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Hello. I have reviewed your concerns regarding severe seasickness and your current medical status. ​Motion sickness (seasickness) occurs when there is a sensory conflict between what your eyes see and what your inner ear (vestibular system) senses regarding movement. For a professional seafarer, this can be particularly debilitating. ​1. Managing Motion Sickness with TB Medication Since you are currently on Tuberculosis medicine, it is vital to avoid certain over-the-counter motion sickness drugs that may interact with your TB regimen or stress your liver. ​Consult Your Physician: Before taking common medications like Meclizine or Promethazine, you must verify them with your TB specialist, as some anti-seizure or anti-nausea drugs can interfere with the efficacy of TB drugs or increase side effects. ​Scopolamine Patches: These are often effective for long-duration sea travel but require a prescription and an assessment of your current health. ​2. Non-Pharmacological Strategies ​Focus on the Horizon: Look at a stable point in the distance to help your eyes and inner ear synchronize the sensation of movement. ​Strategic Positioning: Stay in the middle of the ship, where the motion of the waves is felt the least. ​Ginger and Acupressure: Natural ginger (tea or tablets) and "Sea-Bands" (which apply pressure to the P6 point on the wrist) can provide significant relief for many without the risk of drug interactions. ​3. Dietary Considerations ​Avoid Gastric Triggers: Since you mentioned "gas issues," stay away from spicy, acidic, or heavy foods during rough seas. Stick to bland, dry crackers and maintain steady hydration with small sips of water. ​Next Steps: Please provide the specific names of your TB medications. This will allow for a precise check of which anti-motion sickness medications are safest for you to use while onboard.

Motion sickness (Seasickness) occurs when there is a conflict between what your eyes see and what your inner ear (vestibular system) senses regarding motion. In rough sea conditions, this sensory mismatch is heightened, leading to nausea, vomiting, and secondary gastric distress like bloating or gas. Since you spend a significant part of the year at sea, managing this involves both pharmacological and behavioral interventions to help your brain 'habituate' to the ship's motion."

Seasickness is quite common and happens due to motion affecting the inner ear balance. You can try Sitting in the middle of the boat and looking at the horizon ,Avoid heavy ,oily meals before travel also Stay well hydrated If symptoms are frequent or severe, medications can help ,book a consultation so I can guide you with the right option.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Its due to gastritis.

It is related to your occupation. Needs acclimatisation

Severe seasickness is common in individuals exposed to prolonged sea travel, especially in rough conditions. It occurs due to a mismatch between visual and vestibular inputs, leading to symptoms like nausea, vomiting, dizziness, and bloating. Management includes: 1. Preventive measures: • Stay in the midship area where motion is least. • Fix your gaze on the horizon to stabilize visual input. • Avoid reading or screen use during motion. • Ensure good ventilation and avoid strong odors. 2. Dietary modifications: • Eat small, frequent meals. • Avoid oily, spicy, and heavy foods before sailing. • Prefer dry foods like biscuits or toast. • Stay well hydrated. 3. Medications (prophylactic and symptomatic): • Cinnarizine or Meclizine before travel. • Scopolamine patch (if available) for longer protection. • Dimenhydrinate for acute symptoms. • Domperidone/Ondansetron for vomiting. 4. Adaptation: • Symptoms often improve over time due to vestibular habituation. Next Steps: • Start prophylactic medication before boarding, especially if rough seas are expected. • Carry antiemetics onboard for emergency use. • If symptoms are persistent or worsening, consult a physician to rule out vestibular disorders. Helpful Tips / Caution: • Avoid alcohol as it worsens symptoms. • Be cautious with sedating medications while on duty. • Ginger supplements may provide mild relief in some individuals.

Need a few more details please consult for further evaluation and treatment

Do consult

Kindly do connect and consult

Gastritis Avoid spicy foods Avoid coffee and tea in empty stomach

Can help you, kindly consult and provide detailed history for proper diagnosis and further management