Maybe she should have fecal elastase testing to rule out EPI.

What does a doctor say about the fact that it started out seasonal and what is their different about where she lives

I suffer from chronic nausea and use phenergan which helps me a great deal

Has she thought about seeing a gastro naturopath or functional dr? They get to the root cause.

I had undiagnosed nausea for years. Gastro doc ordered a gastric emptying test and found out I had gastrophoresis. With a big chsnge in my diet I have been able to manage it. Not fun cutting out so many foods I’ve loved but worth it.

Do some research on Mals. My daughter was just diagnosed.

Right now I am using Culturel, but can say that Align works much better, although it is much more expensive. My sister buys it on Amazon subscribe and save, and you do get a bit of a discount buying it that way.
Best of luck, and thank you for the note

I appreciate you sharing what works for you and I have been wondering about the Align. Costco has it, but I don't know the price.
Mom is having some improvement after being on an increased dose of Imipromine during the last week and we are sooooo thankful! Some breaks in the nausea and lower levels of nausea are encouraging!!
Take care Frances!

Has she had a stomach emptying test? I had so many problems with nausea and vomiting, I was diagnosed with a GI condition called gastrophoresis. I’m free from nausea., after my GI told me to use Orgain , a powdered drink you can mix with fresh vegetables or fruit, and milk or soy, it’s healthy and easy to digest, I buy at Costco, it really helps me, and eating small meals, more often if you can tolerate. I stopped taking all prescriptions they had been given me for pain that was slowing down my digestive system. So far it’s been working, nausea free for 5 years.

The Mayo Clinic has excellent information on Gastrophoresis to read to see if your symptoms may warrant more testing ,

I would recommend seeing a specialist at any of Mayo’s locations., I’ve always had success with them. I personally have been to the Rochester Mayo Clinic, and highly recommend it to anyone who is still suffering,

I wish I could get there again now for a very rare condition I was recently diagnosed with, it’s called Nutcrackers Syndrome, they only have a few doctors who have experience dealing with this, and one is at Mayo Clinic in Rochester MN. I’m a Washington state citizen, but people from all around the world have always been going there, and had success!

Have you tried olanzapine? It is off-label to treat nausea, but it helped me. The Relief Band was minimally helpful, but some seem to get lots of relief from it.