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Symptoms

By Mayo Clinic staff

Traveler's diarrhea usually begins abruptly during your trip or shortly after you return home. Most cases improve within one to two days without treatment and clear up completely within a week. However, you can have multiple episodes of traveler's diarrhea during one trip.

The most common signs and symptoms of traveler's diarrhea are:

  • Increased frequency, volume and weight of stool
  • Frequent loose stools — usually about four to five loose or watery bowel movements each day
  • An urgent need to defecate
  • Abdominal cramps
  • Nausea
  • Vomiting
  • Fever
  • Bloating

Sometimes, people experience moderate to severe dehydration, bloody stools, persistent vomiting or a high fever. If you or your child experiences any of these signs or symptoms or if the diarrhea lasts longer than a few days, it's time to see a doctor.

When to see a doctor
Traveler's diarrhea usually goes away on its own within several days. Signs and symptoms may last longer and be more severe if the condition is caused by organisms other than common bacteria. In such cases, you may need prescription medications to help you get better.

If you have severe dehydration, persistent vomiting, bloody stools or a high fever, or if your symptoms last for more than a few days, seek medical help. The local embassy or consulate may help you find a well-regarded medical professional who speaks your language.

Be especially cautious with children, because traveler's diarrhea can cause severe dehydration in a short time. Call a doctor if your child is sick and exhibits any of the following signs or symptoms:

  • Persistent vomiting
  • Bloody stools or severe diarrhea
  • A fever of 102 F (39 C) or more
  • Dry mouth or crying without tears
  • Signs of being unusually sleepy, drowsy or unresponsive
  • Decreased volume of urine, including fewer wet diapers in infants
References
  1. Wanke CA. Traveler's diarrhea. http://www.uptodate.com/home/index.html. Accessed April 21, 2011.
  2. Travelers' diarrhea. Centers for Disease Control and Prevention. http://www.cdc.gov/nczved/divisions/dfbmd/diseases/travelers_diarrhea/. Accessed April 26, 2011.
  3. de la Cabada Bauche J, et al. New developments in traveler's diarrhea. Gastroenterology & Hepatology. 2011;7:88.
  4. Travelers' health: Self-treatable diseases. Centers for Disease Control and Prevention. http://wwwnc.cdc.gov/travel/yellowbook/2010/chapter-2/travelers-diarrhea.aspx. Accessed April 26, 2011.
  5. Sur DK, et al. Evaluating fever of unidentifiable source in young children. American Family Physician. 2007;75:1805.
  6. Pawlowski SW, et al. Diagnosis and treatment of acute or persistent diarrhea. Gastroenterology. 2009;6:1874.
  7. Frequently asked questions and information for travelers. World Health Organization. http://www.who.int/cholera/technical/FaqTravelersNov2010.pdf. Accessed April 26, 2011.
  8. Traveler's diarrhea (turista). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/print/sec02/ch016/ch016b.html. Accessed April 26, 2011.
DS00318 June 11, 2011

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