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Sao Tome - Travelers Diarrhea

Traveler's Diarrhea


What are the main causes of traveler's diarrhea?

The causes of diarrhea are varied and can include bacterial, viral or protozoan pathogens. In most cases, diarrhea is transmitted through contaminated food and drinks and through contaminated hands.

What is the best way to protect yourself from traveler's diarrhea?

The best way to protect yourself from diarrhea is to maintain good hygiene and wash your hands thoroughly. It is often recommended to follow the rule "cook it - boil it - peel it - or forget it"

These practices can reduce the likelihood of getting diarrhea, but cannot completely prevent it.

What risk do local restaurants pose?

Studies have shown that the hygienic conditions in local restaurants are the biggest risk factor for traveler's diarrhea. Ice cubes, open ice cream, salads with mayonnaise, shellfish and other undercooked or raw foods should generally be avoided, as they are often contaminated with germs or have already been thawed and refrozen.

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Symptoms of Traveler's Diarrhea


What are the symptoms of traveler's diarrhea?

Traveler's diarrhea often begins suddenly and manifests itself in gastrointestinal complaints such as nausea, abdominal pain, diarrhea, vomiting, abdominal cramps or fever.  Diarrhea typically begins 3 to 6 hours after eating.


Treatment of Traveler's Diarrhea


What helps against traveler's diarrhea?

If diarrhea occurs, it is important to replace the lost fluids and excreted minerals quickly and continuously. A suitable remedy for this is mineral water and an electrolyte powder (from the pharmacy) that can be dissolved in water and drunk. If the diarrhea is very severe or you want to go on an excursion, you can also take an anti-diarrheal medication.

How long does traveler's diarrhea usually last?

The symptoms usually disappear on their own after two to three days and no specific treatment is required. It is important to quickly compensate for the loss of fluids and electrolytes by regularly drinking sufficient amounts of original sealed mineral water and taking electrolytes (e.g. Elotrans, Oralpädon).


What should I do if I get travelers' diarrhea?

There are important steps to take: 

Stay hydrated: Drink plenty of fluids to prevent dehydration. 

Oral rehydration solutions (ORS) can be utilized for fluid replacement, especially if diarrhea is severe.

Consider over-the-counter medications: Drugs such as loperamide can help reduce the frequency and urgency of your symptoms, allowing you more comfort while traveling.

Use antibiotics judiciously: Consult with your doctor about using antibiotics. These should only be taken for severe cases of diarrhea and as directed by a healthcare professional.


Diet for Diarrhea on Vacation


What should you eat if you have diarrhea on vacation?

It is important not to avoid food completely. Cooked foods rich in carbohydrates such as cereals, pasta, rice or potatoes are particularly suitable. Bananas can also help to rebuild the body. You should avoid very fatty foods and possibly also dairy products, as they can cause further gastrointestinal problems.


When should you see a doctor?

If the diarrhea persists, a doctor should be consulted. In children, depending on the severity of the diarrhea and the water loss, a doctor should be consulted immediately.

Drinking water in Sao Tome 


Q: How safe is drinking water in São Tomé and Príncipe?

A: The Drinking water in São Tomé and Príncipe can pose safety concerns. it is advisable for travelers to exercise caution.

Q: What is the best option for drinking water when traveling in São Tomé and Príncipe?

A: It is recommended to consume bottled water, which is widely available in stores and hotels. Always ensure the seal on the bottle is intact before purchasing.

Q: Are there any other precautions to take regarding water consumption?

A: In addition to drinking bottled water, travelers should also avoid ice made from tap water and be cautious when consuming drinks from vendors, ensuring that they are prepared with safe water.

Q: What about water used for brushing teeth and washing fruits and vegetables?

A: It is advisable to use bottled or purified water for brushing teeth and washing fruits and vegetables to minimize the risk of waterborne illnesses.

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