Travel & Stomach Health

A toilet paper holder with a roll of toilet paper and a note hanging from it that says 'Don't Panic!'

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:

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

  1. Freedman DO, et al. N Engl J Med. 2016.

  2. Connor BA, Leung DT. CDC Yellow Book: Travelers’ Diarrhea.

  3. Riddle MS, et al. Am J Gastroenterol. 2016.

  4. Rupert J, et al. Am Fam Physician. 2025.

  5. Riddle MS, et al. Clin Infect Dis. 2017.

  6. Klem F, et al. Gastroenterology. 2017