Re: Chronic Nausea
A lot of things can cause the nausea and not knowing what it is makes it difficult to treat. Is it just that, or are there other symptoms like changes in Bowel movements/color, abdominal pain, changes in appetite beyond nausea, like feeling full all the time, etc.
I've been seeing a GI and one item they are still investigating for me is Gastroparesis. It can be triggered by viruses in some folks and isn't always permanent but can take a long time to recover. I have a stomach emptying test coming up which should finally give me a diagnosis of that or Gallbladder Disease. Given that she did feel better for a few months after the ERCP it doesn't sound like Gastroparesis, but it might be something to keep on the radar.
Another possibility is Bile Reflux. It could be (and/or have been) bile is backing up into her stomach and making her feel ill. In that case, first thing is to heal the stomach and then she needs to manage the flow of bile as best as possible. Keeping it 'thin' seems to be a recommended strategy so drinking lots of water, eating foods like apples, beets, EVOO, etc and avoiding foods like eggs, transfats/saturated fats, and mints (which relaxes the muscles) might help. Of course she should already be avoiding soda's, sweets, anything we don't need, etc until the cause can be figured out.
I find that chewable DGL Licorice (while tasting bad) helps a lot with my upset stomach issues when taken as directed.