Abdominal Cramps and Diarrhea: When to Seek Medical Help While Traveling

Intermittent cramping abdominal pain and diarrhea?

Hello Doctor, I am currently traveling in Japan.
The night before last, I felt some bloating in my stomach before going to bed.
I woke up in the middle of the night with abdominal pain and had diarrhea.
The pain has continued, so yesterday morning I bought some Seirogan and paired it with white toast.
After eating, my abdominal pain improved slightly, but I still felt lethargic throughout the day.
I also took Daiko Hyakuhon, and last night I woke up several times due to abdominal discomfort.
I tried to use the restroom multiple times, but it wasn't until the fourth attempt that I was able to pass some loose stools.
During this time, I have been experiencing intermittent cramping that continues to this moment.
I'm not sure if the yellow color of the Daiko Hyakuhon is a factor.
After drinking a lot of water, my urine is still yellow.
Since I am returning to Taiwan the day after tomorrow, I plan to seek medical attention there if I still feel unwell.
However, I would like to ask you, based on the symptoms described, do you think I need to seek medical care locally? Thank you!

Niming, 20~29 year old female. Ask Date: 2023/02/07

Dr. Chen Shidian reply Gastroenterology and Hepatology

Testing is available to determine if there is a COVID-19 infection.
Additionally, dietary and medication management for symptoms is necessary.
If the sclera (the white part of the eyes) also turns yellow (jaundice), medical attention is required.

Reply Date: 2023/02/07

More Info

When traveling, especially in a foreign country, experiencing abdominal cramps and diarrhea can be concerning. Based on your symptoms, it is essential to assess the severity and duration of your condition to determine whether you should seek medical help while in Japan.

Your symptoms began with abdominal bloating, which progressed to abdominal pain and diarrhea. You mentioned that you experienced some relief after taking medications like 正露丸 (Seirogan) and 大正百保能 (Taisho Bihaku), but the discomfort persists, and you continue to have episodes of cramping and loose stools. While it is common to experience gastrointestinal issues while traveling, especially due to changes in diet or exposure to unfamiliar bacteria, it is crucial to monitor your symptoms closely.

Here are some guidelines to help you decide whether to seek medical attention:
1. Severity of Symptoms: If your abdominal pain is severe, persistent, or worsening, it is advisable to seek medical help. Severe pain could indicate a more serious condition that requires immediate attention.

2. Duration of Symptoms: If your symptoms have lasted more than 24 to 48 hours without improvement, it may be time to consult a healthcare professional. Prolonged diarrhea can lead to dehydration, which can be dangerous, especially if you are not able to keep fluids down.

3. Signs of Dehydration: Watch for signs of dehydration, such as dry mouth, dizziness, decreased urination, or dark-colored urine. If you notice any of these symptoms, you should seek medical care promptly.

4. Presence of Blood: If you notice blood in your stool or vomit, or if you have a high fever (over 101°F or 38.3°C), these are red flags that warrant immediate medical attention.

5. Underlying Health Conditions: If you have any pre-existing health conditions, such as diabetes or heart disease, that could complicate your situation, it is wise to consult a doctor sooner rather than later.

6. Travel Insurance: If you have travel insurance, check to see if it covers medical expenses abroad. This can alleviate some concerns about the cost of seeking medical help.

7. Local Healthcare Facilities: Familiarize yourself with local healthcare options. In Japan, healthcare is generally of high quality, and many facilities can provide care in English. If you decide to seek help, look for a nearby clinic or hospital.

8. Returning Home: If you choose to wait until you return home to seek medical attention, ensure that you stay hydrated and monitor your symptoms closely. If your condition worsens before your return, do not hesitate to seek local medical assistance.

In summary, while it is understandable to want to wait until you return home for treatment, your health should be the priority. If your symptoms are severe, persistent, or accompanied by concerning signs, it is advisable to seek medical attention while you are still in Japan. Taking care of your health will ensure that you can enjoy the remainder of your trip and return home safely.

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