![]() ![]() She consulted her family for modalities of pain relief. Additionally, she felt progressive musculoskeletal lower extremity joint pain as she mowed the lawn. She did not remain hydrated during this time. The patient stated that she had spent the day exerting herself performing various outdoor gardening and yard maintenance activities. ![]() The patient is a 62-year-old woman with a history of chronic obstructive pulmonary disease and asthma who presented to the emergency department (ED) via emergency medical service (EMS) with a chief complaint of vomiting, nausea, and abdominal cramping that started 4 h prior to her arrival. 1) include nausea, itching, sweating, dry mouth, constipation, increased urination, loss of appetite, and hallucinations. However, when small amounts are consumed, users reported increased energy, sociability, and alertness. Two compounds that are found in kratom, mitragynine and 7-a-hydroxymitragynine, interact with opioid receptors in the brain, which can produce sedation, decreased pain, and pleasure, usually when large amounts are consumed. Kratom can be classified as both an opioid and a stimulant. There have been many deaths attributed to kratom, though most of the victims had also taken other substances that may have caused death. It is sometimes sold as a green powder in packets labeled “not for human consumption.” It has many street names, such as biak, ketum, kakuam, ithang, and thom. Kratom can be ingested in many ways, including being taken as a pill, an extract, being smoked, put in food, or even sold as a gum. Kratom is a tree native to Southeast Asia known for its psychotropic properties and is easily obtained over the Internet. Further documentation of case reports and research is required to learn the associated risks of the use of this substance. This opioid family alternative substance is gaining popularity across the USA in the era of the opioid crisis. A unique aspect of this case is the circumstance by which this toxicity took place: a family member who chronically takes this substance (that requires increasing dosages to remain effective) recommended a dosage to this kratom-naïve patient, leading to overdose. We present a classic case of a novel acute toxicity: kratom. She came to the ED, where she required multiple rounds of anti-emetic medication for resolution of her symptoms. She took two “scoops.” She proceeded to have multiple episodes of vomiting at home. She was recommended kratom from a family member, who stated he was using kratom to transition away from opioid dependence. After a day of yard work, she was in pain, secondary to her osteoporotic joints. We present the case of a 62-year-old woman arriving to the emergency department (ED) with a chief complaint of intractable vomiting after ingestion of kratom. Here, we present a novel case of acute toxicity from overdose in a kratom-naïve patient, taking place through recommendation by a family member who chronically takes this substance. Although kratom use dates back to the 1800s in Asia, kratom intoxication is still a novel (but increasing) toxidrome in the Western world. ![]() Chronic users require increasing dosages for the analgesic effects. No more being a slave.Kratom is a habit-forming opioid-like substance with an acute toxidrome of various symptoms such as diaphoresis, dizziness, nausea, and vomiting. Its only function is to uphold the grip it has on you.īut once you quit, you're free. It doesn't belong there and it doesn't benefit you in any way. Are you on any new medication for example?Īnyway, whatever it is, there's a simple solution: stop putting nicotine into your body. ![]() I'm not a medical professional so take this with a grain of salt: if you have been a steady vaper before and have not moved to a stronger juice and you are suddenly feeling very sick from your first hit in the morning, it's possible there's something going on with your metabolism. Once the tolerance builds up, you barely feel it, except after abstaining for several hours or if you switch to a stronger juice. Nicotine is a strong poison and you are experiencing its actual effects like you would without any tolerance. Jesus, who even came up with such an expression? ![]()
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