I looked up the ticket and here was the resolution that was listed:
from Ray
So it seems that the items were not being added because they did not have different item id's in the table. The update was to make it so that the item would be added even if the id was the same by updating the line of code in the add to cart that starts like this:
$eCart1->AddToCart(1, "", $eCart1_itemID, ...........
To be like this
$eCart1->AddToCart(2, "", $eCart1_itemID, ...........
A clear cart was also added just before this with this line of code:
$eCart1->ClearCart();