1 What to know more about avoiding Traveller Diarrhoea or Bali belly, Delhi belly and Peru poos, Montezuma’s Revenge, Rangoon runs?
Diarrhoea and/or vomiting are by far the most common illness on vacation. There is a 50% chance of getting some degree to diarrhea and/or vomiting on vacation. Do you want to be a statistic or enjoy your vacation? It doesn’t take much. A meniscal drop it all it takes. That drop can contain a huge variety of diseases, bacteria, and viruses. The more commonly known ones include e-coli, Escherichia coli (or commonly known as E. coli), enterotoxigenic, enteroaggregative,, Cryptosporidium enteroinvasive, Giardia lamblia, Vibrio parahemolyticus, Shigella , Salmonella, Campylobacter jejuni , , Aeromonas hydrophila, Entameba histolytica, , Rotavirus, Norwalk virus . There are many hundreds of others From the travelling public from developed countries studies have estimated that 1 in 2 people who travel to an overseas destination for a period longer than a week will become sick! The main reason is exposure to bacteria in water and the exotic foods that they are not used too! In many cases, locals are not affected as they have become immune to the bacteria or substance in the water.
There is NO Vaccinations against Travellers’ Diarrhoea or Bali belly, Delhi belly and Peru poos, Montezuma’s Revenge, Rangoon runs
How to get Traveller Diarrhoea or Bali belly, Delhi belly and Peru poos, Montezuma’s Revenge?
If you really want to lose weight and loose energy and feel like crap for a few weeks, there is a simple, visit a high risk bacteria countries and follow the rules below. There is a 95% chance of getting it
- Drink the local water
- Showering with your mouth open
- Eat local foods, seafood, salads & Fruits
- Eat reheat food
- Eat from mobile food carts
- Drinking localised bottled water
- Use the local community bathrooms
In all seriousness, DON’T drink tap water under any circumstances…As it can be fatal.
The colloquial term for any cases of traveller’s diarrhoea contracted by tourists visiting Mexico. The name humorously refers to Montezuma II, the ruler of the Aztec civilization who was defeated and slaughtered by Hernán Cortés, the Spanish conquistador. The white Spaniards would then continue to enslave or obliterate the Aztec people.
Is there a difference between Traveller Diarrhoea and Bali belly, Delhi Belly, Peru Poos and, Montezuma’s Revenge?
Technically YES though the effects of diarrhoea and vomiting are the same outcome.
Travellers’ Diarrhoea is caused by dietary changes when you travel. That is, when you start eating non-regular exotic food types. In these cases, your stomach reacts adversely to protect itself. Typically it comes with stomach (abdominal) cramps and pressing and violent bowel movements, and less often the vomiting..
Whereas Bali Belly, Delhi Belly and Peru Poos, Montezuma’s Revenge is caused by bacteria and/or parasitic infection. The main symptoms are waves of severe abdominal cramps, nausea, queasiness, vomiting and diarrhoea. Bali Belly, Delhi Belly and Peru Poos, Monotozea Revenge would typically make you bed bound and unable to move for any short period of time (or in the worst case hospitalisation) for anywhere from 4 hours to 2 weeks and the unquestionable demand and desire to be close to a bathroom. These often take several weeks to fully recover.
Firstly the definition of dysentery form Wikipedia is theDysentery is an inflammation of the intestine causing diarrhea with blood.Other symptoms may include fever, abdominal painand rectal tenesmus (a feeling of incomplete defecation).It is caused by a number of types of infection such as bacteria, viruses, parasitic worms, or protozoa. It is a type of gastroenteritis. The mechanism is an inflammatory disorder of the intestine, especially of the colon.
Bali belly, Delhi belly, and Peru poos, Montezuma’s Revenge, Rangoon Runs are all names for dysentery.
“Took the GoFreshWater pump on a Scout Hike with 15 boys and girls. It was so good not to carry so much water. The scouts are only allowed to carry 20% of their body weight..Not much! It was great so the kids were able to carry food and tents rather that lbs of water.”George P, Westmead, Scout Leader
Are there some destinations of getting Bali Belly, Delhi belly, Peru Poos, Montezuma’s Revenge, and Rangoon runs higher than others?
Absolutely! Mostly in developing and poor regions.
