I live in a border city in West Texas, we are approximately 10 minutes from Mexico. I thought I would post an article in todays newspaper by Dr. Michael Pinon.
Beware of Montezuma's Revenge
Whether it's Mexico, Machu Picchu or Morocco, international summer travel season is here. While the sidewalk cafes, the fabled lost cities and the exotic nightclubs may be hard to resist, travel isn't without its headaches or medical disasters. If traveling doesn't get you in your wallet, it'll get you in the stomach if you are not prepared.
Whether you know it as Montezumas's Revenge, Delhi Belly or Katmandu Quickstep, Travelers Diahrrea or TD can be your worst travel nightmare.
When international travel became more widespread after World War II, the fact that many travelers were struck with diahrrea was originally somewhat of a mystery. However, it is now clear that TD is due to a variety of bacteria, viruses and protozoa that are accidentally ingested by eating or drinking contaminated food or water.
While popular guidebooks recommend "boil it, peel it or forget it" travelers still become ill despite their best efforts.
Make certain that food is thoroughly cooked - the hotter the better - and I'm talking heat, not spice!
Avoid everything raw: oysters, shellfish and meat including raw fruits and vegetables, except those that can be peeled, and then peel them yourself. Avoid dishes containing raw or undercooked eggs such as mayonnaise, hollandaise sauce and custards.
Consider drinking only "safe" beverages such as bottled water and carbonated drinks, beer, wine, hot coffee, and hot tea. Avoid ice in beverages, and use only bottled water when brushing your teeth. Wash your hands thoroughly, especially before eating and after trips to the restroom.
There is a substantial risk that Montezuma's Revenge will occur while away from medical help; therefore, travelers should be able to diagnose and treat themselves if medical help is not available. Obtain prescription antibiotics from your physician to take with you to combat TD and pack symptom-relieving medications such as Imodium and Pepto Bismol.
If you experience the sudden onset of diarrhea with abdominal discomfort or distention, it's probably bacterial and you can treat it with Cipro 500mg, doxycycline 100mg, or Bactrim DS twice daily for three days. In contrast the protoxoal diarrheas, mainly Giardia and Entamoeba histolytica, come on more gradually and include a rumbly, gassy feeling and upper abdominal discomfort with fatigue. These pathogens can be treated with Metronidazole 250mg three times daily for five days. Whatever the cause, fluid replacement with electrolytes is essential to avoid becoming dehydrated.
Careful travel planning can help you circumvent the worse of worst-case scenarios if you encounter Montezuma's unassuming wrath.
I hope this helps. My husband travels to the interior of Mexco (Leon) quite often and we keep these meds on hand. We can obtain them across the border without a script. Dh has needed them occasionally and they work wonders.
Vonda