Traveler’s Diarrhea
Condition
Definition
Traveler's diarrhea is diarrhea in people who travel to other nations. It often happens in developing countries.
Causes
The main cause of this problem is ingesting food or water that is contaminated with:
- Bacteria, such as escherichia coli (E. coli), campylobacter, salmonella, and shingella
- Viruses, such as rotavirus and norovirus
- Parasites, such as protozoa and giardia
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Risk Factors
This problem is more common in people who visit countries that lack safe water supplies and sanitation. Other things that may raise the risk are:
- Problems with the way the immune system works
- Diabetes
- Inflammatory bowel disease
- Taking acid blockers or antacids
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Symptoms
A person may have:
- More bowel movements with more stool
- Frequent loose stools—4 to 5 watery bowel movements a day
- Belly cramping
- Bloating
- Nausea and vomiting
- Fever
Diagnosis
The doctor will ask about symptoms and health history. A physical exam will be done. This is enough to make the diagnosis.
Treatment
Most people get better on their own in three to five days without treatment. Symptoms can be managed with:
Prevention
To lower the risk of this health problem when traveling:
- Do not eat foods from street vendors or unsanitary eating places.
- Do not eat meat or seafood that is raw or not fully cooked.
- Eat foods that are fully cooked and served hot.
- Do not eat salads or unpeeled fruits. Have only fruits and vegetables that can be peeled, such as bananas or oranges.
- Do not drink tap water or use ice cubes. Do not use the water for toothbrushing.
- Drink only bottled water with a sealed cap or local water that has been boiled for 10 minutes or treated with iodine or chlorine.
- Sealed bottled carbonated beverages, steaming hot tea or coffee, wine, and beer are all okay to drink.
American Gastroenterological Association
Centers for Disease Control and Prevention
CANADIAN RESOURCES:
Be Food Safe—Canadian Partnership for Consumer Food Safety Education
Health Canada
American Gastroenterological Association
Centers for Disease Control and Prevention
CANADIAN RESOURCES:
Be Food Safe—Canadian Partnership for Consumer Food Safety Education
Health Canada
References
- Acute diarrhea in adults. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/acute-diarrhea-in-adults.
- Acute diarrhea in children. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/acute-diarrhea-in-children.
- Travelers' diarrhea. Centers for Disease Control and Prevention website. Available at: https://wwwnc.cdc.gov/travel/page/travelers-diarrhea.
- Traveler's diarrhea. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/travelers-diarrhea.
- Traveler’s diarrhea. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/gastrointestinal-disorders/gastroenteritis/traveler%E2%80%99s-diarrhea?redirectid=97.
Contributors
- Mary-Beth Seymour, RN
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