Regardless of the name, they are all bacteria, cysts or viral infections. This is the just the local naming.
In no particular order the global regional areas that are a higher risk of getting the stomach infections are;
- South Asia
- Latin America
- And the Middle East
As an interesting note, the world map below shows where water quality levels globally. It is most interesting.
Why are you taking the chance?
In the last 12 months close there has been over 12 million medically document cases of people having some level diarrhea or dysentery on vacation. Survey’s conduct by a major travel company showed that over 70% of people had the “trots” from a popular destination. Close 40% of people had to stay in the hotel room format least one day! And 15% of people have to spend more than 2 days immobilised and not venturing outside the boundaries of the hotel perimeter.
A startling statistic is that 1 in 250 people were hospitalised.
What is worst thing from all these statistics is that with a little precaution it could have been avoided!!
How could this be prevented? Find out how.. We give you 12 basics tips in significantly reducing the risk of being a statistic. More importantly, how to enjoy you well-earned vacation
Diarrhea, dysentery what is it actually? The definition of dysentery from the XXXX journal is ,
Add picture with definition.
What is actually Bali Belly, Bali belly, Delhi belly and Peru poos, Montezuma’s Revenge
It is essence, Bali Belli, xxx is a gastric infection caused by micro-organisms. These micro-organisms come in a form of either:
- Bacteria –The most common form of bacteria that cause diarrhea is the Escherichia coli or commonly called coli the main strain of E. coli is the enterotoxigenic (ETEC). Other bacteria’s that commonly cause diarrhoea are the Salmonella Campylobacter jejuna, and Shigella species.
- Parasites – Giardia, Endamoeba and Cryptosporidium are hard shell parasites that cause intestinal in These infections cause diarrhoea Viruses –the norovirus and rotavirus viruses are the most common cause of diarrhoea, Intestinal viruses cause about a 1/3 of traveller diarrhoea, Bali Belly. There is no medicines to eradicate the virus’s,
- Micro-organisms cause around dysentery dysentery. It is believed that because of the construct of micro-organisms in food overseas, some people gastrointestinal system’s is has not the tolerance to adapt to the different micro-organisms..
What are the systems of Bali Belly, Travellers diarrhoea or any of the rest?
There are a number of key basics symptoms that appear if you get travellers’ diarrhea are listed below. But remember, if symptoms persists, see your medical practitioner.
- Stomach bloating
- abdominal cramps and pain
- queasiness, nausea
- Desperation to going to the bathroom
- Runny poo or faeces
- Feeling warm and have slightly high temperature
- Feeling weak and tired.
For serious bouts of diarrhoea, a medical practitioner should be consulted. They would take a sample of the stool (otherwise known as faeces or commonly known as poo) and test for different potential infectious bacteria and cysts. They would take account to your medical history and health before medication you to combat the specific bacteria or cyst. Not all medications combat all type of bacteria.
How long will it last?
Traveller’s diarrhoea the worst part normally lasts between 4 hours and in extreme cases 2 days before the recovery cycle beings. For all the names sakes, Bali Belly, Delhi belly, Peru poos and Montezuma’s Revenge the infection in your stomach lasts from anywhere from 1 day to 4 weeks depending whether or not you take something for it.
The recovery period takes upto a few weeks because the body went through a very tramanic experience and just requires time to fully recover.
Remember you always seek medical advice if sysmptoms persist. Always keep well hydrated!
Is Bali belly, Delhi belly, and Peru poos, Montezuma’s Revenge contagious?
Yes!! It is highly contagious!!!!
Yes you can take basic precautions to avoid it.
It is normally only passed orally, through your month. It is extremely important to have hygiene precautions in paramount.
Why can’t I get a vaccination to prevent these nasties infecting my body?
There is no single vaccination to stop travellers’ diarrhoea or Montezuma’s Revenge.
Currently some travel physicians are prescribing oral cholera vaccination to combat the symptoms but there I s no vaccinations.
Some informal studies have shown that the diarrhoea is reduced by almost 50% if you tale the oral cholera. This is due that the medication combats the most common cause of diarrhea, bacteria E. coli. Do not take this medication without seeing your medical practitioner.
Am I more susceptible to getting Travelers more than someone else?
