Society for Pediatric Pain Medicine
Better Care for Children in Pain.

A 15 yo F with pmh functional dyspepsia, depression, anxiety is admitted for severe acute on chronic abdominal pain, feeding intolerance with weight loss, and intractable nausea. Extensive GI work-up, including EGD, labs, and imaging, has been unrevealing. GI team feels pain is consistent with acute on chronic flare of functional dyspepsia and consults your inpatient pain team to help with managing gabapentin. On interview, you discover that the patient has been taking cannabis gummies 2 to 3 times daily for the past year, and reports that it is the only thing that has helped with pain and nausea. Assume that medical use of marijuana products is legal in your state. Which of the following approaches best describes your management?
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