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Is she taking the reglan 30 minutes before meals, 3 times per day, and before bed? 10mg? Continue to take it daily, around the clock for now.
She should also be taking anti-nausea medicines in addition to this daily, at least until symptoms start to improve. Do you have Zofran at home? Maybe trying taking the anti-nausea medicines also daily, until things get under control. Every morning... maybe every evening as well if that is her bad time. Take it before the nausea gets bad for now. Block it. Then decrease over time if she improves.
Is she also having reflux/indigestion type symptoms? If so, a proton pump inhibitor (over the counter at Walgreens) may also help some.
Does she have a gastroenterologist as part of her team? These docs are most helpful for treating persistent nausea/gastroparesis and other symptoms, which the oncologists are less familiar with.
Make sure her bowels are moving daily, as bad constipation can cause nausea and loss of appetite.
The gastroenterologists can also help decide if anymore tests would be helpful.
This can get better. It sounds like your Mom is doing amazingly well in some ways, with an exciting new treatment plan. Tell her to keep pushing her docs for help until these symptoms get better. And if her mood is plummeting, make sure she gets treatment for her depression as well. Some of the meds for depression can also help appetite and gastroparesis (eg. mirtazapine), so something to think about. Depression is a symptom of PC and must be treated as aggressively as nausea.
And if I was nauseated every day... I would be totally depressed...
Daily nausea is never normal. Even when you are on chemo. Good for you for
speaking up and telling her docs about gastroparesis.
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