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Hope.edu

Traveler’s Diarrhea (TD) is the Most Predictable Travel-Related Illness! Eat foods that are
Use only water that is
well cooked and
Eat food from street
sealed & bottled,
Drink Tap water OR
served steaming
vendors or market
chemically treated, or
rinse your toothbrush
boiled - for drinking &
in tap water.
brushing teeth.
Eat breads,
Drink beverages
tortillas, crackers,
made only with
Use ice unless it is made
biscuits & other
Eat leafy or uncooked
boiled water (hot
from boiled, bottled, or
baked goods.
vegetables.
tea/coffee).
purified water.
Eat fruits, nuts &
Drink canned, boxed
vegetables with
Eat undercooked, raw,
or commercially
Assume that water is
thick skins, peels or
or cold meat, seafood
bottled carbonated
safe because it is
shells that you
water & drinks.
chlorinated
remove yourself.
Eat/drink unpasteurized
Drink fruit juice unless it
dairy products such as
Carry safe water
comes directly from a
Eat canned foods.
cheese, yogurt or milk,
with you if you are
sealed container;
mayonnaise, salad
going out for the
otherwise it may have
dressing, salsas, creamy
been diluted with tap
desserts, custards.
You can decrease your risk by about 60% by using Pepto Bismol on a daily basis when you
travel. (Do not use for more than 3 weeks. Do not use if you have an allergy to aspirin, renal insufficiency or
gout. Do not use if you are taking anti-coagulants, probenecid, or methotrexate. Do not take with Doxycycline. Side effects are minimal and may include temporary black stools or a black tongue.) Pepto Bismol
2 ounces of liquid
Take 4 times per day
(bismuth subsalicylate)
(4-6 hours apart)
2 tablets
Imodium (loperamide) - 2 tablets
Seek Medical Care if not
Mild loose stools
at initial episode and 1 tablet with
resolved in 48 hours or
(3-4 in 24 hours)
each reoccurring episode.
development of fever &/or
(Maximum of 4 tablets per day)
bloody stools.
Severe Diarrhea with intense
cramps, nausea, bloody stools
Do Not Self-Treat!
Seek Medical Care!
and/or fevers.
Do Not take Imodium

Source: http://www.hope.edu/admin/healthcenter/travelers%20diarrhea.pdf

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