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kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 9/26/2007 6:41 AM (GMT -7)   
Has anybody been to Mexico while flaring? As I taper off of predmy symptoms are returning and I am waiting to see any affect from Imuran. In november my father inl aw is getting married in Mexico. he has rented a 16,000 sqft villa for the family. My mom is so scared that I am going to catch something she doesn't want me going. She is afraid of everything from ice to eating off of dishes washed in mexican water. I understand her concern but the more she talks the more paranoid I get.

Any ideas of what I can do to plan ahead? Is mexican bottled water different than US bottled water?

What am I not thinking of? Help!
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, Rowasa every other night, down to 15 mg pred.
75mg Imuran starting 8/23/07---fingers crossed!
Prontonix once daily for acid reflux, zofran twice daily for nausea


puglover13
Regular Member


Date Joined Aug 2007
Total Posts : 25
   Posted 9/26/2007 7:42 AM (GMT -7)   
I was in Mexico last year and I was fine.  I actually felt better there then I do when I'm home, maybe I was more relaxed or something.  Most places use purified water for their ice cubes, just ask.  Good luck - I will be there again in November for my wedding - hopefully I will be in remission, and the effects of the prednisone will be gone by then.......
Diagnosed UC June 2007 (mis-diagnosed with IBS for 3 years)
Current meds: Asacol 9/day, Prednisone 10 mg (YAYYY!), Prilosec 40mg, fish oil, iron, multivitamin, probiotic.
6-MP 25mg, Cortenema


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2148
   Posted 9/26/2007 8:35 AM (GMT -7)   
I was married in Aruba 1.5 years ago and I was not flaring but I did get stomach sick the night before my wedding (I think it was just nerves that I did not let myself feel and it built up). Other than that I was completely fine. Also I was in Aruba 5 years ago and was fine.

A couple pieces of advice.
1. Only eat cooked food, don't eat fresh fruits and veggies - why? Because it is not washed in bottled water, unless you wash it, can you bring fruit and veggie spray w/you? I just thought of that. A friend got sick in the Domincan and her doc said it was probably from the water they use to wash the fruits and veggies. Pack your own cleaning products and snacks in your suitcase.
2. Bring kaopectate, immodium, etc. just in case (sure you would do that anyway).

Also for destination wedding tips and advice, I highly recommend theknot.com and go to the 'destination wedding' board (you can look me up there I am Aruba2006) there are people there that are going to weddings abroad and having their own weddings abroad. It was a great help to me so many helpful tips and advice and the ladies on that board were so nice.
Beth, 31
UC Diagnosed March 2000
Lialda 2.4mg 1xday since 8/24/07 (prev. Asacol 4800mg day),Calcium and Vit D 500mg 2xday.
Minimal Change Disease (Kidney Disorder) Diagnosed Sept 2007
Prednisone 60mg 1xday, Simvastatin 20 mg 1xday
Diovan 80mg 1xday. Fosomax 1xweek 70mg. MCD may be from hypersensitivty to 5ASA drugs.


therearemiracles
Veteran Member


Date Joined Dec 2006
Total Posts : 3533
   Posted 9/26/2007 8:38 AM (GMT -7)   
I was there this January and was taking Grapefruit seed extract, it kills bacteria. It takes like gasoline. I was flaring at the time too.

I had the Rocephin shot and 2 weeks of Omnicef, this helped with my bloating and digestion. That was 4/15/07
Had Cipro and Predison for 10 & 5 days, 7/3/07
Colonoscopy & Endoscopy 7/27, Left sided colitis and near cecum (mild)
Had a shot of steriods for my ear inflammation 8/31
Stopped Colozal 9/11/07
On Standard Process supplements, trying a new protocal from a
natural path as of 9/10/07
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 29859
   Posted 9/26/2007 9:11 AM (GMT -7)   
I've never been to Mexico..
But if I were to go...I'd bring Pepto Bismol and probiotics that don't need to be refrigerated.

q
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


UCinNC
Veteran Member


Date Joined May 2007
Total Posts : 528
   Posted 9/26/2007 7:03 PM (GMT -7)   
Hey. I have spent a decent amount of time in latin America, the last time being a 3 week vacation in Bolivia last year. However, haven't been since getting UC. Nonetheless, here are my general tips on staying well in latin america:

