TABLE 1

MR.Y

MRS.X

MRS.O

GdeM.P*

SEX

MALE

FEMALE

FEMALE

MALE

CANNABIS USE

ONGOING FROM 19 YRS

ONGOING FROM 17 YRS

ONGOING FROM 18 YRS

ONGOING FROM 14 YRS

ONSET OF CYCLICAL VOMITING

22 YRS OLD -FOR 14 MONTHS              

20 YRS OLD-FOR 9YRS

19 YRS OLD-FOR 4 YRS

20 YRS OLD-FOR 3 YRS

IVI FLUIDS

REQUIRED

REQUIRED

REQUIRED

REQUIRED

COMPULSIVE BATHING

MULTIPLE HOT SHOWERS

MULTIPLE HOT SPA  BATHS

MULTIPLE HOT BATHS

MULTIPLE SHOWERS

CESSATION OF CANNABIS

WELL FOR 1 YEAR

WELL FOR 4 YEARS

REDUCED BUT NOT STOPPED  OCC. VOMITING

REDUCED BUT NOT STOPPED OCC. VOMITING

CANNABIS RESUMPTION

VOMITING AT 8 WEEKS

VOMITING AT 4 MONTHS

DID NOT CEASE

HEAVY CANNABIS USE=INCREASE IN VOMITING.

ROUTINE BLOODS

OCC. NEUTROPHILIA

OCC. NEUTROPHILIA

OCC. NEUTROPHILIA

OCC. NEUTROPHILIA

ENDOSCOPY

OESOPHAGITIS

OESOPHAGITIS

OESOPHAGITIS

OESOPHAGITIS

ABDO U\S

NAD

NAD

NAD

NAD

BARIUM STUDIES

NAD

NAD

NAD

NAD

BHCG

NEG

NEG

PORPHYRIA SCREENS

NEG

NEG

DRUG SCREENS

CANNABINOIDS

CANNABINOIDS

CANNABINOIDS METHADONE

?CANNABINOID

DIAGNOSIS #

UNKNOWN

UNKNOWN

UNKNOWN

PSYCHOGENIC ?SEPERATION ANXIETY DISORDER