Many travellers and backpackers can be concerned about their health when travelling to Thailand. Having lived here for 3 and a half years I thought I would pass on some of my knowledge. Here is an assortment of health advice, travel tips and things to be careful about in Thailand.
Generally speaking Thailand is not a malaria area and there are risks only around the borders of Thailand with other countries. Most people do not need to take malaria tablets when visiting. However, dengue fever has been on the rise in recent years so I recommend covering up in the evening and using a strong DEET repellent. Buy before you travel here as it is hard to find strong DEET. I recommend this 50% one from Amazon.
Street food is one of Thailand’s pleasures and I have never been sick from eating street food. It is cooked hot and fresh right in front of you. There are some stalls where cooked food sits around for a hours and I would definitely avoid these places, particularly if eating meat. If you get a bad stomach in Thailand, before reaching for the Immodium, I recommend trying charcoal pills from 7/11. They are not as strong and I find work much more effectively. I think it feels more natural and is less likely to bung you up for 3 days and then you continue to have the same problem later on. This is what the packet looks like and you can usually find them near the till in any 7/11. If you contract diarrhea in Thailand you will most likely become very dehydrated so I always use electrolytes from 7/11 and I swear by coconut water too. (Also useful for hangovers from buckets…see below!)
Having Ice in your Drinks in Thailand
I never had an issue for this, until it came to drinking 50 baht mojitos in Phuket…and then I was pretty ill for a week afterwards. Lesson learnt: if the alcohol is unreasonably cheap, so is the ice! Avoid things like this in Phuket. That said, I have been sick once from ice in 3 years here so I don’t think it is something to go fretting over.
Drinking Buckets in Thailand
From Khaosan Road to the Islands you will always find a cheap bucket of alcohol to drink. While some people might recommend avoiding drinking buckets in Thailand, if you want to lesson the hangover, stick with a spirit and a mixer in the bucket rather than any of the mysterious cocktail mixes that end up with you and your sister vomiting on the journey back to Bangkok (true story.)
Drinking Tap Water in Thailand
The tap water in Thailand is not drinkable. You can buy plastic bottles from 7/11 and refill them at drinking water stations for 1 baht. You can often find these on streets and in residential areas. That said, I always use the tap water to brush my teeth in Thailand and elsewhere and have never had any problems because of this. I’m probably wrong but I feel maybe it builds up some immunity??
Travel Sick in Thailand
If you are unfortunate enough to get travel sick like me, then I cannot recommend strongly enough these travel bands. I am not even sure how they work, I think they have a bead that presses on a pressure point that is linked with nausea, but they really work. Whether travel sick in mountain roads like from Chiang Mai to Pai or seasick on a boat, these have really helped me. It might just be psychological but who cares if they stop you from vomiting right? Buy yours here. You can also buy seasick pills from most pharmacies in Thailand very cheaply as an extra back up.
Travel Thailand Tip: Ask to sit in the front of the minivan on long journeys. I also find I tend to get less travel sick on the big buses so I try to book them instead of a minivan if possible. You can book travel tickets using this website.
Colds in Thailand
Due to various establishments that blast the AC freezing cold in Thailand, I often find myself with a cold after staying in hostels or sleeping on night buses. Normally this isn’t a problem unless you want to go scuba diving and you cannot dive with a cold because you’ll be unable to equalize properly. Enter TIFFY tablets you can buy from any pharmacy or some 7/11s. They cost around 7 baht for 4 tablets and as these are not a strong tablet it’s no problem to combine with diving.
Do you need vaccinations to travel in Thailand? Before I came here, I was recommended to get Hep A, Hep B and typhoid. Every clinic seems to recommend different things but these are the ones that I got. I decided not to bother with the expensive rabies vaccine because if you get bitten you still have to go to the hospital, it just gives you more time and I figured I was never going to be that far away from an available clinic. I usually use the NHS website for advice about vaccinations in Asia.
Stray dogs can cause alarm in Thailand and my best advice is to just stay calm and steer clear. Most dogs here I have found extremely chilled out and not remotely interested in humans. However, you always hear a few stories. I read it is best to not look threatening, to yawn and look relaxed and calmly walk past them. If you do get bitten by a stray dog, rabies is a concern here so immediately find a clinic. Even small islands like Koh Lan or Koh Lipe have doctor’s clinics who can administer the first round of PEP injections. After that you will need 5 more injections over the course of 6 weeks.
Pharmacies in Thailand
I have found many pharmacies in Thailand to be full of helpful, English speaking staff. You can generally find what you need and for very cheap prices. You can also buy antibiotics over the counter in Thailand but this is obviously a fairly controversial thing to do so read up about it first.
Hospitals and Healthcare in Thailand
Thailand has some fantastic international hospitals…and some less fantastic hospitals. As long as you have health insurance, I would always use an expensive international hospital. The staff there speak English (or will find you a translator) and have always dealt with me efficiently and swiftly.
Disclaimer 1: I’m a teacher, not a doctor.
Disclaimer 2: This page may contain affiliate links. If you make a purchase I may receive commission at no extra cost to you.