*when buying bottle water, check that the seal hasn't been opened, as sometimes vendors sell bottles that have been filled with tap water.
*be sure to brush your teeth and wash your face with bottled water
*if your UC is ok with pepto, I suggest taking 2 pepto chewables before every meal. iit may be superstittious, but i did that in bolivia in never got sick, whereas when I was in nicaragua I never did that and got sick.
*avoid the ice
*avoid buying food from street vendors
*don't buy fruit that has already been peeled. peel it yourself

chances are that if he rented a 16,000 sq. ft. villa, the place will definitely know how to cook for gringos with no immunity to mexican bugs. so, I suspect you'll be fine. hopefully that helps..???
29/Female/NC
Pancolitis dx 3/07
*12 Asacol/day
*100mg Imuran/day (steroid dependent)
Various vitamins, probiotics, fish oil.
Engaged: June 1, 2007


ks1905
Veteran Member


Date Joined Sep 2005
Total Posts : 4811
   Posted 9/26/2007 8:38 PM (GMT -7)   
Ask your GI about Xifaxan, it is used to treat traveler's diarrhea and sometimes they use it to treat IBD flares.

Personally if I had the option I would not take a trip to Latin America, Africa, or Asia unless I had to. The way I look at it is that it is really not worth it even though I probably wouldn't get a flare from it but I wouldn't want to take the chance. I would rather go to Hawaii.

If i had to go to Mexico for my family I would go without hesitation but like I said I would rather go to some place else.

Here is a helpful link for traveling with UC http://www.ccfa.org/living/travel?LMI=1.0

--Keith
DX'd with Pan-Colitis June 2005
Current Status: Flaring since May
 
Current Meds:  6-mp & Colocort
Supplements:  None 
 


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 9/27/2007 7:07 AM (GMT -7)   
Thanks for the advice so far...I am so willing to do anything to keep this a fun trip.

Can anyone reccomend a probiotic that doesn't need to be refridgerated?

More advice or tips are welcomed!!
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, Rowasa every other night, down to 15 mg pred.
75mg Imuran starting 8/23/07---fingers crossed!
Prontonix once daily for acid reflux, zofran twice daily for nausea


Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 9/27/2007 9:37 AM (GMT -7)   
Ditto on the advice above.............I would definitely go....my focus and concern would definitely be on having food outside as a low priority - only eat and drink what you know to be super safe. Bring some items from home as suggested and definitely the UNopenED bottled water for everything from brushing your teeth and cleaning your toothbrush. Definitely avoid ice and fruits and vegs. washed in their water. It may be overkill but I would bring some of the thin paper plates and maybe some plastic cups. If necessary bring an extra small suitcase with food items.

The water there as I understand it just does not agree with a lot of Americans as our insides don't have the tolerance to their water as it is not subject to the same US standards and there may be parasites (?) that don't harm the Mexicans but bothers us.

We went once in 2000 and stayed at an all inclusive resort for a week in Playa del Carmen area. It was considered a 5 star resort and they used filtered water in food prep. In our rooms were dorm sized fridges with bottled soft drinks and plenty of bottle water and a note in the bathroom instructing us to use the bottled water for brushing our teeth and cleaning the toothbrush which is why I stress that as well.

We had a blast, loved our trip there and just made sure when we went off site we did not eat elsewhere as some people did and did get ill with diahreaa. I would go back but would be very careful that's all.

Enjoy the wedding and the vacation.

60 yr old male~Colitis 1st diagnosed Jan '05-cleared up within a few wks. Flared again in May '06 ... left sided UC now, fully involved and trying to get in remission. Acute inflammation-pancolitis-tenesmus rectal pain-granulation is showing some healing started. Osteopena of spine from prednisone DX 8/07  July 07 good days & bad days 75mg Imuran 40  mg prednisone (tapering 8/07) 12 Asacol, Lidocaine Hydrochloride Jelly 2%,multi vitamin, iron 3X day, DanActive, chewable calcium, Prilosec 20mg, enalapril 10mg, glipizide 5 mg, zocor 20 mg, baby aspirin, (Fentanyl pain patch 50mg 72 hrs  Morphine Sulf 15 mg twice daily)Colocourt enemas at night. Fosamax and mthly B12 shots folic acid 1mg


Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 9/27/2007 9:44 AM (GMT -7)   
Since you're having your own villa - maybe bring a few of the dollar store ice cube trays and use the bottled water for your ice????? Again, overkill maybe but what the heck - one less worry for you and your family.