Unfortunately the answer is yes
Young an older people are more susceptible the people from the mid-teens mid-fifties. Also those who frail and have low auto immune system are susceptible especially if you take regular medications. People in the high risk areas include diabetics, have gastric ulcers, bowel diseases and
The fitter and healthier you are, the less probability you are to be impacted by the exotic foods, bacteria, cysts or viruses.
Commonly known remedies
Before reading this section, you should always consult a doctor or medical practitioner to ensure you are taking the right stuff for yourself.
One important Myth that needs to be dispelled.
Bugs are not rinsed or flushed out by bowel movement during diarrhea or vomiting. They may be present in it but not removed from your intestines. They are in your intestinal systems for a number of days if not weeks.
The two common remedies for treating traveller’s diarrhea, remembering it is caused by eating exotic foods that you are not used to Imodium and Kaomagma. Always remember to drink plenty of fluid, after a few hours as when you have diarrhea, you tend to dehydrate very quickly. These remedies stop the diarrhea though some say it doesn’t get rid of the nasty bugs
Imodium is a cheap remedy and freely available at pharmacy and chemists. Make sure you follow the packaging instructions.
Dysentery, Bacterial, Cysts and Viral stomach Infections
It is always best to see a doctor. In many cases they may give you an antiemetic injection. There are various medications than will stop the vomiting and diarrhea. As well as killing the cysts and bacteria. It wound kill the viral infection though it will stop the symptoms. The two common injections include Maxolon or Stemetil
Some schools of thought are to get the “bugs” out as fast as you can. They say flush it out!!
Some groups suggest using Pepto-Bismol. This changes the acidity in your stomach. It stops the bacteria or cysts to multiply enabling them to be flushed out more quickly. Another drug could be Loperomide. https://en.wikipedia.org/wiki/Loperamide It is recommended by the World Health Organisation’s List of Essential Medicines http://www.who.int/medicines/publications/essentialmedicines/en/
The use of coloxyl, nulax, etc. could be used in some days after the event to help remove the remaining bugs out of the system
Avoidance Medications and Remedies to avoid or reduce the likelihood of Dysentery
There are a range of avoidance remedies that people believe stop or significantly reduces the risk of dysentery. The most popular remedies include…
- Acidophilus tablets.
- Cipro or Ciproxin is an anti biotic.
- Norritt, little black activated charcoal tablets
- Entrostop charcoal tablets
Immediate Remedy Action
On the first symptoms of diarrhea and vomiting occurring, stop drinking and eating for at least 2-4 hours. It is fine to moisten your lips. The reason for this suggestion is to give your stomach a chance to recovery. Its needs a little rest.
After a few hours small sips of water every 10 minutes or so. After 4-5 hours, start drinking larger volumes of water. It will flush out any of the bad bugs. It’s a god idea to drink some electrolytes drinks. These come in satchels and easily available from chemists, pharmacies and food markets. Don’t drink anything acidic as this may spark it off again.
As a fitness instructor, I am obsessed with clean food and water. Thus, when I read about the GoFreshWater bottle online, I ordered mine immediately.Amy, Sydney
“I am a believer in everything I drink or eat be homemade, but I did not know I could filter my own water. Now I know, it’s not too late.”Peterson, Atlanta
“Took the GoFreshWater pump on a Scout Hike with 15 boys and girls. It was so good not to carry so much water. The scouts are only allowed to carry 20% of their body weight..Not much! It was great so the kids were able to carry food and tents rather that lbs of water.”Peterson, Atlanta Testimonial
“Never again will I leave my portable water filter behind after I spent a straight 5 hours in a toilet in India.”Christina, Wellington
Whenever you get a bout of diarrhoea or vomiting, there are a number of recommended things you should do and not do. As always, if it persists see a physician, doctor or medical practitioner
Don’t exerciseDon’t eat anything acidic, like oranges.
|Drink heap of fluid to get rehydrated
Keep well rested
Eat bland and very basic food
plain natural yoghurt, Isotonic sports drinks such as Gatorade, pocari, sweat etc,
oats and semolina custard,
acidophilus/ biphodophilis supplements
Some interesting facts around water quality
Would you ever drink water from a tap again or purchased bottled water again if you knew:
- Over 45% of “bottled water” is straight from the tap . And this is legal in the in US and is approved by the US FDA Across the globe current estimates that about 46% of water catchments area contain unacceptable levels of Giardia and Cryptosporidium
- On average there is has been X number of Giardia, Cryptosporidium, and Gastroenteritis out breaks in developed countries and a daily occurrence in non-developed countries.
