What Is Bali Belly? Causes, Prevention, And Home Remedies

Henrik Larsen

4 min read

Post on May 28, 2025

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Causes of Bali Belly

Bali Belly, essentially traveler's diarrhea, stems from various factors. The primary culprits are contaminated food and water, but bacterial and viral infections, and even parasites, can all play a role.

Contaminated Food and Water

Contaminated food and water are the most frequent causes of Bali Belly. Poor hygiene practices in food preparation and water sources contribute significantly to this problem.

• Undercooked seafood: Raw or undercooked seafood, a tempting delicacy in many Balinese restaurants, can harbor harmful bacteria.
• Street food hygiene: While street food offers an authentic culinary experience, the hygiene standards may not always be consistent. Choose carefully and opt for vendors with high turnover.
• Improperly stored food: Food left out at room temperature for extended periods can easily become contaminated with bacteria.
• Ice cubes: Ice made from unfiltered tap water can be a source of contamination. Stick to bottled water, even for drinks where ice is added.
• Unfiltered tap water: Never drink tap water in Bali; always opt for bottled water.

Bacterial and Viral Infections

Several bacteria and viruses can lead to Bali Belly.

• E. coli: This bacterium causes diarrhea, stomach cramps, and vomiting.
• Salmonella: Symptoms include diarrhea, fever, abdominal cramps, and vomiting.
• Norovirus: This highly contagious virus is known for causing severe vomiting and diarrhea.
• Rotavirus: Commonly affecting children, this virus can cause watery diarrhea, vomiting, and fever.

Parasites

Parasites, such as Giardia, can also be responsible for causing traveler's diarrhea.

• Giardia lamblia: This parasite is often contracted through contaminated water or food. Symptoms include watery diarrhea, gas, stomach cramps, and nausea. The infection can persist for weeks if untreated.

Preventing Bali Belly

Preventing Bali Belly involves careful attention to food and water safety, meticulous hygiene practices, and considering vaccinations and medications.

Food and Water Safety

• Drink bottled water: Always drink sealed bottled water and avoid tap water completely.
• Avoid ice cubes: Unless you know the ice is made from purified water, avoid ice cubes in your drinks.
• Choose reputable establishments: Opt for restaurants with high standards of hygiene and good reviews.
• Peel fruits and vegetables: Peel fruits and vegetables yourself to remove any potential contaminants.
• Avoid raw or undercooked seafood: Choose well-cooked seafood to minimize the risk of bacterial infections.
• Wash hands frequently: Wash your hands thoroughly with soap and water before eating and after using the toilet.

Hygiene Practices

• Handwashing: This is the single most effective way to prevent the spread of infection. Carry hand sanitizer if soap and water aren't available.
• Avoid touching your face: Avoid touching your eyes, nose, and mouth, especially after touching surfaces in public places.

Vaccinations and Medications

• Typhoid vaccination: Consider a typhoid vaccination, especially if you plan on extended travel or will be visiting areas with questionable sanitation.
• Consult a doctor: Consult your doctor before your trip to discuss necessary vaccinations and any potential prophylactic medications. They can advise on appropriate anti-diarrheal medications, but only use these as directed.

Home Remedies for Bali Belly

If you still develop Bali Belly despite preventative measures, these home remedies can help manage symptoms:

Oral Rehydration Solutions (ORS)

Preventing dehydration is crucial.

• Homemade ORS: Mix one liter of boiled and cooled water with 6 level teaspoons of sugar and one level teaspoon of salt.
• Store-bought ORS: Numerous commercial ORS solutions are available at pharmacies.
• Hydration: Drink plenty of fluids to replace lost electrolytes.

Rest and Hydration

• Rest: Avoid strenuous activity and get plenty of rest to allow your body to recover.
• Hydration: Continue to drink clear broths and fluids to maintain hydration levels.

Mild Medications

• Over-the-counter medications: Over-the-counter medications like loperamide can help control diarrhea, but consult a doctor before using them. Never self-medicate without professional advice.

BRAT Diet

The BRAT diet (Bananas, Rice, Applesauce, Toast) is often recommended.

• BRAT Diet benefits: These foods are bland, easy to digest, and help bind the stool.

Conclusion

Bali Belly, or traveler's diarrhea, is a common concern for visitors to Bali. Understanding its causes—contaminated food and water, bacterial and viral infections, and parasites—is the first step to prevention. Practicing meticulous food and water safety, maintaining good hygiene, and considering vaccinations and medication can significantly reduce your risk. If you do experience Bali Belly, focus on rehydration, rest, and mild symptom relief with home remedies or under medical supervision. Remember, responsible food and water choices and good hygiene are key to avoiding Bali Belly and ensuring a memorable, healthy trip to this beautiful Indonesian island. Consult your doctor before your trip for pre-travel advice and seek medical attention if your symptoms persist or worsen. Don't let Bali Belly ruin your Bali vacation – be prepared!