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Home » Travel Health & Insurance

How to Deal with Traveler's Diarrhea

Modified: Jun 5, 2019 · Published: Aug 9, 2010 by Guest Blogger |

This is a guest post by Phil Paoletta. If you'd like to guest post on Go Backpacking, please read more here.

I am a little over a month into my travels around West Africa and for the first time on this trip, I have experienced catastrophic, explosive diarrhea. This was inevitable - my eating habits have been reckless and I often purchase sachet water (" pure water" sold in 500ml bags for about 3 cents) that tastes like dirt.

This particular brand of diarrhea wakes you up in the middle of night and offers you a few seconds to find a toilet (or something toilet-like). If you make it to the toilet, you can find solace in that fact alone, because what happens while you are sitting on it is absolutely horrific. There is no relief, only terror, when pure fluid is coming out of your ass. When you stand up, vertigo takes hold and you have a splitting headache. You realize that along with your life-force in general, you've also just pooped out your cranial fluid. You stagger back to bed - anything else is impossible.

So what do you do about it?

First, be proactive, travelers diarrhea is avoidable. If it's a fruit or vegetable, don't eat it unless it's cooked or you can peel it. Don't eat foods that are lukewarm, especially meat and dairy. Drink bottled water or water that you purify. Avoid ice. Unless you're in North America or Europe, steer clear of anything coming out of a well or a tap.

Many people will expand these guidelines in an attempt to preserve GI health. Even if you are exceptionally careful, however, you may still fall victim to traveler's diarrhea and you should be prepared to deal with it.

Before you leave, go to a travel clinic for a consultation and create an arsenal of the following items:

Traveler's Diarrhea Arsenal
Traveler's Diarrhea Arsenal

Oral rehydration salts, Travelers diarrhea can be miserable, but dehydration is really its only threat (unless you are seeing blood in your stool). You lose a lot of fluids when you have diarrhea and you can't just replenish them by drinking water alone. Oral rehydration salts are typically a combination of sodium and potassium chloride (salts) with glucose (sugar), both ingredients being necessary to effectively absorb water. You can find them at travel clinics, pharmacies and most camping/outdoor recreation stores. If you run out of them on the road, try to find a Gatorade-like energy drink or powder. If you can't find that, put a teaspoon of salt and a teaspoon of sugar into a glass of water.

Pepto-Bismol, Will not get rid of the diarrhea, but will ease stomach and intestinal discomfort.

Imodium AD, " Controls the symptoms of diarrhea." What they mean to say is that it temporarily holds the diarrhea in your body. In other words, the destructive bacteria is still in your gut wreaking havoc.

Antibiotic, Depending on where you're going, you will most likely be prescribed Ciprofloxacin. It will be your most potent weapon. Cipro is an antibiotic (the same used to treat anthrax poisoning in fact) that is akin to an atomic bomb. It will destroy everything in your system, good (as in beneficial bacteria in your gut) and bad.

When traveler's diarrhea strikes, follow these steps:

1) At the onset of diarrhea, look at your stool. If there is blood, get yourself to a clinic. If you can't get to a clinic, start taking antibiotics immediately.

2) Take note of additional symptoms. I once had a brutal bout of diarrhea and it was accompanied by an atrocious fever. Turns out I had Malaria. If you have other symptoms (especially a fever), go to a clinic.

3) Begin rehydrating (with the rehydration salts) like its your job.

4) Try to avoid eating for one day. After a day, start eating BRAT foods (bananas, rice, apple sauce (unsweetened), plain toast).

5) The diarrhea may last several days. If possible, clear your schedule and just focus on rest, rehydration, and going to the bathroom.

6) Go to the bathroom as often as you need to do. Holding it in will only make the diarrhea last longer.

7) If you absolutely must do something absurd like take a 12-hour bus ride, bust out the Imodium and Pepto-Bismol. You must understand though, when you get off that bus, there will be hell to pay.

8) Did I mention rest and rehydrate?

9) If the diarrhea persists past two days without improving start taking the antibiotic.

