drug.
 
2014 anonymous internet survey sought to obtain information regarding hot shower usage amongst nearly five hundred marijuana users, who were predominantly Caucasian women from the United States of America with a mean age of 34 years and all recruited from a cyclical vomiting referral center in the United States at the Medical College of Wisconsin. This population had a high proportion of comorbid conditions, including anxiety, depression, migraine, and bipolar disorder.
In other words, progressive leftist troons, simps, cucks, and troon sympathizers?
 
Here's a wacky idea. Don't do recreational drugs as a teenager. Wait until you're 18.

Shouldn't the stoners be the ones going to HR in this situation? Those guys were trying to pressure you into doing a drug.
They were the ones who went to HR, they got worried when I wouldn't back down about how stupid they are about being natural/from the Earth means it's good. So HR wanted to talk because retards will always tell you the what but never the why. So when I tell HR they're pressing me to get high, and how this is a military base, and I hold a clearance, and I'm not gonna sacrifice myself for a dumb fucking plant, and they're only employed because they're friends with people... HR told me to tone it down and behave.

Civilians on military bases are all forms of fucked up nepotism and other problems. Even when everyone knows the rules, they'd rather hammer one who sticks out and upsets the harmony instead of doing thr right thing.
 
Sounds like someone couldn't handle their weed. :smug:

But seriously though how in the fuck does this stuff happen to people? I personally have not witnessed people freak out over being high on weed, and if they do have some fucked up thing happen to them I just assume they're already a schizophrenic or something else, considering weed can complicate some mental illnesses.
Toking 24-7 or in large amounts, or both, can lead to it.

Oh, and young. Had a nephew that got high constantly and would vomit his guts out during and after getting high. Stupid kid and his stupider mom couldn't figure out that constantly getting stoned out of your gourd wasn't a good thing at his young age.
 
I've never heard of this symptom before, that sounds hilarious. Kinda. I genuinely thought before I opened up this thread that some stupid teens on tiktok were making videos of themselves screaming until they puked.
 
This is what you get when you buy GMO weed sprayed with who the fuck knows what.
The shit available today is sometimes 20 times stronger than the weed Gen X had.
It's literally the difference between Smirnoff Ice and Smirnoff vodka.
Kids need to be careful.
Eh this is right and wrong, and it makes discussing things like this difficult. First as far as GMO goes, there is not much "Monsanto level" work really going on quite yet. Too much of a paper trail and too involved while still federally illegal. There is tons of selective breeding and that is where you get all the "strains" out there. As far as sprays, pesticides, or really any adulteration I strongly agree. It is worth it to purchase from dispensaries that insure inputs and processes are both unadulterated.

Thinking of weed's strength in terms of alcohol is somewhat problematic and thinking of it as simply "X times stronger than Y years ago" doesn't tell the full story. You get much wider plateaus with weed and even when you do overuse it, articles like this are the most severe physical manifestations in an acute setting. Regardless of potency of the plant matter, all of it is going to become as highly concentrated as possible >70% when it is rendered in oil, dissolved in solvent, or otherwise made into hash or other concentrates. It's isolating the turpines includining THC and you cannot get further with organic inputs.

So I think this is less one specific factor causing issues and more that you get multiple factors aligning to create a self-reinforcing feedback loop. I've been fairly perpetually using weed as pain management in lieu of opioids for more than a decade now. If there is a method to consume it, I've likely done it. I've had cases where I ended up nauseous and in every case I can point to several consistent factors and it wasn't the kind of weed or the source. Also considering I've just held it down in many of those cases without additional adverse effects, I'm not particularly concerned. So what are these factors?
  • Throat/lung irritation- your body is reflexively trying to expel something through the same pathway. Your abdominal muscles are contracting. It is very easy to see where triggering this can stimulate vomiting. Using something like a plastic bong to torch resin salvaged from tin-can pipes is easily going to make most cough enough it could happen. Something like edibles integrating a non-chemically extracted concentrate is obviously not going to cause this kind of aggravation.
  • Adulteration- beyond just sprays there are also things like mold that are not going to be pleasant when burned.
  • Not taking breaks when obviously sick. If I wind up with a sinus/chest infection I'm on edible-only for that duration. Choosing to smoke/vape anyway is asking to exacerbate the issue. As an employed adult I can just do this as needed. Idiot stoner kids can likely only get bootleg carts.
  • High concentration hitting mucus membranes. This is most likely if you do something like try and belt a whole gram of RSO at once on an empty stomach. Maybe if you're overdoing dabs. Like a lot of pharmaceuticals, you're throwing some potent shit in an empty stomach. You're inviting problems. Don't overeat but have something in there and make sure you're hydrated.
I'm not going to pretend cannabis is magic or even particularly healthy. That said I know several people dead now from opioids. Curiously I've never even found overdoses from marijuana, if you exclude things like lack of O2 because they passed out in a room with a fireplace burning a pound or something. Edit:
Can't you just take Dramamine for the nausea? Asking for a friend.
As someone who cannot take Scopolamine or Dramamine at all where Dramamine is actually the worst of the two: I strongly advise you look up side effects and abuse regarding scopolamine and proceed with caution. If you decide to try it anyways, please wear a Go-Pro, for science.
 
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Ignored the rest of the article, this has been known about for ages. It and other pot related problems are a somewhat regular occurrence in the local ER department and it's always the same people, because they refuse to stop using pot when you tell them it's the problem.

The people who need to see this and know it exists are the very people who will go out of their way to pretend it's not a real thing, even denying it when they end up on a bed in the ER.
There's no fucking way that this is a real thing. People have been using cannabis products for thousands of years, including high-potency concentrates, and this so-called "disorder" was apparently only recognized in 2004? Get the fuck out of here with that bullshit.

If this does exist, which I sincerely doubt, it's a psychosomatic thing and not any sort of verifiable physical reaction to THC or other cannabinoids.
 
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