Travel to Developing Countries - Travel Precautions

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Non-medicinal Treatments. Common recommendations include focusing on the horizon (not on nearby areas), avoiding alcohol and strong odors. Non-medicinal or alternative remedies are widely used, but are of unproven benefit. Some are even silly, but travelers who experience motion sickness may wish to try anything that isn't harmful. Some methods that have been tried include:

• Taking ginger root capsules (2000 mg) or eating large amounts of ginger starting about 12 hours before traveling. (Clinical studies are inconsistent on its benefits, with some reporting relief without side effects.)
• Acupressure (wrist bands and self pressure). Acupressure for motion involves exerting pressure on the P6 pressure point -- the so-called nausea-relief point. Travelers can try pressing on the nausea-relief point, located two finger widths below the crease of the wrist on the palm-up side and between the two major tendons leading to the hand. Studies have been inconsistent on the benefits of wrist bands. Some studies have reported relief with a wristband (such as ReliefBand) that uses batteries that create a small electric charge at the acupuncture point. This device may cause a rash and people with pacemakers should not use it.
• Cold packs. In one study apply cold packs to the forehead reduced stomach activity motion sickness.
• Eating small meals. (Protein meals may be more effective in controlling stomach activity than carbohydrates.)
• Behavioral Techniques. Some studies have reported some relief from certain behavioral approaches, such as controlled breathing (involves simply concentrating on breathing gently or deeply) or listening to music.

Issues Involving Air Travel

Effects on Circulation. Traveling by car, airplane, or train for more than four hours increases the risk for blood clots in the legs (deep vein thrombosis, also known as DVT) in anyone. Those at highest risk include people with cardiovascular disease or its risk factors, recent surgery, cancer, and those taking oral contraceptives. Studies now suggest that DVT is the cause of more deaths than previously believed, because symptoms typically occur days after travel. In order to keep circulation moving during international flights or on trains, travelers should drink plenty of fluids, avoid salt, wear slippers, wear clothing that fits loosely in the waist and legs, take frequent walks in the aisles, and lift their legs up and down several times an hour. Two 2003 studies suggested that special socks that compress the ankles (such as Kendall Travel Socks, Sigvaris Traveno) may significantly prevent swelling and so possibly blood clots due to long flights even in travelers at medium to low risk.

Respiratory Infections. Flight cabins have very low humidity, which not only increases the risk for dehydration and dry eyes, but it also increases the risk for triggering disease in the airways. Fliers with colds or allergies are especially susceptible. The first rule is to drink plenty of liquids. Taking a decongestant tablet or nasal spray (not one containing an antihistamine) 30 minutes before flight can help prevent sinus and ear infections.