- Of the 176 million people who travel overseas close to 50% will lose will get a form of water borne illness and 5% will be bed ridden for least 1 day.
- Most consumer based water filter systems let unacceptable levels of Giardia and Cryptosporidium through to their device. The ideal filter should remove anything larger than 0.2 microns as Giardia and Cryptosporidium cysts can be as small as 0.4 microns,
- Many of the cysts that make you ill from water are not killed by basic water chemical purifiers.
- With the change in a changing environment their virtually not purified “fresh water” stream in any remote regions that is safe to drink due to animal faeces contamination. Most wildlife now has various strands of Giardia or cryptosporidium.
- Bacteria can and does exist in commonly available brands of bottled water sold
Water borne bacteria cysts are very difficult to detect in water. It normally takes several days to cultivation to identify if there are types of bacteria and or cysts.
How to avoid diarrhoea on Vacation
Being aware, making some minor adjustments and being prepared, you can significantly reduce your chance of getting travellers’ diarrhea, Montezuma’s revenge, Bali belly and the Rangoon runs.
Here are 12 tips that will make a difference.
1. Don’t drink any form of tap water
Almost 50%, across the board of people who travel internationally will get ill from water borne bacteria or cysts, if you don’t take any precautions. The incident is higher in significantly higher in developing countries and much lower in developed countries. Just read add reference.
Locals are not normally affected by the local water as they have become accustomed to the types of bacteria in water. As a tourist, you are not accustomed and hence the body reacts adversely.
Just consider this. In 2011, US water reservoirs were tested. It was found that over 46% of water reservoirs exceeded the safe water levels for Giardia, Cryptosporidium as specified by the US Environmental Protection Authority. Below are some statistics for other countries.
For developed countries, they have good infrastructure to filter and purify the water. Whereas in developing countries, where infrastructure is not as robust and up-to-date it would be questionable about the effectiveness.
This can be substantiated by the number of outbreaks of Giardia and Cryptosporidium in developing and 3rd world countries.
Just remember, the size of the bacteria can be as small as 0.8 micron
If in doubt, always follow these tips when travelling;
- Always drink from reputable filtered water.
- Drink carbonated bottled water.
- If purifying your own water, boil water for a minimum of five minutes
Never have ices in you drinks
2 Is all bottled water safe to drink?
Don’t be fooled to thinking bottled water is safe to drink. Why do you think it is so cheap in some places!! Even expensive water may not be safe. Just think of the concept of spring water. Is it straight from the ground unprocessed?
This goes for other types of water suggesting it comes from mountains, glaciers rainforests and the list goes on. Just remember, not only is our water catchment polluted, it is also our ground water and all the other environments. Much of our wildlife has some form of bacteria they pass.
Bottled water does not equal safe drinking water. It just means you paid for water
There is little or no regulations in many countries about what should or should not be included in bottle water. Did you know in the US it is legal as defined by the US’s FDA that it is legal to just fill plastic bottles straight from the tap and resell it without any water cleaning?
In poorer counties they just refill the bottle and reseal the bottle. In western society this can be seen as unscrupulous but in third world countries it as seen as survival.
Bacteria and cysts can be dormant and un-infectious in water under certain conditions but be activated or triggered by temperature changes. As often the case for bottled water, it stored in warehouses for months without any temperature control. The variation of temperature from cold to warm to hot may activate Giardia or Cryptosporidium or other bacteria. At certain high temperatures bacteria; and cyst growth may start and exponentially grow in numbers making it a catalyst for infectious water.
Unless it is a reputable brand of water and you are buying from a reputable sales outlet be extremely careful and don’t take the risk?
The final tip about bottled water, don’t buy bottled drinks that are kept cool in ice/water slurry in cold chests. Purchase only from refrigerated cabinets.
3 Moderate you diet
When travelling, especially overseas, you need to avoid the temptation to overdosing on exotic foods that you are not used to. Your body WILL react!
