What is Bali Belly? A Guide to Causes, Symptoms & Treatment
Bali Belly is a set of symptoms with one thing in common: your tummy!
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What is Bali belly? Our comprehensive article has all the answers
We're going to have a comprehensive review of the question, “What is Bali Belly”, to ensure you are best placed to avoid it and know what to do if you get Bali Belly.
We want you to feel safe and supported, and this comprehensive article should give you all the information you need to understand, avoid, and seek treatment for Bali Belly.
Unwell right now? Read what to do when you get Bali Belly
Worried you might spread Bali Belly? Read Is Bali Belly contagious
Did you know? There is a vaccine to prevent Bali Belly - read on for details!
1. Introduction to what is Bali Belly
Just a change of diet to spicy food can be enough to upset your system
Bali Belly is a common ailment that many travellers face when visiting Bali, Indonesia. It’s important to note that Bali Belly is not a specific illness; rather, it is a term used to describe a set of symptoms, including stomach cramps, nausea, and diarrhea and even constipation. It is also known more generally as "traveler’s diarrhea,", because it is common for travelers worldwide and not unique to Bali.
Nothing is worse than waking up in the middle of the night with a severe stomach ache, rushing to the restroom, and feeling like you've just been through a warzone.
So, we're also going to look at steps you can take to prevent getting Bali Belly in the first place.
2. What is Bali Belly?
Bali Belly is a term that describes a range of symptoms most often caused by contamination of food or water
Bali Belly is a nightmare that every traveller wants to avoid, but not everyone is so lucky. It is a common gastrointestinal illness that often affects tourists visiting Bali, Indonesia. Bali Belly is not a specific medical term, but a general term used to describe symptoms that can result from eating or drinking contaminated food or water.
This contamination is most commonly caused by a bacteria, parasites, or viruses.
However, other causes can include a change of diet to more spicy foods and a change of climate to a hot, humid one, which can cause Bali Belly-like symptoms.
3. Causes of Bali Belly
1. Sanitation
The most common causes of Bali Belly can be traced back to the sanitation standards in Bali. The hygiene practices in Bali may not be up to the standards that Westerners are used to. As a result, Bali Belly is often the result of consuming contaminated food or water. This can include raw, uncooked, or undercooked food, fruits that are not peeled or washed, and water that is not filtered or boiled.
Our article “Is Bali water safe to drink” covers the single most important question any traveler to Bali should ask to prevent Bali Belly.
2. Bali Belly parasite, virus and bacteria (giardia)
Another cause of infection relates to fecal contamination of food and water, and can be caused by viruses, parasites, or bacteria.
Traveler's diarrhea is often caused by Escherichia coli (E. coli), which naturally exists within the human intestine. Although typically harmless, exposure to new varieties of E. coli can result in diarrhea due to toxins produced by the bacteria that interfere with the intestines' water absorption.
Another common bacterial cause of Bali Belly is Bacillus cereus or B. Cereus which is also known as ‘fried rice syndrome. According to Professor Enzo Palombo, who is the Professor of Microbiology at Swinburne University of Technology in Australia, ”Baccilus cereus is a common bacterium found all over the environment. It begins to cause problems if it gets into certain foods that are cooked and not stored properly. Starchy foods like rice and pasta are often the culprits. But it can also affect other foods, like cooked vegetables and meat dishes.”
Professor Palombo goes on to say that “B. cereus is problematic because it has a trick up its sleeve that other bacteria don't have. It produces a type of cell called a spore, which is very resistant to heating”. (Source: ABC News)
This is one reason why street food is best avoided by tourists because food ingredients sit for a long time out in the open, and even if the stallholder reheats or recooks the food (for example, when making a friend rice from various cooked and uncooked components), the B. cereus bacteria may not be killed.
3. Change of diet and climate
A change in diet or climate can also be the cause of Bali Belly. Bali has some wonderful exotic flavors, and these spicy foods can cause travelers diarrhea. By the way, ‘spicey’ does not mean ‘chilli’. Even if you avoid chilli, Bali uses spices such as ginger, garlic, tumeric, and galangal in large amounts, and these can cause stomach problems if you are not used to a robust cuisine. The hot, humid climate can have an effect on your digestive system and immune system.
What foods cause Bali Belly?
Contaminated Water: Drinking tap water or consuming ice made from tap water is a common cause of Bali Belly. Always drink bottled water, and ensure the seal is intact when you purchase it.
Raw or Undercooked Seafood: Especially in places where the freshness of the seafood might be questionable.
Raw Vegetables and Fruits: These can be contaminated if they're washed in tap water. It's safer to eat fruits you can peel yourself, like bananas or mangoes.
