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THE ESSENTIAL GUIDE TO AVOIDING BALI BELLY

INSIDE: Complete Guide to Preventing Bali Belly & Tips for a Quick Recovery. 

Can you imagine my shock when what I thought was a harmless little fart turned into an unstoppable flood of runny poo?

It happened on our walk back up the hill to our driver and his car at Padang Padang beach.

And while the Gods shone their light on me with a public toilet less than 100 metres away, the panic didn’t stop there.

NO TOILET PAPER.

Can you imagine the HORROR

Read on for the whole story… 

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padang padang beach pic

What is Bali Belly?

A Real Life Horror Story

Nope, this toilet had nothing but a bucket of dirty water to flush the toilet with, and an impulsive four-year-old (hopefully) waiting for me outside the toilet door.

The only thing to do was stagger to the car to get the half-a-toilet-roll I’d stashed in my backpack that morning, and waddle back to clean myself up without too many people noticing my predicament.

Horror of horrors!

The diagnosis was Bali Belly, that revolting illness that gives you serious tummy cramping pain and diarrhoea, and can lead to dehydration.

Some call it Travellers Diarrhoea but it goes under the name:

  • Montezuma’s Revenge
  • Delhi Belly
  • Peru Poops
  • Tourist Trot, and the
  • Jamaican Runs too.

This kind of explosive runny poo combined with hard-core tummy pain is the number one fear of family travellers.

No-one wants their family vacation ruined by an unfortunate case of the poo horrors, especially when you are bound to the confines of the hotel room with little kids, or when dehydration becomes a real thing.

In countries like Bali, finding a clean western toilet that the kids will actually use is also hard enough at the best of times, BUT when Bali Belly threatens, finding a clean toilet becomes a matter of life or death (especially for mums and dads!)

Hot tip: This is why we travel with a couple of disposable pull-up pants for the kids in the suitcase.

These things can be a lifesaver for Bali Belly, long after your kids are toilet trained up to age 4 or 5, or so, especially if you’ve got to catch a plane when the dreaded Bali Belly hits.


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bali food borne illness pic

Image credit: H. Faqih via Wikipedia CC BY-SA 4.0

THE INSIDE SCOOP: What causes Bali Belly?

The following information must be viewed as a guide only. It is not intended, nor implied to be a substitute for professional medical advice. Visit your local doctor for up-to-date information about safe travel to Bali, India & Asia. Correct at time of publication on Roam the Gnome. We apologise in advance if there have been any changes to protocol or medical advances we are unaware of. All prices in AUD dollars, unless otherwise stated

Bali Belly is caused by improper hygiene, and a lack of environmental sanitation.

These circumstances allow harmful bacterias such as E. Coli to spread.  

Travellers can get Bali Belly by ingesting unhygienic or contaminated food, exchanging money, and from eating undercooked or raw food or salads that have been washed with contaminated water.

Drinking, or swimming in, contaminated water can also lead to Bali Belly if water gets into the mouth or nose.

Harmful bacterias enter your digestive system by these means, and set off a chain reaction.

brushing teeth in water by bruno pic

Image credit: Bruno via Pixabay

About Bali with kids? 

Travelling with kids, there’s two extra issues to deal with.

No.1: Kids touch everything

The first one is that many (most?) young babies, toddlers and some preschoolers have a tendency to touch EVERYTHING in their sight.

Then at some point, they put those hands and fingers into or near their mouths.

Even the most diligent parent can’t always find hand-sanitiser or get to a hand washing basin in time.

No.2: Kids love water

The second one is that it’s really, really difficult for toddlers, preschoolers and even some older children to have a shower or bath without getting any water in their mouths.

It’s also a bit tricky for kids (and adults) to remember to use bottled water to brush their teeth every single time.

Especially when their habit is to simply turn on the tap and brush their teeth over the sink.

It’s wise to travel with a medical first aid kit (see below for a guide) just in case anyone in the family is struck down with Bali Belly.

Bali Belly symptoms. Pexels image credit - /photo/hand-on-forehead-sick-sick-baby-420513 pic

Image credit: Pexels CC BY 1.0 (600)

Bali Belly Symptoms

The symptoms of Bali Belly vary from person to person but generally include:

  • Abdominal bloating, cramps and pain.
  • Nausea and/or vomiting.
  • Urgency/frequency in going to the toilet.
  • Diarrhoea.
  • Mild temperature.
  • General malaise (weakness or discomfort) from infection

If you or your children pass blood with the diarrhoea, or have bad stomach cramps or a fever above 38C, DO NOT take any anti diarrhoea medication.

See a doctor immediately who may need to give you Bali Belly antibiotics.

How long does Bali Belly last?

Bali Belly usually lasts between one to five days, with loose watery stools and mild stomach cramping usually improving by the second day.

