Staying Healthy Overseas

Safety overseas is a major preoccupation with American travelers. Being sick in a strange land can cause anxiety. I can offer some advice for what used to be the most worrisome part of travel back in the "good old days"-diarrhea.

Some, perhaps most, U.S. travelers would be surprised to learn that foreigners who come to the U.S. often experience stomach disorders. Water is often blamed as the likely culprit. Obviosuly, water is the easiest conduit for the introduction of unfamiliar microbes into our systems. But my travels have lead me to conclude that other factors contribute to the incidence of dietary tract disorders.

Before a trip to Egypt, I sought the advice of three doctors, the health unit at a university, the county disease control hot line, and Banana Republic. I read several travel books that had various recommendations and cautions. I glanced at the Internet and decided I'd still be reading long past my return from my vacation. Sometimes we can have too much information.

Here's what I did on my trip. I offer it because it worked. First, I took two chewable� anti-diarrhea tablets morning, noon, and evening before each meal. I reduced this to four tablets a day after a week. As one doctor told me, "That's enough to constipate a horse."

I avoided all tap water, ice, salads, and uncooked fruit and vegetables. I didn't drink the tap water primarily because a local told me that it was heavily chlorinated and didn't taste too good. I even brushed my teeth with bottled water.

I drank a pint of water each hour, rested as much as possible, avoided excessive alcohol and exposure to the sun, and I didn't overeat. These last precautions are crucial to staying healthy in an unfamiliar hot climate; perhaps more important than avoiding the water.

The average tourist will become tired and susceptible to fatigue-induced minor stomach problems. It is easy to dehydrate in a hot climate, especially when you drink alcohol. People on vacation tend to push themselves and overdo everything including drinking and eating large quantities of unfamiliar foods.