Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (2024)

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (1)

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (2)

19 Oct 2020

4 Min read

Content

  • Traveler’s diarrhea is the most common travel-related illness
  • Travel-related upset stomach is usually caused by consumption of pathogens
  • Digestive issues may be eased by supplementing with probiotics
  • The LGG® probiotic strain may help reduce the risk of traveler’s diarrhea
  • A specific probiotic blend of probiotic strains may be beneficial for travelers’ health

An upset stomach commonly occurs when traveling abroad and is known as traveler’s diarrhea. Clinical studies have suggested consuming the Lactobacillus rhamnosus, LGG®probiotic strain1, 2 (hereafter referred to by use of the trademark LGG®) or a specific blend of the Bifidobacterium, BB-12®, Lactobacillus acidophilus, LA-5®, Streptococcus thermophilus, STY-31™ and Lactobacillus bulgaricus, LBY-27™3, 4 (hereafter referred to by use of the trademarks BB-12®, LA-5®, STY-31™ and LBY-27™) probiotic strains may be associated with a reduced incidence of traveler’s diarrhea.

Documented FACTS

How to reduce the incidence of travel-related diarrhea:

Strain: Lactobacillus rhamnosus, LGG® 1,2
Potency: 2 billion CFU/day1,2
Duration: 2 days prior to departure and during travel1,2

How to reduce the incidence of travel-related diarrhea:

Strain: BB-12®+LA-5®+ STY-31TM+ LBY-27TM 3,4
Potency: 3 billion CFU, 3 times a day3,4
Duration: 2 days prior to departure ad during travel3,4

Fact

Traveling abroad can cause an upset stomach and is often referred to as traveler’s diarrhea.

Traveler’s diarrhea is the most common travel-related illness

Unfortunately, travel and exotic holidays sometimes come hand-in-hand with consumption of contaminated food and drinking water.5 Reasons include exposure to climates and sanitary practices that are different to what we are more accustomed.5 Food and water contamination can occur anywhere in the world, but the regions that carry the greatest risk include the Middle East, Africa, Mexico, Central and South America, and Asia (excluding Japan and South Korea).6 In high-risk countries, the incidence of traveler’s diarrhea can be as high as 50%.7, 8

Consumption of contaminated products can cause traveler’s diarrhea, a digestive tract disorder that commonly causes loose stools and abdominal cramps.

Travel-related upset stomach is usually caused by consumption of pathogens

Traveler’s diarrhea is usually acquired by consuming food that has been contaminated by feces containing different types of pathogens; the bacterial pathogen Escherichia coli is a common culprit.9 These infectious organisms colonize the small and/or large intestine. Most of them produce toxins that increase the flow of water and electrolytes into the bowel.9 A fluid imbalance can cause large and uncomfortable increases in stool production.9

Fact

Traveler’s diarrhea is rarely serious or life-threatening in otherwise heathy adults, but it can make a trip very unpleasant.

Digestive issues may be eased by supplementing with probiotics

There is increasing evidence suggesting probiotics may help improve gastrointestinal health.1, 2, 3, 4, 13 A meta-analysisconcluded probiotics may help to reduce the risk of traveler’s diarrhea.13 As with all probiotic strains, it is crucial to choose a probiotic strain that has been investigated in clinical studies and in the relevant therapy area.
Read more aboutchoosing a probiotic strain.


The LGG® probiotic strain may help reduce the risk of traveler’s diarrhea

A clinical study investigated the impact of consuming the LGG® strain at a potency of 2 billion CFU/day on the incidence of traveler’s diarrhea. The study was conducted in healthy adults who traveled to Asia, Africa, and central and south America. The intervention started 2 days prior to departure and ended on the last day of the trip.2 n=126 received the LGG® strain and n=119 received placebo. Just 3.9% of the intervention group experienced traveler’s diarrhea, compared to 7.4% of the placebo group.2

Reducing the incidence of traveler’s diarrhea by consuming the LGG® strain is supported in other research. In a clinical study of 756 participants who traveled to Turkey, the incidence of traveler’s diarrhea was significantly reduced in the LGG® group compared to the placebo group.1

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (3)

A specific probiotic blend of probiotic strains may be beneficial for travelers’ health

The effect of a blend of the BB-12®, LA-5®, STY-31 and LBY-27 strains on gastrointestinal health has been studied in randomized, double-blind, placebo-controlled studies.3, 4
94 travelers were randomized to receive the probiotic blend or placebo for 2 days prior to travel and for the duration of their 2 week visit to a high-risk country. There was a 39% reduction in the incidence of traveler’s diarrhea in the group that consumed the probiotic blend compared to placebo.3
In a study that investigated the effect of travel on bowel movements and regularity once home from a trip, 101 travelers consumed a placebo or the specific blend before, during and after their trip. Not only was the probiotic blend associated with a reduced incidence of diarrhea while away, but none of the group experienced upset stomach once home, compared to 18% of the placebo group.4

Probiotics as a precautionary measure when traveling abroad

To help avoid an upset stomach and maintain regularity when traveling abroad, consumption of the LGG® probiotic strain or the specific blend of the BB-12®, LA-5®, STY-31 and LBY-27 probiotic strains should be considered.1, 2, 3, 4, 13

Read about probiotics for antibiotic-associated diarrheaand infant diarrhea

CFU: Colony Forming Unit


BB-12®, LA-5®, STY-31 and LBY-27 are trademarks of Chr. Hansen A/S.