Some people experience a slight rise in temperature, nausea, or vomiting.

But in general, other than ‘cramping’ your holiday style, most people find their body is good at overcoming this illness quite quickly without much intervention.

Prevention is way better than cure though.

PIN 1 - bali belly sick in bed 800

Best 15 Tips on How to Avoid Bali Belly 

Bali Belly prevention is the key to avoiding Bali Belly.

These travel tips are not 100% foolproof BUT they will definitely put you and your kids on the right track to prevent Bali Belly.  

These are the rules both we, and other seasoned family travellers we know, stick to in developing countries like Bali and throughout Asia and India especially. 

No.1: Wash hands frequently

Washing hands before and after every meal is key.

(If you can’t wash them, use hand sanitiser).

Remind your kids often.

No.2: Wash hands after the toilet

Washing hands after using the toilet is important too, of course.

Obvious, but not always obvious. 

No.3: Boil your drinking water

Boil tap water for at least 10 minutes before drinking it.

If you can’t do that, drink bottled water only.

No.4:  What to drink in Bali

It’s safe to enjoy hot drinks such as tea and coffee, and drink pre-packaged drinks such as bottles and cans of soft drink, fruit teas etc.

Wipe down the bottle and the lid before you open them.

Only buy drinks from a refrigerated cabinet, not from an esky where the drinks may been sitting in non-hygienic ice.

No.5: Eating salads in Bali

Avoid salads that may have been washed in contaminated water.

The best bet is to order salads in reputable restaurants, where you know the standards in the kitchen are high. 

No.6: Eating fruit in Bali

Always peel your own fruit (or wash it in bottled water)

Do try ALL the tropical fruits!

You might even like to join in a fruit carving workshop too. 

image- warung rekreasi

No.7: Take a good look around

Look at the state of the restaurant before entering.

If it’s busy (especially with other tourists), and the staff present well, and the restaurant surrounds are clean, it’s likely to a good place to eat.

Avoid anywhere where there are animals or pets in the direct vicinity. 

No.8: Ask for Bali restaurant tips 

Ask for referrals from your friends and family as to the best places to eat in Bali.

Or ask fellow visitors, when you meet them on the street, at the markets, or on a tour, for their best restaurant recommendations in Bali. 

Everyone has their favourite restaurant in Bali – one they go back to again, and again, and again. Find out what it is. 

No.9: Food to avoid in Bali

Only eat fresh, HOT food.

If it’s lukewarm when it arrives at your table, send it back.

Don’t risk diarrhea in Bali from food that’s been sitting around too long. 

No.10: Listen to your gut

 If it looks dodgy, don’t eat it.

No.11: Avoid seafood entirely.

Unless it’s at a 5 star hotel, or one of better known restaurants in Bali. 

No.12: Brush your teeth with bottled water only.

Don’t forget!

image - bali belly bath pexels-elly-fairytale-3865696

Image credit: Elly Fairytale via Pexels

No.13: Keep your mouth closed when showering.

For kids under 8, we recommend the bath only.

Remind the kids regularly NOT to drink the water.

No.14: Will Probiotics help Bali Belly?

A probiotic is a food or supplement with live bacteria, that can help maintain gut health. 

Many frequent travellers to Bali recommend drinking a Yakult every morning, and swear by Pocari Sweat or Mizone sports water drinks for rehydration.

Prebiotics are always useful too. 

These are dietary fibre that bolster the friendly bacteria in your gut. 

Think garlic, onions, leeks, bananas, oats, apples, cocoa, seaweed, wheatbran, and flaxseed. 

No.15: Buy a few travel-sized bottles of hand sanitiser.

Thankyou have a Antibacterial Lemon & Lime Hand Sanitiser with Aloe Vera & Vitamin E.

It’s fairly natural and smells better than other brands we’ve used too.

Best Bali Advice

You can’t go wrong with this bit of advice:

 “Boil it, cook it, peel it, open the bottle yourself… or forget it”

green tea drink with ice pic

Image credit: Pxfuel via CC0

FREQUENTLY ASKED QUESTIONS:

No.1: Is it safe to have ice in my drinks in Bali?

For years, the basic advice in Bali has been to refuse ice in drinks, as the ice may have been made with contaminated water.

However, it’s now law in Bali that hotels and restaurants must use hygienic ice cubes.

So, if you are eating at a well-known restaurant or chain such as McDonalds or Bubba Gumps, or staying in an established hotel, it’s fine to take ice in your drinks.

We suggest avoiding ice in warungs, roadside stalls, and those popular pop-up “bars on the beach” as the risk is higher and uncontrolled. 

Buy your bottled drinks from refrigerated cabinets only.

Never drink from a bottle that has been cooling in an ice box – that ice is highly likely to be unhygienic.

washing hands pic

No.2: Is Bali Belly contagious?

