Ducking Montezuma: Preventing and Treating Gastrointestinal Ailments Abroad

How to keep your guts from visiting the circus during your travels.

"It was inevitable," my friend Sean tells me, in an email from Peshawar, Pakistan. He fully admits that he tends to be a little careless about what he drinks and eats while travelling, and this time, it came back with a vengeance to bite him where it hurts.

While sparing you a colonic blow-by-blow, I will say that his intestines became star performers of Cirque du Soleil, engaging in contortions that would make even the most jaded of crowds scream "encore" and create wonder in the eyes of small children.

Anyone who travels regularly is bound to face the music at some point. Inevitably, you'll eat or drink something that has some microscopic nasties in it and—boom—your intestines shift into purge mode.

Traveller's diarrhea can be caused by a number of bugs (viral, bacterial, or protozoan) and can range in severity from a few uncomfortable and inconvenient days of "A River Runs Through It" to "The Perfect Storm," accompanied by cramping, vomiting, fever and blood.

Prevention should be your first priority if you wish to avoid writing postcards on your knees and passing them under the door of the "loo." Hygiene is key. Wash your hands well and often and keep your fingers (and other people's) out of your mouth. It may sound a bit weird, sure, but you'd be surprised...

As for your drinking water—bottled and fully sealed, or boiled only—enough said. Also, avoid ice in your drinks if you don't know where the water for the ice came from. Some people advocate sticking to a strict beer-only regimen. Not a good idea. Not only will you probably spend your hard-earned travels in a buzzed haze, but the alcohol will cause you to become increasingly dehydrated.

Don't be afraid to sample the local cuisine, but be vigilant. Make sure that the food has just been cooked and has been cooked thoroughly (no rare steaks). If it's cold, or has been reheated or stored, stay away. And don't be tempted by ice cream. Unless you've washed fresh vegetables and salads yourself with purified water, and peeled fruit yourself, it's best to avoid them too.




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