How to Handle Food Poisoning While Abroad

Stop eating solid food immediately, drink water or oral rehydration salts, rest in your accommodation, and see a doctor if symptoms last more than 24 hours or you have severe dehydration, blood in stool, or high fever. Most cases resolve in 24-48 hours without medical intervention.

  1. Recognize what's happening. Food poisoning symptoms appear 1-6 hours after eating contaminated food (sometimes up to 72 hours). Look for nausea, vomiting, diarrhea, stomach cramps, and sometimes fever. If you're alone and symptoms are severe, call your accommodation's front desk or a local emergency number immediately.
  2. Stop eating and start hydrating. Eat nothing for at least 4-6 hours. Drink small sips of water every 15 minutes rather than large amounts at once. If you can access it, use oral rehydration salts (ORS packets) mixed with water—these replace lost electrolytes far better than plain water or sports drinks. Most pharmacies abroad stock ORS under local brand names.
  3. Rest completely. Cancel all activities and tours. Stay in your accommodation where you're near a bathroom. Lie down. Your body is fighting an infection; let it. Expect to feel terrible for 12-24 hours, then gradually improve. Don't attempt to 'push through'—you'll only prolong it.
  4. Know when to see a doctor. Seek medical care immediately if: symptoms last more than 48 hours, you have blood in your stool, severe abdominal pain, fever above 102°F (39°C), signs of dehydration (extreme thirst, dizziness, no urination for 8+ hours), or you're elderly or immunocompromised. Otherwise, monitor at home.
  5. Find medical care if needed. Ask your hotel concierge or accommodation host to recommend a doctor or clinic. Many cities have English-speaking clinics in tourist areas. If you have travel insurance with medical coverage, call their number to get a pre-approved provider. Carry your insurance card and policy number. A doctor can prescribe anti-nausea medication or antibiotics if bacterial infection is confirmed.
  6. Reintroduce food carefully. After 6-12 hours without vomiting, eat bland foods: plain rice, toast, crackers, boiled chicken, bananas. Avoid dairy, spicy food, high fat, and fiber for 24 hours. Small meals every 2-3 hours, not large ones. Your stomach is healing.
  7. Document everything for insurance. Keep receipts from any doctor visit or pharmacy. Note the date and time you got sick, what you ate before symptoms, and when symptoms resolved. Take photos of medication bottles. If you bought medical care or missed paid activities, file a claim with your travel insurance within their stated timeframe (usually 30-90 days).
  8. Prevent it next time. Eat only hot, freshly cooked food in developing countries. Avoid raw vegetables, fruits you don't peel yourself, undercooked meat, buffets that sit at room temperature, tap water, and ice made from tap water. Street food can be safe if it's busy and cooked fresh, but use judgment. Wash your hands before eating.
Will antibiotics help?
Only if it's bacterial food poisoning, which a doctor must diagnose. Most food poisoning is viral and antibiotics won't help—you'll waste money and contribute to antibiotic resistance. A doctor can do a stool test if symptoms are severe, but typically won't treat mild cases with anything but ORS and rest.
Can I take Imodium or loperamide to stop diarrhea?
Not immediately. If you have a bacterial infection like salmonella, stopping diarrhea traps the bacteria in your system and makes it worse. Only use anti-diarrheal medication after a doctor confirms it's safe, or wait at least 24 hours and only if you don't have fever or bloody stool. ORS is safer—it lets your body expel the problem while replacing fluids.
What if I'm vomiting and can't keep water down?
Sip literally one teaspoon of water every 30 seconds instead of gulping. Suck on ice chips or popsicles to hydrate slowly. If you're vomiting everything for more than 4-6 hours, you need medical care—severe dehydration can happen quickly and you may need IV fluids.
Should I eat to settle my stomach?
No. Food in an irritated stomach causes more vomiting. Wait at least 4-6 hours after your last vomiting episode before eating anything. Then start with tiny amounts of bland food. The old 'BRAT diet' (bananas, rice, applesauce, toast) is actually solid advice here.
Can I claim this on travel insurance?
Probably not. Most travel insurance doesn't cover food poisoning as a specific claim because it's common and usually self-limiting. However, if you had to cancel paid activities or book an emergency flight home, some policies cover cancellation due to illness. Check your policy. Medical costs are covered if you see a doctor, but only the medical costs, not lost vacation time.
How do I know if it's food poisoning or something else?
Food poisoning hits suddenly (1-6 hours after eating) with nausea, vomiting, or diarrhea. Stomach flu usually includes fever and comes on more gradually. Traveler's diarrhea can linger 3-5 days. If you're not sure and symptoms are severe, see a doctor. They can rule out things like appendicitis or parasites, which require different treatment.
What should I do if I'm traveling solo and very sick?
Tell your accommodation immediately. Leave your room door unlocked and ask staff to check on you every few hours. Ask the front desk to call a doctor or help you get to a clinic if needed. Contact your travel insurance company's emergency number. Text or call someone at home to tell them what's happening. Most food poisoning is self-limiting, but you don't need to tough it out alone.