Street Food: While many locals and tourists eat street food without issues, the hygiene standards can vary from stall to stall. If you do want to try street food, opt for stalls that are busy (a higher turnover of food) and where the food is cooked fresh in front of you.
Dairy Products: These can be a source of bacteria, especially if they are not pasteurized or have been stored improperly.
Undercooked Meats: Always ensure that meats, especially chicken, are cooked thoroughly.
Eggs: Raw or undercooked eggs can be a source of salmonella.
Unpasteurized Drinks: Such as some fresh fruit juices or local beverages such as ‘jamu’ or health drinks at local markets.
Can I eat salad in Bali?
Salad in a reputable hotel or tourist-oriented restaurant should be fairly safe to eat. I am more cautious about eating salads at street stalls and night markets and avoid raw salad items when used as a garnish for a cooked dish. Pickled vegetables are a favorite Indonesian side dish, and because vinegar is a preservative, it is probably safe to consume. However, if you really want to be as safe as possible and take no risks, avoid uncooked vegetables all together.
What is the safest food to eat in Bali?
Bottled Water: Always opt for bottled water with an intact seal. Avoid drinking tap water or using it to brush your teeth. Bali also has a great selection of bottled brinks, like ‘Fres Teh’ (Fresh Tea).
Hot and Freshly Cooked Foods: Foods that are freshly cooked and served hot are generally safer because the heat kills most harmful pathogens.
Peelable Fruits: Stick to fruits you can peel yourself, such as bananas, mangoes, and papayas. The peel acts as a barrier against contaminants.
Packaged Foods: Snacks or foods that are factory-sealed are typically safe as they haven't been exposed to local water or handling.
Thoroughly Cooked Meats: Ensure meats are well-cooked, especially chicken, pork, and seafood. Avoid rare or undercooked meats.
Reputable Eateries: Choose well-established restaurants or eateries that are busy, indicating a good turnover of fresh food and likely better hygiene practices.
Avoid Raw or Cold Foods: It's generally a good idea to avoid raw foods like salads, uncooked vegetables, or cold dishes that might have been washed in tap water or handled without proper hygiene. I always avoid eating the raw garnish on a plate, such as cucumber or tomato that is often placed on the side of a cooked dish to make it look pretty.
Boiled Drinks: Hot teas or coffees, when made with boiled water, are typically safe to drink.
Avoid Ice: Unless you're sure it's made from purified water, it's best to avoid ice in your drinks.
Street Food: While many travelers enjoy street food without issues, be cautious. Opt for stalls that are popular and where food is prepared fresh in front of you.
4. Are some people predisposed to getting Bali Belly?
While it's possible for anyone to develop diarrhoea when travelling, individuals who are immunosuppressed, diabetic, or have inflammatory bowel disease, as well as those who take H2 antagonists or antacids (medication used for treating gastric ulcers) over a prolonged period of time, are at a higher risk of experiencing it.
5. Symptoms of Bali Belly: How to know if you have Bali Belly
A fever is just one of the 8 symptoms you can experience with Bali Belly
Symptoms of Bali Belly can range from mild discomfort to severe agony, and you're never really sure what you're going to get until it hits.
So, what are the symptoms of Bali Belly that you should be on the lookout for to know if you have it?
Mild symptoms of Bali Belly include:
Nausea
Vomiting
Diarrhoea
Stomach cramps
Feeling tired
Loss of appetite
Fatigue
Mild fever
Now, just because these symptoms are considered mild doesn't mean that they should be brushed off. These symptoms can still be debilitating and put a damper on your vacation plans.
Severe symptoms of Bali Belly include:
Severe diarrhea (uncontrolled, continuous)
Severe vomiting (uncontrolled, continuous)
Persistent abdominal pain
Dehydration
High fever
Weight loss
Severe cases of Bali Belly can lead to hospitalisation and ruin your vacation altogether.
The good news is that most cases of Bali Belly can be treated with over-the-counter medications and home remedies. However, if you're experiencing severe symptoms, it's important to seek medical attention right away.
In particular, dehydration can quickly become a serious issue in Bali's hot and humid climate, so it's important to stay hydrated at all times.
How painful is Bali Belly?
Bali Belly can be painful, such as abdominal pain and aches from a high fever. I have even experienced muscle pain after vomiting—it takes it out of you!
Does Bali belly make you lose weight?
Yes, Bali belly can make you lose weight (source: Quality and Efficiency in Health Care report in the National Library of Medicine), particularly in the case of prolonged diarrhea (Source: Slack, Andrew, Parasitic causes of prolonged diarrhoea in travellers Diagnosis and management).