The article is provided for informational purposes regarding probiotics and is not meant to suggest that any substance referenced in the article is intended to diagnose, cure, mitigate, treat, or prevent any disease

Lactobacillus rhamnosus, LGG®

Lactobacillus rhamnosus, LGG® is the world’s most documented probiotic strain. The LGG® strain has proven benefits across all ages and numerous health areas, including gastrointestinal, immune and oral health.

LGG® is a registered trademark of Chr. Hansen A/S

Read more about LGG®

See our other strains

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (4)

Bifidobacterium,BB-12®

The probiotic strain Bifidobacterium, BB-12® is the world’s most documented probiotic bifidobacterium. It has been extensively studied and has been associated with improved outcomes across various health areas.

BB-12® is a trademark of Chr. Hansen A/S

Read more about BB-12®

See our other strains

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (5)

Lactobacillus acidophilus, LA-5®

The probiotic strain Lactobacillus acidophilus, LA-5® has demonstrated benefits, for example, in gastrointestinal health when used in combination with Bifidobacterium, BB-12®.

LA-5® and BB-12® are trademarks of Chr. Hansen A/S

Read more about LA-5®

See our other strains

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (6)

References Open Close

1. Oksanen PJ, et al. Prevention of travellers' diarrhoea by Lactobacillus GG. Ann Med. 1990;22(1):53-6. (PubMed)
2. Hilton E, et al. Efficacy of Lactobacillus GG as a Diarrheal Preventive in Travelers. J Travel Med. 1997;4(1):41-3. (PubMed)
3. Black FT, et al. Prophylactic Efficacy of Lactobacilli on Traveler’s Diarrhea. In: Steffen R, et al., editors. Travel Medicine: Proceedings of the First Conference on International Travel Medicine, Zürich, Switzerland, 5–8 April 1988. Berlin, Heidelberg: Springer Berlin Heidelberg; 1989. p. 333-5. (Source)
4. Black FT, et al. Report from a placebo-controlled double-blind trial of 4 lactobacilli strains (HIP) used as a prophylactic agent against traveller's diarrhoea. 1988. Unpublished data.
5. Mayo Clinic. Traveler's diarrhea. Updated. (Source) Accessed 12th June 2020.
6. Centers for Disease Control and Prevention. Travelers Health. Updated. (Source) Accessed 12th June 2020.
7. Steffen R, et al. Traveler's diarrhea: a clinical review. JAMA. 2015;313(1):71-80. (PubMed)
8. Steffen R, et al. Epidemiology of travelers' diarrhea: details of a global survey. J Travel Med. 2004;11(4):231-7. (PubMed)
9. Leung AKC, et al. Travelers' Diarrhea: A Clinical Review. Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):38-48. (PubMed)
10. Al-Abri SS, et al. Traveller's diarrhoea. Lancet Infect Dis. 2005;5(6):349-60. (PubMed)
11. Leggat PA, Goldsmid JM. Travellers' diarrhoea: health advice for travellers. Travel Med Infect Dis. 2004;2(1):17-22. (PubMed)
12. Ericsson CD. Travellers' diarrhoea. Int J Antimicrob Agents. 2003;21(2):116-24. (PubMed)
13. Bae JM. Prophylactic efficacy of probiotics on travelers' diarrhea: an adaptive meta-analysis of randomized controlled trials. Epidemiol Health. 2018;40:e2018043. (PubMed)

Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (7)

What are
probiotics?

Learn more about what probiotics are and how they can benefit your health

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What to
look for

See key tips on how to choose a high-quality probiotic product

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Clinical
studies

Learn how to review the evidence when considering probiotic strains and effects

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Our
strains

Read more about some of the world’s most documented probiotic strains and their diverse, beneficial health effects

LEARN MORE

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Traveler’s diarrhea may be avoided by consuming specific probiotic strains | The Probiotics Institute by Chr. Hansen Inc. (2024)

FAQs

What probiotics are best to prevent traveler's diarrhea? ›

Travelers' Diarrhea

The strongest evidence points to help from Bifidobacterium bifidum, Lactobacillus acidophilus, and Saccharomyces boulardii.