Remember only small portions, volumes and frequency of the exotic foods in the first part of your stay. Just take it gradually until your body has adapted to it. This will vary from person to person by will take several weeks as a minimum.
Always remember, never drink tap water
4 While on vacation only eat peeled fruit
All commercially available fruit, maybe except for “organic” fruit have pesticides and insecticide spayed on them to protect them from being ruined. In most cases, fruits are washed by water before being supplied and purchased by the consumers.
The water used to clean the fruit is normally just tap water. If the water has any traces of water of bacteria or cysts it will be transferred onto the fruit. Even if the water has evaporated, the bacteria and cysts will live on the surface of the fruit.
So while on Vacation, only eat peeled fruits.
5 Don’t eat uncooked salads or under cooked food.
The second most common way to contract diarrhoea is through contaminated food. There are a range of risky food groups and situations that you should be aware; include
- Uncooked side salads. The salads are normally just washed under tap water. Be aware even if they wash their salads in bottled water (Should you be have serious cravings for salads, purchase your own vegetables, then you are in control of cleaning them correctly)
- Don’t eat raw vegetables
- Only eat fruits that you can peel, such as bananas and oranges.
- Make sure meats(any kind and particular chicken) are well cooked
- Do not eat raw seafood in any developing nations. Be careful for cooked shellfish or fish. Make sure you can see it being cooked and not reheated
- Only drink and eat pasteurised dairy
- Don’t eat from dodgy street food vendors, avoid the temptation
- Only eat freshly cooked food. NEVER eat reheated food
- Don’t eat a food buffets.
- Avoid cold salsas and sauces.
Be cautious to where you eat. It is better to eat from a higher grade popular eating place that somewhere it is full of people rather than only have virtually no-one in the restaurant.
6 Have good hygiene
A great way to preventing diarrhoea is to have good hygiene practices, more so when away from home. There is a higher risk of becoming ill away from home because of individuals immune levels are less tolerant to different type’s bacteria, viruses and cysts.
How often do you hear of whole travelling groups becoming ill all at once? This is because it is so easily spread. The most common way to contract the illness is through you mount or breathing it in.
Some tips for good hygiene while traveling include:
- Don’t place your hands in your mouth or on your lips without cleaning your hands
- Clean your hands often and use alcohol wipes
- Don’t place anything in your mouth
- In people are sick around you, use a face mask.
- Thoroughly wash your hands and wrist with warm water and soap. In particular before preparing or eating a meals
- If you shave use safe clean filtered water to clean the razor blade. ( You may get a rash)
- When drinking from a glass, make sure the glass is dry before placing liquid into the glass
- Only eat from high reputable high quality restaurants or eatery establishments
- Wash your hands thoroughly after going to the bathroom. If you need to touch the door handles when leaving use a paper towel or toilet paper. Remember not everyone has the same level of cleanliness.
- Don’t use plastic straw as they may be recycled.
7 Avoid using hotel tap water to clean teeth
Having commercial grade water cleaning (filtering and purifying) systems in establishment is an expensive exercise to install and just as expensive to maintain. Without maintenance, the water purifying and filtering systems quickly degrades.
One of the most difficult aspects of the maintenance is the monitoring and to know how effective clean the systems.
8 Keep your mouth shut the shower
This is probably stating the obvious. Keep your mount shut and don’t lick your lips when in a shower. This sounds easier than you think, since it a natural reaction for all of us. Try it at home.
Tip: Get a laminated sign and place it in the shower when you get into your accommodation. It’s a great reminder
The risk of getting in a shower is significantly less as the hot water normally making hard for the bacteria and cysts to survive.
Just remember it only takes one drop… Be cautious all the time.
9 Be careful at swimming pools
A major source bacteria and cyst growth is in poorly kept swimming pools. Swimming pools are very expensive to maintain. Bacteria and cysts cannot be seen in water by the human eyes. The water can look clean and safe to swim in, but may in fact infest by deadly and contagious bugs.
As humans are the carrier of the infectious bacteria and cysts, if they are in the infectious stages it can be easily be transferred into the pool,
Where a pool is properly maintained and not excessively used, the chemical is the pool will kill off the bacteria, making it is relatively safe to use.
