Travel & Stomach Health
Travel & Stomach Health: Why surfers should care
Surf trips often involve long travel days, remote locations, limited pharmacy access, and repeated dehydration risk from sun and saltwater. A stomach illness that might be manageable at home can become much more disruptive when you are on a boat trip, island, or remote break.
Common causes
Traveler’s diarrhea is most often caused by bacteria, but viruses and parasites can also play a role depending on location.[2]
Common risks include:
contaminated food or water
ice made from unsafe water
raw fruits or vegetables washed in unsafe water
undercooked seafood or meat
poor hand hygiene
swallowing contaminated ocean water, especially after rain
Prevention strategies
Helpful prevention habits include:
drink sealed bottled water or properly treated water
avoid ice unless you know it is made from safe water
eat food served hot and freshly cooked
wash hands or use sanitizer before eating
be cautious with raw seafood, salads, and street food
use safe water for brushing teeth in higher-risk regions
No strategy eliminates all risk, but preparation can reduce the chance of a trip being derailed.
Recommended travel essentials
Simple medications can make a major difference during a surf trip — especially in remote areas where pharmacies or medical care may be difficult to access.
Consider packing:
oral rehydration salts or electrolyte packets
bismuth subsalicylate, such as Pepto-Bismol
anti-diarrheal medication, such as loperamide/Imodium
Activated charcoal
anti-nausea medication if prescribed
hand sanitizer
a thermometer
any destination-specific prescription medication recommended by your clinician
Antibiotics: when to plan ahead
Not every stomach illness requires antibiotics, and overuse can contribute to side effects and antibiotic resistance. However, for remote surf travel, it may be worth discussing a traveler’s diarrhea plan with a primary care provider, travel medicine clinic, or urgent care clinician before departure.
This is especially important if you are traveling to:
remote islands
boat trips
areas with limited medical care
destinations known for higher traveler’s diarrhea risk
A clinician can help decide whether carrying a prescription medication is appropriate for your destination and medical history.
When to seek medical care
Seek medical attention for:
bloody diarrhea
high fever
severe abdominal pain
inability to keep fluids down
signs of dehydration
symptoms lasting more than 48 hours despite self-care
confusion, weakness, or fainting
From a Surfer + Medical Perspective
From a medical perspective, dehydration is one of the biggest concerns with traveler’s diarrhea — especially in hot climates, tropical surf destinations, or after long sessions in the sun.
From a surfer’s perspective, stomach illness can completely derail a trip. Even mild symptoms can affect hydration, energy, sleep, recovery, and your ability to safely surf.
Simple medications like:
Pepto-Bismol
activated charcoal
anti-diarrheal medications
electrolyte packet
can be incredibly helpful when symptoms start early or when access to pharmacies is limited.
If you are traveling somewhere remote, it is worth preparing ahead of time rather than trying to find supplies after getting sick.
References
Freedman DO, et al. N Engl J Med. 2016.
Connor BA, Leung DT. CDC Yellow Book: Travelers’ Diarrhea.
Riddle MS, et al. Am J Gastroenterol. 2016.
Rupert J, et al. Am Fam Physician. 2025.
Riddle MS, et al. Clin Infect Dis. 2017.
Klem F, et al. Gastroenterology. 2017