There are a lot of the everyday things we take for granted here that you can think about before hand that will make your vacation there even more enjoyable if you can be a bit more proactive which will be worth it in the long run???? I may be kind of anal when it comes to this stuff but it will take a lot of the anxiety out of this upcoming trip for you and your family if you plan ahead.

60 yr old male~Colitis 1st diagnosed Jan '05-cleared up within a few wks. Flared again in May '06 ... left sided UC now, fully involved and trying to get in remission. Acute inflammation-pancolitis-tenesmus rectal pain-granulation is showing some healing started. Osteopena of spine from prednisone DX 8/07  July 07 good days & bad days 75mg Imuran 40  mg prednisone (tapering 8/07) 12 Asacol, Lidocaine Hydrochloride Jelly 2%,multi vitamin, iron 3X day, DanActive, chewable calcium, Prilosec 20mg, enalapril 10mg, glipizide 5 mg, zocor 20 mg, baby aspirin, (Fentanyl pain patch 50mg 72 hrs  Morphine Sulf 15 mg twice daily)Colocourt enemas at night. Fosamax and mthly B12 shots folic acid 1mg


PV
Veteran Member


Date Joined May 2006
Total Posts : 1177
   Posted 9/27/2007 10:00 AM (GMT -7)   
My husband and I are planning a trip to India this December for 5 weeks, so this is something that we've been worried about as well. Traveler's Diarrhea is one of the most worrisome factors for travel for people with UC. Here's what we're planning to do for our trip:

* Don't drink any other that isn't bottled and sealed.
* Use bottled water to wash face, brush teeth, and wash any fruits to eat (that haven't been peeled).
* Don't eat any uncooked food (such as salads, or fresh fruit)
* Don't drink anything in which they add ice or water.
* Eat plenty of the local yogurt (Yogurt is available with most meals in India)
* Stick to eating vegetarian food as much as possible, since meats and shellfish etc are more suspect
* Only eat where the local population eats. Avoid roadside (outdoor) food stalls, and special "American" food places, since food there is likely to be stale (since it doesn't sell out very fast)
* Take plenty of probitotics (in our case VSl#3)
* Carry enough medication with you, in case the UC flares (including antibiotics that are safer for people with UC)
* Keep yourself well hydrated
* If the food is not hot, don't eat it (if the food is cold, it's been sitting for a while) - so insist on hot food
* In restaurants, take the utensils and plates they give you, and make sure they are fully dry and don't still have water on them. If they do, rinse it out with bottled water and wipe dry.
* We found this product called Travelan that says it wards off traveler's diarrhea caused by e-coli. This product is sold from Australia, and from what I read they are currently in clinical trials to see if it will be of use to people with UC as well. In any case, it seems to be good to ward off traveler's diarrhea caused by e-coli. We're going to talk to our GI about this during our next visit, and see what his recommendation is. You could ask your doc about it as well. Here's a link to Travelan:
http://www.travelan.com.au/
* Make sure your GI knows you are traveling out of the country, and that he'll be available to consult with you over the phone or via e-mail should the need arise.
* Take the powdered gatorade with you, just in case you have a flare and you need electrolytes.

My husband takes VSL#3 as a probiotic. We intend to take this to India with us. I believe a note from your doctor that this probiotic is needed for your UC and that it needs to be kept cold, is enough to take it through airport security. I bought a polar bear cooler with some re-usable techni-ice sheets to carry the VSL#3 on hand baggage to India. I know people who've traveled like this without issue.

I hope this helps, and you have a good trip to Mexico. Wish us luck as well.
Husband with Ulcerative Proctitis
Diagnosed March 2003, 1st Flareup after diagnosis Apr 2006
Currently in Remission
Nightly 1000mg time release Canasa
Even though he has no symptoms, he's on VSL # 3 (1 packet daily) for prevention
Was on the SCD, but we stopped after 4 months of no symptoms - he's doing fine on a normal diet


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 9/27/2007 10:05 AM (GMT -7)   
Thanks so much UCwife... the paper plates are a great idea!

I agree that if I plan and plan it will work out...That's why i've posted this now 2 months in advance. My sister in law is being so great! She actually suggested the ice cube trays as well. She is very type A and is planning for her 6 month old, 5 year old, and then she keeps calling me with ideas for me! She is great, I couldn't do any of this without her or you all!!
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, Rowasa every other night, down to 15 mg pred.
75mg Imuran starting 8/23/07---fingers crossed!
Prontonix once daily for acid reflux, zofran twice daily for nausea

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