6. Is Bali Belly the same as gastro?
Bali Belly is essentially food poisoning, commonly referred to as stomach flu or gastroenteritis in medical terms. Although technically, gastroenteritis is an inflammation of the stomach, its familiar indications such as diarrhea and/or vomiting are more noticeable to most people. (Source: Acute gastroenteritis: from guidelines to real life)
Is Bali Belly the same as Dengue Fever?
No, Bali Belly is different from dengue fever, which is commonly transmitted by mosquitoes. Some of the symptoms are similar, but they are very different illnesses. A doctor is best placed to distinguish between the two and diagnose your condition, so if you have any doubts about what your illness is, see a doctor immediately.
7. Bali Belly constipation
Constipation is a known symptom of Bali Belly and the best defence is drinking enough and exercise.
Travellers' constipation is a common but rarely discussed aspect of Bali Belly. Many people experience it, and it usually arises from dietary changes, dehydration, stress, or sitting in unfamiliar toilet spaces.
Constipation can be prevented by eating high-fibre foods, staying hydrated, and taking probiotics. Movement also helps, so it is advised to book an aisle seat and take walks on your flight. Relaxation is also a big help, so taking a massage or doing yoga can prepare the body. Laxatives are a last resort, and coffee should be avoided in favor of water or green tea.
8. Is Bali Belly contagious?
We have a detailed article on the question is Bali Belly contagious which is an important read, but we’ll address this important question briefly here as well.
Doctors on Bali report they are often asked, "Can Bali Belly be contagious?”. Bali Belly is contagious, but not in the same way as an airborne infection like COVID, for example.
It is not something that you can catch from another person through normal physical contact or airborne transmission. Instead, Bali Belly is caused by consuming contaminated food or water that contains harmful bacteria or viruses.
That being said, if you are traveling with a group, it is possible for multiple people to contract Bali Belly if they are all consuming the same contaminated food or water source, or possibly when sharing food.
It is important to practice good hygiene and only consume food and water that have been properly prepared and sanitised.
9. How long does Bali Belly last?
The duration of symptoms for Bali Belly can vary, but generally, they can last anywhere from a few days to a week. In some cases, the symptoms may last longer, especially if the infection is severe or if the individual has a weakened immune system.
If you seek medical attention and require antibiotics, you will typically experience relief from symptoms within 24–48 hours (but remember to complete the full course of antibiotics even if you start feeling better).
10. Can you get Bali Belly twice?
Unfortunately, it is possible to get Bali belly twice because its causes are not something you can become immune to. To get Bali Belly more than once, you would need to be re-exposed to one of the causes of the condition, such as contaminated food or water.
So even after you recover from Bali Belly, it is important to continue safe practices to prevent yourself from getting a new bout.
Can Bali belly come back?
Bali Belly can indeed come back. The cure for Bali Belly will depend on its cause and treatment is not instant. Recovery may ebb and flow over a few weeks, with symptoms recurring during this time. See your doctor if your symptoms persist or recur.
Is Bali Belly common?
Bali Belly is reasonably common; worldwide, it is estimated that between 10-40% of travelers will get diarrhea. There are no specific statistics for Bali, the attack rate is highest for travelers from a developed country who visit a developing country like Bali. Source: Travelers’ Diarrhea: A Clinical Review
Why is Bali Belly so common?
Bali Belly is common because the causes of Bali Belly are prevalent in developing countries. Poor food hygiene is the most common cause, and even many Balinese get ‘Bali Belly’. In addition, visitors to Bali from developing countries don’t have a tolerance for local pathogens, making us even more susceptible.
11. Treatment or cure for Bali Belly
We have a detailed guide for what to do when you get Bali Belly, so if you are unwell right now, read that article.
But in summary, here are steps that you should take if you think you have Bali Belly:
1. Home remedies
Home remedies are often the first port of call for travelers. Some commonly recommended remedies include drinking lots of water to stay hydrated, consuming probiotics like yogurt to restore gut bacteria and ease digestion, drinking ginger tea to reduce nausea and bloating, or even eating charcoal tablets to help absorb toxins.
2. Medicine to stop diarrhea
If your symptoms persist or worsen, over-the-counter medications like Loperamide or Lomotal can be a lifesaver. This medication slows down intestinal movement, effectively reducing diarrhea frequency. It is advisable to only take these medications under a doctor's supervision, as they can have side effects like constipation. Some medical advice suggests it is better to allow bowel movements to clear toxins.
3. Medicine to stop vomiting
You can also get over-the-counter medicines to stop vomiting. Generally, it is better to vomit up and get rid of the contaminant and visit a doctor if symptoms persist. But for situations such as when you are about to get on your plane home and just need to stop, medication may be needed.