Should a hotels and resorts do not use the recommended dosages and level of chemical cleaning it does significantly increase the risk of transference between people in the pool.
Just be aware of the look of the pool and how crowded. If it is overcrowded, avoid going in for a swim.
10 Do not rely on iodine or chlorine tablets to effectively remove bacteria from your water.
One of the most common methods to purifier water on the move is to use an iodine or chlorine tablet. This has been one of the major products used I the last 50-70 years. It is quite effective as have proven over and over again.
- The chlorine and Iodine tables are known to be effective against hard shelly cysts!
- Iodine tables have been banned in Europe.
- Chemical have an adverse and detrimental for people in the thyroid conditions
The chemical concentration levels used in portable situations are normally of low dosage. At these levels they are ineffective against Cryptosporidium and Giardia cysts.
Even when using chemical tables, do the chemicals get to every drop on side of the drinking vessel?
Even the US Military have written about the adverse recommendation
11 Avoid drinking locally made soft drinks or local beer and where there are known water problems.
I am sure it is to your surprise processed drinks like beer and soft drinks can contain bacteria and cysts. You may ask how? Those industries are not necessary geared to filter and purifier water used in making the soft drink, alcoholic drink or beer. In addition, with the added sugars and yeast added this helps provides a catalyst for bacteria and cysts. As well taking into account that bacteria and hard shell cysts are able to survive in ice and warn hot water. Bacteria and cysts in water can survive in living in ice (up to -40⁰ C) and water temperatures to 60⁰ degrees Celsius
This occurs more prominently in developing countries where there are less regulations and standards and water quality.
A few tips when drinking alcohol in foreign countries is to be careful and only;
- Drink only imported bottles of beer
- Drink spirits without ice
- Don’t buy bottled drinks that are floating in ice water. (the ice water may have infested bacteria and cysts)
12 Should I Carry you own Toilet Paper?
When traveling always carry, I mean always carry your own toilet paper. It is more than likely there will be none in public bathrooms or toilets.
Using public bathrooms or even in some restaurants, no matter in a 3rd world, developing or developed country, it is more than likely the bathrooms are not very comfortable, clean and hygienic and likely in not have toilet paper.
In poorer nations, people sell toilet paper as you enter the public toilet. The probability of finding a clean hygienic bathroom goes down exponentially with the level of wealth of the Nation.
Remember bring your own toilet paper.
13 Tavelling with Children –Protecting them against Dysentery
Young children are more susceptible to getting any one of the bacterial or cyst infections. Children tend to place things in their mouth a lot more than older people. It’s just they are more inquisitive. They can’t help themselves!
- In addition to all the other tips, here are a couple more;
- Avoid children crawling around the floor
- Wash their hands more important
- Have alcoholic wipes to clean their toys
- Use filtered water to make up their formula’s
- Boil their drinking vessels for least 5 minutes
18 In Conclusion
There is a fair bit of information provided in this article.
Feel free to send comments to Info@GoFreshWater.com
As summary, remember there is a 50% chance of getting dysentery or Traveller diarrhea, if you don’t any precautions. Obviously not! Just remember to do a few simple things and avoid doing others and you should be fine.
How do I know if you got Bali Belly, Delhi belly and Peru poos, Montezuma’s Revenge?
Within 4 hours of digesting an infectious bacteria or cysts your body will start reacting. It will be quite violent in nature, severe stomach cramps, runny diarrhoea, vomiting and fever.
In most cases it last for a minimum of 24-48 hours and in most cases if not treated quickly will last for many more days. It is not just an inconvenient and uncomfortable event. Often other side effects include dehydration, weakness, strained stomach muscles, sore anal areas from all the wiping and being lethargic. If diarrhoea lasts for a couple of days it may lead to bloody stools as well.
Remember always seek medical advise
On the worst cases and at the other end of scale, pardon the pun, it has an major impact of the human body’s digestive system causing internal bleeding and internal infections, causing blood and mucus to come out in your feces. If unattended, your body will become dehydrated and the infection will spread. Unattended, severely cases of diarrhea can have extreme long term effects and in the most situations can be fatal
It is not uncommon to hear people loosing 30% of the their body weight in severe cases.