10) If the diarrhea does not improve within a day of taking the antibiotic, go to a clinic.

Ideally, you will not encounter travelers diarrhea on your trip. Depending on where you are traveling, however, there is a good chance you will. These tips are designed to ease the misery and to restore your humanity as quickly as possible.

______________

About the Author: Phil Paoletta is taking a break from teaching middle school in Washington, DC. He is currently traveling West Africa indefinitely, collecting and making music along the way. You can follow along with him at http://philintheblank.net.

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This post was written by a guest contributor. Please reference the author's byline in the post above for more information. If you would like to guest post on Go Backpacking, please read our submission guidelines. For information on advertising opportunities, go here.

Comments

  1. foggodyssey says

    August 10, 2010 at 6:57 am

    Dude this had me laughing but your words were accurate and correct. Look forward to reading more of your stuff on here!

  2. Migrationology says

    August 10, 2010 at 10:01 am

    Awesomely descriptive and accurate depiction of diarrhea, I was also laughing hard. As a foodie who loves to sample and eat everything in sight when I travel, I have had a number of explosive instances and can relate precisely. Thanks for these tips, will be sure to remember them for next encounter!

  3. GlobalButterfly says

    August 10, 2010 at 9:33 pm

    Yikes, you poor thing, though I think this is like a traveling badge that everyone has to get to call themselves a real traveler haha. Very helpful post!

  4. Phil Paoletta says

    August 11, 2010 at 10:50 am

    Thanks guys. I also am an adventurous eater and have learned to deal with the consequences. I really struggle to turn down food that is purchased for me or prepared for me in a home - I get into a lot of trouble this way. Be well, Phil

  5. jeronimovdm says

    August 14, 2010 at 10:31 am

    I had it two times, in Guatemala the fever came too... never had the blood luckily :-)
    in Peru i had to run to the 'toilet' at the homestay at lago titicaca every hour.... no sleep and very cold...
    and yes the 12 hour busride came the next day... and even a roadlbock for 5 hours... i think i took al medication that night i had with me...lots of them happend to be expired (damn!) but my antibiotics were jsut renewed a year before :D
    after two days i could start eating local food again

  6. Erica Kuschel says

    August 17, 2010 at 6:39 pm

    I am totally not looking forward to this. :X

  7. Seo Services says

    October 30, 2010 at 7:07 am

    This is the best blog I've ever seen in my life! I really appreciate you taking the time out of your busy day to share your this with everyone.

  8. Jhanella says

    November 10, 2010 at 7:12 am

    Wow that is absolutely a very hard situation to have when traveling... diarrhea is such a kill joy if that is the case. For sure it will totally spoil your trip. I never experience having it on a travel but back at home I had it many times and it is such a pain. It weakens you and it comes unexpected and it is disgusting.

  9. Conrad says

    September 04, 2012 at 2:24 pm

    "Just take a spoonful of grinded coffee, swallow it with a full glass of lemon juice. Don't be a pussy!", or that's what the guesthouse owner said when I had a strong bout of diarrhea and a bus was waiting and I went oh man, oh man.

    Worked perfectly. And instantly.

  10. tabitha says

    April 02, 2013 at 10:40 pm

    I'm currently on the first night of a school trip to New York. We drove 3/4 of the way today, 14 hours on a bus. Guess who the lucky soul to get diarrhea was?
    Anyways, 6 hours to NYC in the morning, in which I plan on not eating anything or BRAT food until we get there. Please pray for me on the 18 hours bus ride back home Friday night into Saturday.

  11. Sri says

    June 27, 2016 at 3:37 am

    I was skeptical about using this product for treating my chronic diarrhea during traveling but the results amazed me. It has significantly reduced the symptoms of Diarrhea and has eased the pain caused by the condition. So far, it has been successful in reducing the effects of infection.

Dave at Ahu Ko Te Riku on Rapa Nui (Easter Island), Chile.

Hi, I'm Dave

Editor in Chief

I've been writing about adventure travel on Go Backpacking since 2007. I've visited 68 countries.

Read more about Dave.

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