To be on the safe side, assume yes.

Be very careful when cleaning up after children’s vomit and diarrhoea to avoid being the next one struck down.

Wash your hands with soap and water, or hand sanitiser if you are out and about, regularly.

No.3: Does Bali Belly make you vomit?

Not usually, but everyone is different.

Children are more likely to vomit when they are ill with any bug. 

No.4: Does Bali Belly give you a fever?

It can. Fever is another one of the body’s defences for tackling the bug, so it’s normal. 

Be sure to drink lots of water, and rehydrate as above. 

No.4: Which red cordial for Bali Belly?

There’s a myth or urban legend that drinking red cordial helps prevent Bali Belly.  (Apparently, the pig farmers use this in the pig’s water to prevent illness) 

The cordial MUST include natural raspberry juice in the ingredients.

If you want to try this for yourself, the best option is Cascade red cordial as it has the highest percentage of raspberry, 25%.

Anchor Red Cordial or Cottees red cordial have less than 10%. 

The idea is to drink a straight shot of the cordial when you wake up, before breakfast, as a preventative. 

No.5: Can Bali Belly come back?

For some people, the bug that causes Bali Belly remains in the digestive tract and cause ongoing problems.

See a doctor if it doesn’t clear up within a few days, or it returns within a week. 

bali belly yakult pic

Image credit: yakult.com.au

How to prevent Bali Belly

Best Bali Belly Prevention Medication

We pack a fairly substantial first aid kit of medicines for Bali (and other hot, humid or populated places like it, including Thailand, Vietnam, Cambodia, Malaysia, India, Peru, and South America where the language barrier, and proximity to a good doctor or hospital may not be the same as home).

When in Bali, we drink a Yakult probiotic everyday as a Bali Belly preventative.

Find them in the local minimarts and supermarkets.

We also take ONE or the other of the natural medicines listed below in our Bali First Aid Kit.

We start taking the tablets three days BEFORE we arrive in Bali to lay the foundation of gut health.

NB: Do see your doctor before taking any medication. This is information on available products only. 

No.1: Travelan

Travelan is a clinically proven natural medicine that adults take with meals to help PREVENT Bali Belly. 

Travelan is not indicated for use in children under 6 years of age except on professional health advice however the active ingredient has been approved for use in children over the age of 12 months.

If you choose to use it with young children, Travelan suggests breaking the tablet in half or give it as a powder.

Travelan must be taken before EVERY meal.

OR

No.2: “Travel Bug” from Ethical Nutrients

This natural medicine reduces the risk of diarrhoea and relieves/treats diarrhoea in both adults and children from 3 months old when travelling.

Store it in the hotel or villa fridge.

Travel Bug is taken once a day.

image - bali belly ginger tea

How to get rid of Bali Belly – the Bali Belly cure for kids and adults.

The best Bali Belly cure is rest and rehydration.

But no-one wants to waste a day or two laid up in their hotel room or villa when there’s adventures to be had, so it’s time to bring out our list of the top Bali Belly remedies we’ve found.

Best Treatment for Bali Belly

Here are five of the best Bali Belly treatment options 

No.1: Herbal Teas

Sip lukewarm herbal teas such as Ginger, Camomile, or Peppermint tea.

Avoid milk in tea.

No.2: Drink bottled water.

Maintaining your fluid intake is vital.

bali-belly-hydralyte-tabs-pic

No.3: Top up your Electrolytes 

Put a packet of Rehydration Tablets in your first aid kit- it’s essential.

We take Hydralyte Electrolyte Oral Dehydration Tablets in orange flavor with us. They also come in Berry flavor.  

These are scientifically formulated to replace water and electrolytes lost due to vomiting, diarrhoea, heavy sweating, and vigorous exercise.

Drink this as soon as possible to reduce the chance of dehydration.

In Bali, you can also buy isotonic sports drinks like Gatorade or Pocari Sweat from the local convenience stores:

  • Circle K
  • Alfamart
  • Indomaret, or
  • the bigger supermarkets such as Carrefour or Bintang.

homeopathics first aid kit 800 pic

No.4: Homeopathics 

Homeopathic remedies may be your only alternative for vomiting children under 12, and stomach pain in children under 6.  

We carry a Homeopathic First Aid kit everywhere just in case and use the appropriate remedies.

No.5: Anti-diarrhea medication for adults

Adults can take medication to relieve vomiting and diarrhea. See our Bali Belly first aid checklist below.

A popular remedy for locals and expats in Bali is to take Norit Activated Charcoal tablets as a remedy for diarrhoea and food poisoning. 

Activated charcoal tablets are a natural product that absorb toxic substances in the gastrointestinal tract.

Normal dosage is six to nine tablets taken three times a day but read the label or ask the pharmacist.