What would prevent traveler's diarrhea? ›

Bacteria, parasites, and other substances in the water and food can cause traveler's diarrhea. People who live in these areas don't often get sick because their bodies are used to the bacteria or parasites. You can lower your risk of getting traveler's diarrhea by avoiding water, ice, and food that may be contaminated.

Which of the following should be recommended for prevention of travelers diarrhea? ›

You can take steps to avoid travelers' diarrhea

Eat only foods that are cooked and served hot. Avoid food that has been sitting on a buffet. Eat raw fruits and vegetables only if you have washed them in clean water or peeled them.

Should you avoid probiotics with diarrhea? ›

Probiotics can make diarrhea go away about one day faster. Generally speaking, probiotic products – which mostly contain certain lactic acid bacteria – are well tolerated. Diarrhea is often caused by an intestinal (bowel) infection.

What probiotics to take before mexico? ›

CFU or colony-forming unit should also be considered before selecting the appropriate probiotic. For travel, probiotics with a CFU of 30 billion are generally recommended. Probiotics with diverse species should be selected, such as a formulation containing Lactobacillus and Bifidobacterium.

Should I take probiotics before going to Mexico? ›

The best time to start taking probiotics for gut-healthy traveling is at least two weeks before you plan to travel. However, we recommend taking probiotics consistently as a part of a gut-healthy daily routine since most people encounter gut stressors daily.

What stops diarrhea fast naturally? ›

What food stops diarrhea?
  • bananas.
  • rice or rice water.
  • applesauce.
  • toast.
  • potatoes.
  • saltine crackers.
  • clear broth.

What can I drink to stop diarrhea fast? ›

Rice Water

This diarrhea remedy is often recommended for babies but may also help adults. In addition to providing nutrients, the slightly starchy solution is binding. To make rice water: Combine 1 to 2 cups of water with 1/2 cup of white or brown rice (do not use the instant type).

What foods prevent diarrhea? ›

One of the most familiar anti-diarrhea strategies is the BRAT diet (which stands for bananas, rice, applesauce, and toast). But there are other foods that are just as useful, including soft-cooked eggs, low-fat yogurt, clear broths, plain pasta, and saline crackers.

How long does travelers diarrhea last? ›

Traveler's diarrhea may begin suddenly during your trip or shortly after you return home. Most people improve within 1 to 2 days without treatment and recover completely within a week. However, you can have multiple episodes of traveler's diarrhea during one trip.

Is it better to let diarrhea run its course? ›

Since diarrhea is your body's way of getting rid of toxins, it is best to let it run its course. However, you may use over-the-counter antidiarrheal remedies for convenience, including: Attapulgite (Kaopectate) Loperamide (Imodium)

Where is travelers diarrhea most common? ›

TD is particularly common among people traveling to Asia (except for Japan and Singapore), the Middle East, Africa, Latin America, and Central and South America. The risk is moderate in Southern Europe, Russia, and China.

Who should not take probiotics? ›

There's a small risk of adverse side effects for people with weaker immune systems. This includes people taking immunosuppressant drugs, people with critical illnesses and infants who've been born prematurely. The risk is that a probiotic product might contain a harmful type of microbe along with the helpful types.

What is the best probiotic for travel to Mexico? ›

To help avoid an upset stomach and maintain regularity when traveling abroad, consumption of the LGG® probiotic strain or the specific blend of the BB-12®, LA-5®, STY-31 and LBY-27 probiotic strains should be considered. BB-12®, LA-5®, STY-31 and LBY-27 are trademarks of Chr.

Do bananas help stop diarrhea? ›

If you have diarrhea, consider trying the following foods: Bananas: Unripe bananas are high in resistant starch, which could help draw moisture out of stools and reduce diarrhea symptoms.4. White rice: White rice is low in fiber and easier to digest than high-fiber grains like brown rice and other whole grains.

What is the best probiotic to take before traveling? ›

Taking travel probiotics can help you avoid these problems on your next summer getaway. Look for a product containing one or more of these specific probiotic strains shown to prevent traveler's diarrhea: Saccharomyces boulardii. Bifidobacterium breve.

Is Lactobacillus acidophilus good for travelers diarrhea? ›

Travelers at high risk for traveler's diarrhea, travelers whose health may be at risk if they contract traveler's diarrhea, and travelers who cannot take the time necessary to recover should they become ill with traveler's diarrhea should consider taking Lactobacillus GG in a dose of 2-10 billion cfu/g per day starting ...

What probiotics should I take before going to Bali? ›

Probiotics are beneficial bacteria that can help restore the balance in your gut and alleviate symptoms of Bali Belly. Look for probiotic supplements that contain strains like Lactobacillus or Bifidobacterium.

Does Saccharomyces boulardii prevent travelers diarrhea? ›

A 2019 review found that, in comparison with two other probiotics, S. boulardii is significantly more effective for preventing traveler's diarrhea. Traveler's diarrhea occurs when a person ingests viruses, bacteria, or protozoa in food or drink while traveling.

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