Bringing anti-diarrhoea and anti-vomiting medication with you from home is a good idea so that the minute you need it, you have it. In the middle of the night, when all the Bali chemists (called Apotek) and doctor clinics are closed, you can commence treatment immediately.
4. How to get rid of Bali Belly cramps
Cramps are caused by the process of elimination and also by dehydration. Drink plenty of water or herbal tea. Use a warm compress or water bottle to bring soothing heat to your abdominal area. Massage peppermint oil on your tummy.
4. Electrolyte drinks
Other over-the-counter options include electrolyte drinks. In Bali, the drink Pocari Sweat is available literally everywhere—convenience stores, supermarkets, and even cafes have it. Look for the blue can in the beverage refrigerator.
5. If symptoms persist
If your symptoms are severe or don't improve after a day or two, it's time to see a doctor. Prescription medications like antibiotics may be needed to clear up any infections. It's essential to complete the full prescription, even if you start feeling better before it's done.
Remember, you don't want to cut corners when it comes to your health. While it may be tempting to tough it out on your own, severe symptoms or prolonged sickness should not be ignored, and you should seek medical attention.
How long does it take for symptoms to appear?
Bali Belly symptoms can appear anywhere from two hours to 24 hours after you have encountered a pathogen. Some medical advice suggests it can take up to 10 days.
How long does Bali Belly last?
Symptoms can last from a few hours to a week. If you experience symptoms lasting longer than 24 hours, we recommend seeking medical advice. Side effects such as dehydration can make recovery longer.
Can Bali Belly be mild?
Yes. You might experience only mild symptoms, depending on the circumstances. If your Bali Belly is caused by just a change of diet or reaction to the hot, humid weather of Bali, you may find you bounce back very quickly once you have acclimatised.
12. An Action Plan: What to do when you get Bali Belly
This is a summary of our detailed 6 Step Action Plan for what to do when you get Bali Belly, and you might like to click through for detailed instructions.
If you want to fix Bali belly, here’s a 6-step plan to get rid of Bali Belly fast:
1. Elimination
Allow your body to evacuate the contaminant; vomiting and diarrhea are the body's natural ways of evacuating, so they are positive.
2. Hydration
Keep drinking small sips to rehydrate the lost fluids in your body.
3. Remedies
Ask a friend/family member to hit the shops, using our shopping list below, to buy drinks and remedies you may need.
4. Get advice
If you have travel insurance and they have a nurse advice line, call and seek advice.
5. See a doctor
If after 8 hours, you have severe symptoms, see a doctor to assess if you need antibiotics.
6. Monitor progress
If you are feeling a bit better within 8 hours, it is probably not infection-based. Consider trying small amounts of plain food, like rice and see how you go. If you bring this up, go to a doctor.
Source: What to do when you get Bali Belly
What helps Bali Belly?
The single most important thing you can do to help your recovery is to stay hydrated. This helps flush out toxins and keeps your body’s immune system and natural defenses functioning well.
What stops Bali Belly?
That will depend on the cause of your Bali Belly. Usually low-grade infections will resolve themselves, but if symptoms persist, see your doctor because, in some cases, only prescribed medicine will stop Bali Belly.
What is good for Bali belly?
There are a range of home remedies that we explore in the next section that are very good for Bali Belly. The single best thing is to keep hydrated and get adequate rest. Another good step is to seek medical advice to address the cause quickly.
Does Bali Belly go away on its own?
Bali Belly can often resolve on its own, with hydration, home remedies, and rest. If you start to feel uncertain or if symptoms either get worse or are not resolving, it is time to seek medical attention.
13. Natural Remedies for Bali Belly
Fresh ginger tea is the most popular home remedy for Bali Belly
While prescribed medication and electrolytes are effective treatments for Bali Belly, some natural remedies may help relieve symptoms as well.
Simple remedies that might help ease Bali Belly symptoms:
1. Probiotics:
Eating probiotic-rich foods like yoghurt or fermented vegetables can help restore the balance of gut bacteria and improve digestion.
2. Ginger:
Drinking ginger tea or chewing on ginger can help alleviate nausea and reduce bloating.
3. Peppermint oil:
Applying peppermint oil to the stomach area can help soothe muscle spasms and relieve stomach pain.
4. Turmeric:
Drinking a turmeric latte or adding turmeric to your meals can help reduce inflammation in the gut.
5. Apple cider vinegar:
Diluting apple cider vinegar in water and drinking it before meals can help improve digestion and reduce the risk of bacterial infections.
These remedies may help alleviate your symptoms, but they're not a substitute for medical treatment. If your symptoms persist or worsen, it's essential to seek medical attention.