They can be found in most minimarts and also at the apotek (pharmacy).

Here’s a list of Bali chemists you can try. 

bali belly BRAT DIET - toast pic

Image credit: PXhere CC BY 1.0

No.6: Try the BRAT Diet

For kids (and adults too), it’s time to go back to the BRAT diet.

It’s basically:

  • Bananas
  • Rice (plain white or brown)
  • Applesauce
  • Toast.

It’s a well-known remedy for dodgy tummies.

Dry toast with a scrap of butter is a cure-all and something we still remember from childhood.

Hot tip: In Bali, head to McDonalds and buy their ‘wrapped ball of rice’.

It’s plain white cooked rice, shaped like a burger, with no additives or any nasties.

It’s a helpful budget food staple when you can’t cook a pot of rice yourself. 

You can also slowly add:

  • Breads – specifically plain toasted breads
  • Pastas
  • White potato
  • Yogurt
  • Flat lemonade
  • Ginger candies

Stay away from all other dairy products, street food, and fruits including:

  • peaches
  • pears
  • prunes
  • plums
  • apricots, and
  • stone fruits.

When you start to feel better, a small cup of cold watermelon juice is said to help with rehydration also, and the sweet taste is just perfect to get the kids drinking again.

After a bout of Bali Belly, the best cure is to eat plain and simple for the rest of your trip.

first aid kit for bali belly pic

Roam the Gnome’s Bali Belly First Aid Kit

Aka, the Big List of Things to Take to Bali 

**Always seek medical advice from your doctor before taking any new medication**

Our first aid kit for Bali Belly that we bring from home includes these products.

Click on any of the blue links below to buy direct from Amazon now:

  • Hydralyte tabs in orange or berry flavor.
  • Kids Advil Ibuprofen fever reducing medication, Children’s Motrin, or Infants Tylenol.  (From Australia, bring children’s panadol or nurofen)
  • Buscopan for relief from cramping pain – for adults and children over 6 only. Read the safety leaflet before use.
  • Peppermint Oil Capsules for natural relief from cramping pains – for adults only. Not recommended for children
  • Imodium or Lomotil – for diarrhoea relief in adults and children over 12 years
  • Chamomilla homeopathic pistules for digestive and stomach upsets and diarrhoea. Safe for adults and children.  
  • Nux vomica homeopathic pistules for nausea, vomiting, and travel sickness. Safe for adults and children.

Homeopathics can be bought individually or in a homeopathic first aid emergency kit. 

image - guardian bali chemists 800

Finding Chemists in Bali

In Bali, there are two main chemists. 

No.1: Guardian Chemists

Guardian pharmacies can be found in the major towns and tourist areas.

This is the most visible pharmacy chain in Bali. 

No.2: Kimia Pharma

Kimia Pharma is the other chemist chain.

But you can find Balinese chemists (drugstore, pharmacies, ‘apotek’) all over the place.

Where to find medicine in Bali? 

Common medicines and remedies for Bali Belly can also be found in or near the large supermarkets such as:

bali belly BIMC-Hospital-Kuta-Bali-Hospital pic

When in doubt, see a Doctor. 

If you or your children do not seem to be getting better within a day or two, or you have concerns, see a doctor at the local BIMC hospital.

It’s where the expats go when they need to see a doctor as it has a reputation for being clean and professional.

Both the BIMC hospitals and the International SOS clinic are western owned and operated, and are well located for access from Kuta, Nusa Dua and Sanur.

Here is the list of hospitals recommended by the Australian Consulate too.

bali street pic

Bali Belly After Returning Home

If you experience Bali Belly diarrhoea for the first time after you return home, or it continues, see your doctor.

Be sure to tell them you recently returned from Bali, and ask them to organise tests.

Your doctor will identify the cause of the illness and provide you with appropriate treatment.

I love bali sign at seminyak market pic

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Mike

Wednesday 11th of September 2019

Consider Cottees red Raspberry Cordial as a preventative for Bali Belly. Whilst it could be considered an old wives tale, I'll fill you in on some research from the University of WA. A Winthrop Professor did a thesis paper on this a few years ago and his findings were interesting.

Drinking strong Raspberry cordial before eating coats the stomach and intestines, preventing e-coli from attaching to nodules (from memory that's what they're called). It means the bacteria pass through much quicker. I have a very weak stomach, and I have this before every meal when visiting Bali, the worst I have had is some loose stools, I've never had stomach cramps.

I'm sure someone will refute this, but I remember sitting in the UWA club having lunch with him explaining this to me, the inability for bacteria to adhere to the stomach/intestines made sense. There was also something about it being Raspberry too.

Amber

Wednesday 11th of September 2019

I have heard that Mike! Glad to hear it works for you. My 6 year old would LOVE that Bali Belly prevention medicine! Have a great day. :) Amber


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