traveler’s diarrhea

You may be spreading antibiotic resistance while traveling

The health problems associated with taking antibiotics too often have grown beyond the risk of having them not work when you really need them. Recent studies have found exposure to antibiotics can increase your odds of colon cancer and reprogram your baby’s gut microbiota for the worst.

Unfortunately, antibiotics like ciprofloxacin (Cipro) have been the go-to drugs for people traveling overseas to avoid traveler’s diarrhea, a very popular topic we’ve discussed often in this space. A recent study published in Clinical Infectious Diseases underscores the health risks associated with taking too many antibiotics, leading to the spread of superbugs.

Finnish researchers collected stool samples and surveys from 430 travelers before and after their trips abroad in hopes of finding traces of extended-spectrum beta-lactamase (EBSL), an enzyme generated by the Enterobacteriaceae group of bacteria that produces resistance to many common antibiotics.

The numbers alone signal grave problems from antibiotics. Overall, 21 percent of travelers to tropical and subtropical areas (90 patients) contracted EBSL-producing bacteria during their trips.

The group most affected by antibiotic-resistant bacteria was the 80 percent of Finnish travelers who visited Southern Asia, followed by Southeast Asia, East Asia, North Africa and the Middle East.

According to scientists, the huge health problem was that although those 90 travelers didn’t develop infections while on vacation, they could have spread superbugs when they returned home. Had the number of infected patients been a little larger, detectable symptoms would’ve been found.

“More than 300 million people visit these high-risk regions every year, “says lead study author Dr. Anu Kantele in a press release. “If approximately 20 percent of them are colonized with the bugs, these are really huge numbers. This is a serious thing. The only positive thing is that the colonization is usually transient, lasting for around half a year.”

Should travelers face diarrhea on the road, Dr. Kantele suggests drinking plenty of fluids, using over-the-counter medications to relieve mild symptoms and only seeking medical attention for severe problems.

Interestingly, an accompanying editorial cited prebiotics and probiotics as non-antimicrobial measures to beat traveler’s diarrhea. Taking a multi-strain probiotic, like EndoMune Advanced Probiotic or EndoMune Advanced Junior (for kids), at least two days before going on a long-distance trip can boost your immune system and maintain the natural balance of bacteria in your gut.

Should you need an antibiotic for any reason, please take a probiotic as well. Follow a two-hour gap between taking an antibiotic and probiotic, as this will reduce the likelihood that the drug will deplete the live, beneficial bacteria before they’ve had a chance to do their work.

Traveling this holiday season? 6 ways to avoid traveler’s diarrhea


With the Christmas/New Year’s holidays nearly upon us, the “trendy” gifts aren’t big-screen TVs or tablets waiting under a tree to be opened. Material things are taking a back seat to something new: Large families taking long-distance trips to far away places across the ocean, according to travel experts.

Traveling with a large contingent of your family, for instance, on a jungle expedition to the other side of the world conjures thoughts of once-in-a-lifetime memories. One of those recollections that will stay with you forever, however, should not be the days you spent sick with traveler’s diarrhea.

Unfortunately, traveler’s diarrhea is the most common ailment travelers face, affecting as many as half of all Americans traveling to international destinations. Although traveler’s diarrhea may happen any time — even after returning home — the CDC warns the onset usually starts during the first week of your trip.

The symptoms of traveler’s diarrhea — frequent trips to the bathroom, loose stools, nausea, cramping, bloating and fever — are abrupt, meaning they won’t sneak up on you. Although traveler’s diarrhea is rarely life-threatening, most incidents are resolved in a week, just enough time to ruin your dream trip.

The following precautions should do the trick to help you and your family sidestep traveler’s diarrhea and make your trip a healthy one.

The Six Ways to Avoid Traveler’s Diarrhea

1. Be sure you and your loved ones are current on all of your vaccinations. You may also need to be vaccinated for diseases (Hepatitis A and B and Typhoid) that aren’t found in North America.

2. The popular warning “don’t drink the water” should also include avoiding unpasteurized dairy foods (milk and cheeses), fruit that hasn’t been washed and peeled and cooked foods allowed to cool. Also, don’t chill your drinks with ice that may be produced with unclean water.

3. Keep your hands as clean as possible with simple soap and water, especially before a meal. Travelers should also stay away from touching their mouths, faces or any mucous membranes with their hands as much as possible during their trip, according to the CDC.

(A warning: A proposed rule under consideration by the FDA would raise the burden on manufacturers to prove their antibacterial soaps prevent more infections than simpler soaps.)

Watch For Bugs!

4. Because diseases can be spread due to mosquito bites, consider using insect repellants made with DEET or picaridin.

5. As a preventative measure, some medical experts have suggested prescribing antibiotics in the past. However, those same experts are thinking twice, considering all the problems connected with increased antibiotic resistance and eradicating the balance of beneficial bacteria in your gut.

6. A growing number of studies have found consistently taking a probiotic at least two days before a long-distance trip can boost your immune system naturally, and help you and your family avoid traveler’s diarrhea.

For healthy adults, taking a probiotic formulated with multiple strains of bacteria like EndoMune on an empty stomach about a half-hour before eating your morning meal may boost your immune system and promote optimal gut health.

Also, if you must take an antibiotic on the road, be sure to delay taking a probiotic by two hours. Doing so will reduce the risk of antibiotics destroying the live, beneficial bacteria contained in a probiotic that preserve and protect your gut health.

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