14. Shopping list for Bali Belly remedies in Bali
Bali has hundreds of convenience stores open 24/7 that stock the remedies you will need
So that you know what to look for when you visit a Bali supermarket or convenience store (or when your partner has to go for you!), here is what some of the most popular Bali Belly remedies look like.
We have also included the Indonesian name in brackets, so you can ask the store owner what to get for Bali Belly and they will understand.
Need a map to find your closest convenience store? Scroll down below!
1. Toilet Paper (Tisu Toilet)
Paseo is one of a number of brands of toilet paper you can buy in Bali
Toilet paper is available in most convenience stores and all supermarkets. You will also find tissues, hand sanitiser, wipes and other hygiene needs in these stores as well.
2. Pocari Sweat (Pocari Sweat)
Find Pocari Sweat in any shop that sells drinks
This isotonic drink is available everywhere in Bali and Lombok: convenience stores, supermarkets, and even roadside warungs. It is the go-to drink for rehydration.
3. Ginger Tea (Teh Jahe)
Ginger Tea is Bali’s most popular remedy for Bali Belly
Ginger tea is Bali's favourite remedy for Bali Belly (the locals call it 'sakit perut'). You can buy it in powder form (just add hot water) and tea bags, but the best is to buy raw ginger and put 3–4 slices in boiling water and allow it to steep. Add honey if you wish.
4. Ginger Candy (Permen Jahe)
Ginger candy is an easy way to get energy
If you are having trouble keeping a lot of liquid down, a ginger lollie could be a good way to get a little energy (sugar) and the benefit of ginger. Just double check that the brand you buy is not a milk-based lollie (it will say Jahe Susu if it is; ‘susu’ means milk).
5. Peppermint Tea (Teh Peppermint)
Peppermint tea is soothing and gentle on the stomach
Many people like peppermint tea when they have an upset stomach. You can easily buy tea bags in Bali and also fresh pepermint (but wash it in bottled water carefully first).
6. Tumeric and Gigner Drink (Teh Kunyit)
Instant tumeric drink is beneficial in recovery from Bali Belly
Another very popular herbal remedy in Bali and Indonesia is tumeric. You can buy it as a carbonated drink (best to avoid this version if you have Bali belly) or in powdered form to mix with hot water. If you would like to make your own fresh tumeric juice (Balinese: Loloh Kunyit; Indonesian: Jamu Kunyit), check out this excellent video by Novi's Bali Kitchen
7. Bottled Water (Air Putih)
Aqua brand is Bali’s most trusted, but there are many others that are safe
There are a number of brands sold in Bali. Aqua is the most famous and trusted, but the other brands sold in supermarkets and warungs are all trustworthy; check that the lid seal is not broken.
All over Bali, you will see convenience stores like Indomaret, Alfa Mart, Circle K, Mini Mart that will all stock these basic items. Of course, supermarkets will have larger ranges, but in the middle of the night when Bali Belly hits, the 24 hour convenience store is your friend!
8. Yakult
Yakult can be helpful to restore balance after a bout of Bali belly
Once you start to feel a little better and are able to tolerate dairy, you might like to consider Yakult to assist in the repair of your friendly gut bacteria. This is sold in supermarkets in Bali as well as most convenience stores. Alternatively, look for natural yogurt in supermarkets. Always buy from the refrigerator and check the use-by date.
15. Emergency Toilet Paper Map for Bali
Here is a map showing all the Circle K convenience stores on Bali. There are many other chains as well, so you should be able to buy relief easily regardless of where you are staying.
16. Bali Belly not going away? When to see a doctor
Why didn’t you come sooner? A doctor can often provide fast relief from Bali Belly
If you're experiencing severe symptoms like vomiting, bloody stools, or intense abdominal pain, it's essential to see a doctor right away. Don't wait around, hoping it goes away, especially if you're dealing with persistent symptoms like diarrhea that lasts for several days.
Dehydration is a real concern with Bali Belly, so if you're unable to keep fluids down, you need to act fast. Signs of dehydration include a dry mouth, little to no urine output, lightheadedness, and fatigue.
Now, we know doctor visits aren't fun, especially when you're on vacation. But if severe or persistent symptoms are present, it's not worth risking your health.
Does your travel insurance policy cover Bali Belly-related doctor visits? Most policies do. Make sure to keep all receipts and documentation; you may be able to make a claim for reimbursement when you return home. Some insurers also offer a 24/7 advice line with nurses on call to advise you.
17. How to help with Bali Belly
Helping your friend or family member with hydration is the number one priority.
