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Ocean vs River Cruising - Sea/Land sickness question

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My wife and I have taken 2 one-week ocean cruises, to the Caribbean in 1994 and from Philadelphia to Bermuda in 2005. On the first one, she wore a patch and had mild sea-sickness while on the ship. It did not seriously interfere with our enjoyment of the trip. On the second one, she also wore a patch and was fine while on the cruise - but had a horrible case of land sickness, which hit her about a week after returning. She was so sick that I took her to the emergency room twice in the second week after our return - severe motion sickness, nausea, imbalance.

We both loved the cruises, but have been understandably reluctant to try again. We're now talking about maybe taking a European River Cruise next summer. Realizing there are no guarantees, can anyone tell me generally how river cruising compares to ocean cruising in terms of the tendency to experience motion sickness - more or less? We are nervous about the possibility that she would be sick again, either before or after aboard ship, but we really would like to give it another try.

Thanks

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