DIFFERENTIAL DIAGNOSIS | ASSOCIATED CHARACTERISTICS |
---|---|
CHS | Chronic cannabis use |
Learned behaviour of hot bathing | |
Cyclic vomiting syndrome | Family history of migraines |
Psychiatric comorbidities | |
Psychosocial stressors | |
Hyperemesis gravidarum | Pregnancy |
Migraines | Unilateral headache |
Photophobia or phonophobia with or without aura | |
Metabolic disorders | Addison disease (symptoms include fatigue, hypotension, hyperkalemia, hyponatremia) |
Porphyria (symptoms include neurovisceral symptoms, red or brown urine, elevated urinary porphobilinogen) | |
Motility disorders | Gastroparesis (symptoms include early satiety, postprandial fullness, bloating, decreased gastric motility; it can be an idiopathic or postsurgical condition or associated with diabetes) |
Ogilvie syndrome (symptoms include constipation, abdominal distention; plain film results reveal dilated colon) | |
Intestinal obstruction (symptoms include constipation, obstipation, abdominal distention; plain film results reveal dilated loops of bowel) | |
Psychogenic vomiting | Associated with conversion disorders, depression |
Bulimia | Binging or purging behaviour |
CHS—cannabinoid hyperemesis syndrome.