If you have a family member who needs help with Bali Belly and you want to know how best to support them, we suggest you help them follow our Six Step Action Plan at point 11 above. Encourage them to eliminate the toxins, monitor their fluid intake continuously for them to make sure they drink and keep a note of their symptoms.
Be understanding and know that Bali belly is not always just a case of ‘eating something bad’. It could be a bacterial or viral infection and the sooner this is treated the sooner your holiday will get back on track.
Therefore, if they are not getting any better after the first 8 hours consider seeking medical advice.
18. Bali Belly injection? How to prevent Bali Belly medicine called Dukoral oral vaccine
Ask your doctor about an oral vaccine to help prevent some causes of Bali Belly
The good news is that there is a vaccine medicine to prevent some causes of Bali Belly. Best of all, there is no need for another injection - it is an oral vaccine.
The World Health Organisation recognises Dukoral and two other drugs for the prevention of cholera.
Dukoral is also recommended to prevent diarrhea caused by enterotoxigenic E. coli (ETEC) which is contracted through the consumption of contaminated food, water, or ice, leading to an increased likelihood of experiencing diarrhea (what is commonly called Bali Belly).
According to the WHO:
“Dukoral® is administered with a buffer solution that, for adults, requires 150 ml of clean water. Dukoral can be given to all individuals over the age of 2 years. There must be a minimum of 7 days, and no more than 6 weeks, delay between each dose. Children aged 2–5 require a third dose. Dukoral® is mainly used for travelers. Two doses of Dukoral® provide protection against cholera for 2 years.”
Source: https://www.who.int/teams/immunization-vaccines-and-biologicals/diseases/cholera
You might like to visit your doctor before your trip to Bali and discuss the possibility of using Dukoral or something similar. Given that it is taken with water (an injection-free vaccine), it is great for children as well.
19. How do I stop getting Bali Belly?
11 Steps for the Prevention of Bali Belly
Here are the 11 best ways to try and stop getting Bali Belly:
1. Consume only bottled or filtered water.
2. Avoid ice in your drinks (large hotels are safe).
3. Avoid undercooked or raw foods.
4. Take care to wash fruit bought at a market or stall with bottled water.
5. Wash your hands regularly with soap and water.
6. Brush your teeth with bottled water.
7. Use sanitizer before eating.
8. Avoid swimming in rivers. Rafting is safe, but use hand sanitizer at the end of the trip.
9. Do not allow water to enter your mouth in the shower or in the pool.
10. Be especially careful with foods left out in the heat for too long, as the heat provides a breeding ground for bacteria. Warungs that have food sitting on display all day should be avoided. That tends to rule out ‘Masakan Padang’ restaurants and the Indonesian dish called Nasi Campur as these tend to be made in the morning and sit all day on display. If your hotel restaurant serves Nasi Campur, it will be safe.
11. Street vendors often serve food and drinks on freshly washed plates and cups. Ensure they're completely dry before using them. Wipe the fork or spoon, or better yet, order a hot cup of tea and sit the cutlery in it for a few minutes to sterilise it. Don't drink the tea.
20. What should you eat and avoid eating if you get Bali belly?
Eight foods to avoid if you have Bali Belly:
1. Greasy fried foods
2. Soft drinks
3. Alcohol
4. Coffee
5. All dairy foods (except natural yoghurt)
6. Spicy food
7. Very hot or very cold (ice) food or drink
8. Excessive smoking
Nine foods that are good to eat if you have Bali Belly:
If you are wondering what to eat for Bali Belly:
1. Isotonic sports drinks (e.g., Pocari Sweat, available in supermarkets, convenience stores, and even small warungs on Bali)
2. Apples
3. Bananas
4. Plain rice or rice porridge
5. Oats or porridge; ask for plain Balinese 'Bubur Injin'
6. Clear soups (safest from a packet)
7. Herbal teas (i.e., ginger, camomile, peppermint, and tumeric)
8. Natural yogurt or acidophilus/biphodophilus supplements
9. Ginger and peppermint (in lollies, sweets, or teas, available from all convenience stores)
21. Bali Belly after returning home: the long term effects
Neglecting treatment of Bali Belly could lead to the development of long-term gastrointestinal complications like irritable bowel syndrome (IBS) in certain individuals. The reasons for untreated Bali Belly leading to chronic IBS include:
MCS stool tests may not detect bacteria or parasites, allowing them to multiply for years.
Pathogens can harm the intestinal lining, leading to "leaky gut" after leaving the GI tract.
Using broad-spectrum/ineffective antibiotics to self-treat while traveling kills good bacteria without treating infections.
Infections and antibiotic use can cause dysbiosis or overgrowth (e.g., SIBO) by reducing good bacteria.
