People with gut issues smoke weed for a lot of reasons, like quelling nausea. In other cases, overconsumption may create severe gut issues. Cannabis helps the body reach equilibrium, which means that too few cannabinoids in the system may lead to problems. Alternatively, it indicates that too much interaction with the endocannabinoid system (ECS) could do the same.

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Every person has a unique ECS, and as such, their own perfect dose of weed. Identifying the ideal amount to consume is the key to whether cannabis hurts or helps the gut microbiome. Everyone chooses their own adventure.

“The impact of smoking cannabis on gut health is complex and can vary based on individual health conditions, the amount and frequency of use, and the presence of other underlying health issues,” Dr. June Chin, chief medical officer for Leafwell, told GreenState.

Cannabis may help gastrointestinal issues

Medical researchers are increasingly interested in cannabis for gastrointestinal issues like inflammatory bowel disease (IBD), Crohn’s Disease, and ulcerative colitis. The plant may be capable of reducing inflammation, which can be a source of relief for these issues along with symptoms in other parts of the body. It may also assist in gut motility, modulate pain, and impact the gut microbiome.

“When patients with IBD used medical cannabis to treat their symptoms, their need for other medications was significantly reduced over the year because their symptoms improved,” said Dr. Chin.

There is also evidence of pain modulation properties, positive news for those who suffer from abdominal pain. Additionally, consuming cannabinoids has consistently proven a viable choice for nausea and vomiting.

Medical patients have found relief with many weed products. However, the consumption method and frequency of use could drastically change the long-term results. Smoking has its downsides whether someone is smoking cannabis, tobacco, or other herbs. Many have switched to dabbing oil, using convection dry herb vapes, or edibles to avoid complications of inhaling smoke regularly.

“While there are potential benefits, particularly for inflammatory and pain-related conditions, there are also potential risks,” Dr. Chin said. “Individuals considering cannabis use for gut health should consult with a healthcare provider to weigh the potential benefits and risks based on their specific health needs and conditions.”

GI complications with longterm cannabis consumption

Smoking is not the only complication to be aware of if regularly consuming cannabis, especially for those with a compromised gut microbiome. Regularly getting stoned can trigger these issues.

This may lead to nausea, vomiting, feeling full after eating small amounts of food, bloating, and other symptoms. Chronic cannabis consumers will be more at risk for this, but conditions like cannabis hyperemesis syndrome (CHS) have impacted all kinds of users. It is a newer disorder diagnosed by cyclical vomiting episodes after prolonged cannabis consumption. It is regarded as controversial by many cannabis consumers, who deny that it is a real condition.

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People who have CHS are unable to eat and sometimes unable to get out of bed due to stomach pain, nausea, and other GI issues. There is no treatment or cure other than completely stopping the use of weed, frequent hot showers, IV for dehydration, and possibly pain medication.

“CHS is an important consideration for healthcare providers and patients alike, particularly as cannabis use becomes more common and more potent strains are available,” Dr. Chin said. “Recognizing the symptoms early and understanding the connection to cannabis use can help prevent prolonged discomfort and potential complications.”

This condition may be triggered by the “chronic overstimulation of endocannabinoid receptors,” which would happen from consuming too much weed for too long. It highlights the need for moderation using regular tolerance breaks (if possible) and guidance from a healthcare practitioner.

Despite the very real camp of people dealing with CHS, research continues to support that weed can have a positive impact on gut health. Both sides of the coin deserve more research.

“These findings could lead to innovative cannabis-based approaches for promoting gut health and preventing related diseases, emphasizing the need for further research in this promising area,” Dr. Chin concluded.