Bali Belly: Causes, Prevention, and Tips for Staying Healthy in Bali
Bali Belly is a common term for the stomach upset and diarrhea that travelers to Bali may experience. It’s caused by various factors, including bacteria, viruses, and parasites. Understanding its causes, how to prevent it, and how to manage it can help you enjoy your tropical getaway without disruptions.
In this guide, we’ll explore the 3 main causes of Bali Belly, how to prevent spreading it, and essential tips to stay healthy in Bali.
What is Bali Belly?
Bali Belly refers to gastrointestinal distress, often accompanied by diarrhea, nausea, stomach cramps, and vomiting. It can be caused by consuming contaminated food or water or through person-to-person transmission. Although unpleasant, it’s generally treatable with proper hydration and rest.
The 3 Main Causes of Bali Belly
1. Bacterial Infections
Bacteria are a leading cause of Bali Belly. They typically spread through contaminated food, water, or poor hygiene practices. Common bacteria include:
E. coli: Found in undercooked meats or unwashed vegetables.
Salmonella: Often linked to raw or undercooked poultry, eggs, and dairy.
Shigella: Spread through poor food handling or contaminated water.
Campylobacter: Found in undercooked meat, especially chicken.
Symptoms:
Diarrhea (sometimes bloody)
Fever
Nausea
Abdominal cramps
Prevention Tips:
Eat only well-cooked food and avoid raw or undercooked meats.
Drink bottled or filtered water and avoid ice unless confirmed safe.
Wash hands frequently with soap and water.
Contagious?
Yes, some bacterial infections, like Shigella, are highly contagious. They spread through contact with contaminated surfaces or people.
2. Viral Infections
Viruses such as norovirus or rotavirus are another common cause of Bali Belly. These viruses can spread through contaminated food, water, or surfaces and person-to-person contact, particularly in crowded tourist areas.
Symptoms:
Sudden vomiting
Watery diarrhea
Stomach pain
Low-grade fever
Prevention Tips:
Wash your hands often, especially before eating and after using the toilet.
Disinfect frequently touched surfaces like doorknobs and phones.
Avoid sharing utensils or food with others.
Contagious?
Yes, viral infections are highly contagious and can spread rapidly in close quarters like hotels or resorts.
3. Parasitic Infections
Parasites are less common but can cause severe cases of Bali Belly. They are usually transmitted through contaminated water or food.
Common Parasites:
Giardia: Causes giardiasis, spread through contaminated water.
Cryptosporidium: A waterborne parasite resistant to chlorine.
Entamoeba histolytica: Causes amoebiasis, leading to severe gastrointestinal symptoms.
Symptoms:
Persistent diarrhea (often greasy or foul-smelling)
Bloating and gas
Abdominal pain
Fatigue
Prevention Tips:
Avoid drinking tap water or using it to brush your teeth.
Peel and wash fruits and vegetables with safe water.
Avoid swimming in freshwater lakes or poorly maintained pools.
Contagious?
Some parasitic infections, like Giardia, can spread via poor hygiene and contaminated surfaces.
How to Prevent Bali Belly
Drink Bottled Water: Always carry bottled or filtered water. Avoid ice unless it’s made from safe water.
Eat Safely: Choose reputable restaurants with high turnover and avoid street food that looks unsanitary.
Wash Hands Frequently: Soap and water are essential before eating and after using the bathroom.
Avoid Raw or Undercooked Food: Especially meats, seafood, and eggs.
How to Prevent Spreading Bali Belly
If you’re unwell, take precautions to avoid infecting others:
Wash Your Hands Often: Use soap and water, especially after using the toilet.
Avoid Handling Food: Let someone else prepare meals until 48 hours after symptoms resolve.
Use Separate Bathrooms: If possible, use a separate bathroom or disinfect surfaces thoroughly.
Stay Out of Pools: Avoid swimming for at least two weeks after symptoms subside to prevent contaminating water.
Dispose of Waste Properly: Seal soiled tissues, diapers, and vomit bags in plastic bags before disposal.
Avoid Sharing Items: Don’t share utensils, towels, or drinks until you’ve recovered.
Avoid Swimming While Unwell
Swimming in pools or shared water facilities while experiencing Bali Belly symptoms can spread viruses, bacteria, or parasites like Cryptosporidium. These pathogens are resistant to chlorine, making even well-maintained pools a potential hazard.
Key Tip: Avoid swimming for at least two weeks after symptoms have completely resolved.
When to Seek Medical Help
Seek professional medical care if you experience:
Severe dehydration (dizziness, dry mouth, or dark urine)
Bloody diarrhea
Fever above 38°C (100.4°F)
Symptoms persisting for more than three days
In Bali, services like Bali Belly Doctor provide professional care, including house calls, ensuring a swift recovery.
Conclusion
Understanding the causes of Bali Belly—bacterial, viral, and parasitic—can help you take the right precautions to avoid it. Practice good hygiene, make informed food choices, and know how to manage the illness if it strikes. By following these tips, you can reduce your risk and focus on enjoying Bali’s breathtaking scenery, delicious cuisine, and vibrant culture.
For fast and reliable medical assistance, contact Bali Belly Doctor for house calls and professional care.