If you experience Bali Belly on your holiday, when you return home, it might be a good idea to visit your doctor or a qualified nutritionist to seek assistance to detect and repair any damage to your digestive system. They might recommend getting tested, going on an Irritable Bowel Syndrome (IBS) diet, and taking vitamin supplements.
22. The cultural aspects of Bali Belly
Where possible, using the term ‘traveler’s diarrhea’ is preferable for cultural reasons
The term 'Bali Belly' is one we should try to move away from. We use the term here because that is what people are searching for. However, Bali Belly is just traveler's diarrhea, a phenomenon that can be experienced by travelers visiting many parts of the world. Other names for it include Montezuma's Revenge and the Rangoon Runs.
Even jet lag, tiredness, and a change of cuisine can cause stomach upset, let alone hygienic issues.
By giving traveler's diarrhea a location specific name like 'Bali Belly' we're making it sound like there is a specific problem with Bali, when in fact it is not just a local issue. Causes can have to do with water and food safety, to be sure, but they can also have to do with the way our bodies adapt to changes in climate, food style, and the tiredness caused by travel.
The consequence of going home and saying we had 'a bout of Bali belly' could be to discourage others from visiting Bali, and this has consequences for the Balinese and their economy. We also want to encourage the Balinese in their efforts to improve, and in the last two decades, their health department has made significant strides in improving the health and welfare of the people.
23. Travel insurance
Let's talk about travel insurance for Bali and how it can help in case you fall ill.
Firstly, does travel insurance cover doctor visits for Bali Belly? The answer is usually yes, but it's worth checking your specific policy. Make sure to read the fine print and check what is included in your coverage.
When you are marooned in your hotel room and too sick to go out on the hunt for a doctor, you'll feel much better knowing that the hotel doctor who comes in the middle of the night and who charges like a wounded bull is covered by your insurance.
24. Conclusion
Don’t get too worried about Bali Belly! Take simple precautions and know what to do if you get it and you will be fine!
Bali Belly is a common issue that can easily be prevented with just a bit of planning ahead. Stick to clean food and water, practise good hygiene, and be aware of potential sources of contamination.
If, unfortunately, you do end up with Bali Belly, don't worry; there are plenty of treatments available. Home remedies, over-the-counter medications, and prescription medications can all help alleviate symptoms. And if things get really bad, there's always the option of seeing a doctor.
If you're worried about the costs associated with getting sick on your travels, it's always a good idea to invest in travel insurance. While not every policy covers Bali Belly, there are usually options available that do.
Remember, getting sick while traveling is always a possibility, but it doesn't have to ruin your trip. Stay informed, stay healthy, and enjoy your time in Bali - Bali Belly-free!
25. Frequently Asked Questions
Can I brush my teeth with tap water in my hotel or villa?
Brushing your teeth with untreated water is usually safe. Most toothpastes contain antibacterial substances. Do not swallow the water. However, if you want to be really safe, use bottled water to brush your teeth.
Should I take a drug to stop diarrhea?
Certain specialists posit that diarrhea serves as the body's protective response to shorten the duration of exposure to intestinal pathogens and the mucosal linings. Consequently, medications that reduce gut motility, such as paregoric, diphenoxylate, and loperamide, must be administered with care, as they may exacerbate the ailment's intensity by impeding the elimination of the disease-causing microorganisms.
Can Bali Belly be delayed?
If you are about to get on a flight or a boat transfer, you may be wondering if you can delay the symptoms of Bali Belly long enough for the trip. The good news is you can. Over-the-counter medications like Loperamide or Lomotal will slow down intestinal movement, effectively reducing diarrhea frequency. It is best to get doctors’ advice before taking these sorts of medications.
Is alcohol bad for Bali Belly?
Yes, alcohol is bad if you have Bali Belly. Firstly, alcohol is dehydrating, and that just makes the dehydration caused by Bali belly even worse. Alcohol also negatively impacts your immune system, which is already working hard to fight the infection. What your body needs is clean, clear fluids like water to flush your system and rehydrate it. It is a myth that alcohol will “kill the bugs”.
What is the best thing for Bali Belly?
The single best thing you can do for Bali Belly is to rehydrate yourself. Your body is eliminating the toxin and, with it, a lot of fluids. You need to replace this fluid to help your body flush out the toxin and keep functioning healthfully. Follow our 6-Step Plan to get rid of Bali Belly fast, and you will recover quickly.
Is it ok to eat salad in Bali?
Eating salad from a hotel buffet is generally considered safe. It is less safe to eat salad in a restaurant, because you can’t be sure it has been washed carefully in clean water. Eating salad in a homestay, warung, or market stall is definitely unsafe. Buying salad in a market and washing it in bottled water yourself is fairly safe.
