50% of travellers experience digestive issues when abroad. Don’t be one of them!
Traveller’s Diarrhoea is the most frequently experienced health disorder experienced by those travelling abroad. Research suggest that pathogenic bacteria are responsible for 85% of all cases of Traveller’s Diarrhoea, with E. coli being the most common offender[4,5]. Despite it being a generally minor condition, it can ruin your holiday. Statistics reveal that 20% of sufferers are confined to bed for a day, and 33% need to stop their activities.
Of course some destinations are higher risk than others and are generally the more exotic locations such as Egypt, India, and Mexico.
So what is the best natural approach to Traveller’s Diarrhoea?
Much research shows the potential for probiotics to be a natural preventative. Studies suggest that probiotics, a.k.a. friendly bacteria, can help to strengthen the gut’s protective barrier against pathogenic bacteria, such as E. coli and Salmonella. A review of the research on this (meta-analysis) found that 85% of cases of Traveller’s Diarrhoea were prevented by probiotics.
How can taking bacteria avoid a bacterial infection?
Well as with other issues with gut health, having enough of the relevant strain of bacteria will help fight the unwanted pathogenic bacteria. It has been found that a combination of B. longum Rosell-175, Lactobacillus rhamnosus Rosell-11, Saccharomyces boulardii and L. acidophilus Rosell-52 have been shown to be effective in preventing infection with E. coli. Other trials also show that Saccharomyces boulardii may be especially helpful in cases of Traveller’s Diarrhoea due to its unique ability to actually bind to unwanted, pathogenic bacteria and then help excrete them, as well as its documented ability to alleviate diarrhoea during an infection [9,10,11,12].
L. acidophilus Rosell-52 & L. rhamnosus Rosell-11 have also been shown to help prevent infection by less common pathogens including: P. aeruginosa, Klebsiella, and Staphylococcus [13,14].
So all in all these bacteria can be of huge help staying happy and healthy when travelling. Nutritional Therapist, Joanna Lutyens from OptiBac Probiotics says ‘ Your digestive system may be under siege when travelling abroad, both from an intake of foods which your body is not used to, as well as a whole new range of bacteria. It is therefore really important to look after your digestive health when travelling. Taking a probiotic specifically designed to support your gut health in this situation may really help prevent discomfort or illness. Of course there are other things you can do to avoid getting the dreaded Delhi Belly. Tips include avoiding unpeeled fruit and vegetables, avoid tap water even when brushing your teeth, wash your hands regularly, avoid ice cubes and stay hydrated.’
- Bradley AC, 2007.
- World Tourism Organisation. Tourism highlights. 2008. Available at www.unwto.org
- Black RE. Epidemiology of travellers’ diarrhoea and relative importance of various pathogens. Rec. Infect. Dis. 1990: 12 (suppl 1): S73-S79
- Jiang ZD; Mathewson JJ, Ericsson CD, Svennerholm AM, Pulido C, DUPont HL. Characterisation of enterotoxigenic Escherichia coli strains in patients with traveller’s diarrhoea acquired in Guadalajara, Mexico, 1992-1997. J Infect Dis. 2000;181:779-82
- Adachi JA, Jiang ZD, Mathewson JJ, Verenkar MP, Thompson S, Martinez-Sandoval F, et al. Enteroaggregative Escherichia coli as a major etiologic agent in traveller’s diarrhoea in 3 regions of the world. Clin Infect Dis. 2001;32:1706-9.
- Centres for disease control and prevention – www.cdc.gov.travel/yellowbookch4-diarrhoea.aspx
- McFarland MV, Meta-analysis of probiotics for the prevention of traveller’s diarrhoea. Travel Medicine and Infectious Disease. 2007; 5: 97-105.
- Bisson JF. (ETAP), H. Durand (Institut Rosell- Lallemand), Effects of Different Probiotic Formulations on the Traveller’s Diarrhoea Model in Rats. Submitted.
- Kirchhelle, A. et al. Treatment of persistent diarrhoea with S. boulardii in returning travellers. Results of a prospective study. Fortschy. Med. 1996, 114:136-140
- Kollaritsch, H. et al. Prevention of traveler’s diarrhoea with Saccharomyces boulardii. Results of a placebo controlled double blind study. Fortschr. Med. 1993, 111:152-156.
- Kurugol Z., Koturoglu G. Effects of Saccharomyces boulardii in children with acute diarrhoea. Acta pediatr 2005; 94;44-7.
- Htwe K; et al. Effect of Saccharomyces boulardii in the Treatment of Acute Watery Diarrhoea in Myanmar Children: A Randomized Controlled Study. Am. J. Top. Med. Hyg. 2008; 78(2):214-216
- Tlaskal P, Lactobacillus acidophilus in the treatment of children with gastrointestinal tract illnesses. 1995, Cesko-Slovenska Pediatrie, 51 :615-619.
- Wasowska, K. Prevention and eradication of intestinal dysbacteriosis in infants and children. unpublished results 1997