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Ask a doctor on the topic of Tropical medicine

What precautions should one take when eating and drinking in the tropics?

Dear Doctor,

My name is Petra Weiß and I am planning a trip to the tropics. I have heard from various travelers that stomach and intestinal problems are not uncommon there, so I am worried about what I should consider when it comes to eating and drinking to protect myself from possible diseases.

I am aware that drinking tap water is not recommended in many tropical countries, as it is often contaminated with bacteria or parasites. Therefore, I would like to know what alternatives there are to ensure that I am getting enough fluid without putting myself at risk.

I am also unsure about what precautions I should take when it comes to eating. Should I only consume cooked or peeled foods to minimize the risk of infection? Are there specific foods that I should avoid to prevent stomach and intestinal problems?

Furthermore, I am wondering if it is wise to bring special medications for the prophylaxis of travel diseases in case I happen to eat or drink something wrong. Or are there other measures I can take to protect my health during my stay in the tropics?

Thank you in advance for your support and advice.

Sincerely,
Petra Weiß

Konrad Zellmann

Dear Mrs. White,

Thank you for your inquiry regarding your planned trip to the tropics and your concerns about possible gastrointestinal issues. It is indeed important to take some precautions to protect yourself from diseases and enjoy a worry-free stay.

When it comes to drinking water in tropical countries, it is generally advisable to avoid tap water and instead opt for bottled water in sealed bottles. Make sure the bottles are original and sealed to ensure that the water has not been refilled. Also, avoid ice cubes that may have been made from tap water. Alternatively, you can also purify water by boiling or filtering it yourself.

To ensure an adequate fluid intake, you can also rely on other beverages such as packaged juices, soft drinks, or tea. However, avoid consuming drinks with ice or open drinks from street vendors, as they may be contaminated with germs.

Regarding nutrition, it is recommended to only consume cooked or peeled foods to minimize the risk of infection. Raw or undercooked foods such as salads, raw meat, or uncooked seafood should be avoided. Also, note that hot freshly prepared foods are safer than cold or reheated dishes.

There are no specific foods that should generally be avoided, but make sure that your meals are prepared hygienically. Also, avoid eating unpeelable fruits unless you have washed or peeled them yourself.

In terms of prophylaxis for travel-related diseases, certain medications may be considered, especially when traveling to areas with a higher risk of certain diseases such as malaria. It is best to consult a tropical medicine specialist before your trip to discuss the appropriate measures for your journey.

In addition to the mentioned measures, it is important to pay attention to personal hygiene, regularly wash your hands, and use disinfectant hand lotions. Also, inquire about any vaccinations recommended for your trip.

I hope that this information is helpful to you and wish you a pleasant and, above all, healthy trip to the tropics.

Best regards,
Konrad Zellmann

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Konrad Zellmann