26. Baligram Readers' Discussion on Bali Belly
What do our readers' think? We asked some of our readers to join a discussion about Bali Belly and share their thoughts and experiences. Here's what they had to say:
Summary of the discussion
All participants have had different experiences and concerns related to Bali Belly. Jack suggests drinking coconut water and eating plain rice, Maya is worried about affording safe food options, John loves trying exotic foods but still wants to take precautions, Anna carries natural remedies with her, and James avoids tap water and street food.
The group suggests numerous ways to handle Bali Belly and prevent it from happening, including washing hands frequently, eating freshly prepared and thoroughly cooked food, taking activated charcoal tablets, drinking herbal teas, staying hydrated, avoiding alcohol and sugary drinks, and carrying sachets of oral rehydration salts or electrolyte powders. The group also suggests taking natural remedies like probiotics, ginger, and peppermint oil to soothe the stomach.
Readers joining the discussion
Sarah, nurse, Sydney, 28 yo
Maya, student, Delhi, 21 yo
Jack, retiree, London, 63 yo
John, businessman, Seattle, 35 yo
Anna, yoga instructor, Tokyo, 42 yo
James, chef, Melbourne, 38 yo
A discussion on Bali Belly
[Sarah]: Hi everyone! As a nurse, I always worry about getting Bali Belly whenever I travel. Has anyone had it before? And if so, how did you handle it?
[Jack]: Greetings from London! I've been to Bali several times and have had Bali Belly once. I drank coconut water and ate plain rice for a couple of days, which seemed to help.
[Maya]: Hi from Delhi! I'm a student on a tight budget, so I'm worried I won't be able to afford safe food options. Any tips on avoiding Bali Belly on a budget?
[John]: Hey there, I'm from Seattle and love trying exotic foods. I've never had Bali Belly, but I'm worried it might happen to me. Any ideas for precautions to take while still enjoying the local cuisine?
[Anna]: Namaste from Tokyo! As a yoga instructor, I try to stay as healthy as possible while travelling. I've never had Bali Belly before, but I always carry natural remedies like ginger and peppermint oil with me.
[James]: Good day from Melbourne! As a chef, I'm always excited to try new foods in different countries. However, I've had Bali Belly before, and it was terrible. I'm definitely more cautious now and avoid drinking tap water and eating street food.
[Sarah]: Thanks for sharing your experiences and tips, everyone! Another thing to keep in mind is to wash your hands frequently, especially before eating. It's a simple precaution that can go a long way.
[Jack]: That's a good point, Sarah. And also, make sure the food you eat is freshly prepared and cooked thoroughly. Raw or undercooked food can be a culprit.
[Maya]: I agree, Jack. I'm also planning on bringing some probiotics with me to help with digestion. Does anyone else take supplements or natural remedies for preventing or treating Bali Belly?
[John]: I take activated charcoal tablets whenever I travel to help with digestion and detoxification. It works wonders for me.
[Anna]: That's a great idea, John. I also like to drink herbal teas like camomile and fennel to soothe my stomach. And I always carry a water bottle with me to stay hydrated.
[James]: As a chef, I always try to cook my own food when I travel or look for places with high hygiene standards. And I avoid alcohol and sugary drinks, which can upset the stomach. Also, carrying sachets of oral rehydration salts or electrolyte powders can help in cases of dehydration.
[Facilitator]: Great discussion, everyone! It sounds like you've all had various experiences with Bali Belly and have some great tips for avoiding and treating it. One thing we haven't talked about yet is the emotional toll of getting sick while travelling. Has anyone experienced this?
[Maya]: I have to admit that when I got Bali Belly, it really put a damper on my trip. I was worried about missing out on all the things I wanted to do and see, but I was also embarrassed to be sick in public.
[John]: I agree, Maya. Getting sick while travelling can be very stressful and frustrating, especially if you have limited time or resources. That's why it's important to take precautions and be prepared, but also to have a backup plan in case something does go wrong.
[Anna]: I think it's also important to listen to your body and take a break when you need it. Travelling can be exhausting, and getting sick can make it even more so. Sometimes, it's better to slow down and take care of your health before rushing off to the next adventure.
[James]: Absolutely, Anna. And don't be afraid to ask for help or advice if you need it. Locals and other travellers can often provide valuable insights into the best food options or remedies to try. It's always better to be safe than sorry.
[Facilitator]: Thank you for sharing your thoughts and experiences on the emotional toll of getting sick while travelling. It's an important reminder that taking care of your physical health also means taking care of your mental health.
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