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December 7, 2025

Traveler’s Diarrhea: What You Need to Know to Stay Healthy on Vacation

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Traveler’s diarrhea is one of the most common illnesses people get while on vacation. Even fancy resorts can have outbreaks, so it’s important to know how it happens and how to avoid it.

What Is Traveler’s Diarrhea?

This illness usually starts a few days after you arrive in another country, but it can also show up up to 10 days after you come home.

Most cases are caused by:

  • Bacteria (especially E. coli)
  • Viruses
  • Parasites (less common)

These germs spread through contaminated food or water, which is why being careful about what you eat and drink is the best way to prevent it.

How to Prevent Traveler’s Diarrhea

1. Choose Safe Foods

  • Eat food that is cooked well and served hot
  • Avoid undercooked meat and seafood
  • Only eat raw fruits that you peel yourself

2. Drink Safe Water

  • Drink bottled or boiled water
  • Avoid tap water and drinks made with tap water
  • Skip ice unless you know it’s made from safe water
  • Choose pasteurized milk and carbonated drinks

3. Research Before You Go

Some resorts have better food and water safety than others. Look up recent outbreaks and read reviews so you know what to expect.

4. Watch for High-Risk Situations

The chance of getting sick increases:

  • During hot and wet seasons
  • When eating from street vendors
  • In places with poor sanitation

Can Medicine Prevent It?

There are medicines that can lower your risk, but most people don’t need them because traveler’s diarrhea usually goes away on its own.

Antibiotics

They can help, but they can also cause side effects such as:

  • Allergic reactions
  • Sun sensitivity
  • Yeast infections
  • C. difficile infection

They are only recommended for people with weakened immune systems.

Probiotics

Some probiotics may help prevent illness, but results vary depending on the type.

Dukoral Vaccine

This vaccine protects against cholera and also gives some protection against a common cause of traveler’s diarrhea, ETEC bacteria.

How to Treat Traveler’s Diarrhea

Most people get better without medical treatment, but staying hydrated is very important.

Staying Hydrated

You should:

  • Drink enough to pee several times a day
  • Drink more if your urine is dark
  • Use oral rehydration salts (ORS) for more serious cases

Antibiotics for Treatment

Your doctor may give you a prescription to take with you on your trip. Use it only if:

  • Your symptoms are severe
  • You can’t enjoy your trip because of the illness

Medications That Slow Diarrhea

Drugs like Imodium can help reduce symptoms, but they don’t cure the infection. They work best when used with antibiotics.

Top 5 Mistakes That Increase Your Risk

1. Drinking Ice in Beverages

Freezing doesn’t kill germs. Don’t use ice unless you know it’s safe.

2. Thinking Alcohol Makes Drinks Safe

Alcohol does not kill contaminated water.

3. Drinking Straight From Bottles

The outside of bottles may carry germs — use a straw.

4. Forgetting About Condiments

Salsa, guacamole, or other toppings can be contaminated.

5. Eating Airplane Food Without Thinking

Airplane meals may come from local suppliers. Use the same precautions as you would during your trip.

Final Thoughts

Traveler’s diarrhea is common but mostly preventable. Be smart about what you eat and drink, stay hydrated, and know when to use medications. A little preparation can help you enjoy a healthier, stress-free vacation.

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