Bali Belly is an all-too-common concern for travelers in Bali. It’s a form of traveler’s diarrhea that results from exposure to unfamiliar bacteria, often through food or water. While it can cause discomfort, being prepared can make a big difference in preventing or managing it so you can focus on enjoying your time in Bali.

1. Causes of Bali Belly

The primary causes of Bali Belly include:

• Contaminated Food or Water: Bacteria from unclean food or water is the leading cause of Bali Belly.

• Diet and Environment Changes: Travelers may be more susceptible due to changes in diet and surroundings.

• Tropical Climate: Warm temperatures allow bacteria to multiply faster, increasing the risk of contamination.

• Varying Food Hygiene Standards: Food safety practices may differ from what travelers are accustomed to, raising the chance of exposure to bacteria.

2. Preventative Measures

You can take the following proactive steps to prevent Bali Belly:

Water and Beverage Safety:

• Always drink bottled water. Make sure the seal is intact before consuming.

• If bottled water isn't available, boil water for at least one minute to kill any germs.

• Avoid drinking tap water.

• Avoid using tap water for brushing your teeth.

• Ask if the ice is made from purified water before consuming drinks with ice.

Food Safety:

• Eat food that is thoroughly cooked and served hot.

• Avoid food that has been sitting out for long periods.

• Only eat fruits and vegetables that you can peel yourself.

• Avoid salads and raw fruits or vegetables if you're not sure whether they are washed in treated water.

• Choose vendors that prepare fresh foods.

• Avoid raw or undercooked meat dishes like sushi.

• Be careful with shellfish, as they can be easily contaminated.

Personal Hygiene:

• Wash your hands with soap and water regularly, especially before eating and after using the bathroom.

• Carry an alcohol-based hand sanitizer for times when soap and water aren’t available.

• Use clean utensils. Avoid sharing them with people. Preferably use disposable utensils.

Restaurant and Vendor Choices:

• Eat at well-known and reputable Bali restaurants and cafés, as they are more likely to adhere to higher hygiene standards.

• Check online reviews and recommendations from other travelers to find safe places to eat.

Medication and Supplements:

• Pack over-the-counter medications in advance.

• Carry ORS packets to help prevent dehydration if you get sick.

• Take probiotics before and during your trip to help maintain a healthy gut flora.

General Travel Tips:

• Avoid eating from street vendors unless you are certain of their hygiene practices.

• Make sure to keep your hands away from your face, especially if you’ve been handling cash.

3. Symptoms and When to Seek Medical Help

Common symptoms include:

• Stomach cramps

• Diarrhea

• Nausea

• Fever (in some cases)

These symptoms typically begin within a few hours to a few days after exposure.

When to seek medical help:

• If symptoms persist beyond a couple of days

• If you experience severe dehydration

• If you notice blood in your stool

4. How Long Will Bali Belly Last?

Bali Belly usually lasts anywhere from 1 to 3 days, depending on the severity of the infection and individual health factors. In most cases, symptoms will start to improve within a few days as your body clears the infection. However, if symptoms persist beyond this time frame or worsen, it’s crucial to seek medical attention.

5. Home Remedies and Treatments

If you experience Bali Belly, there are several ways to manage symptoms:

• Stay Hydrated: Rehydration is crucial, so drink plenty of water and consider oral rehydration salts to replenish lost electrolytes.

• Over-the-Counter Medications: Anti-diarrheal medication like Imodium can help with mild cases but should be used sparingly.

• Local Remedies: Many Bali locals suggest ginger tea for nausea and turmeric-based drinks, known for their anti-inflammatory properties.

• IV Drip Therapy: For severe dehydration or ongoing symptoms, an IV drip may be recommended by healthcare professionals. IV therapy quickly replenishes fluids and electrolytes, offering fast relief from dehydration and supporting a quicker recovery.