Dear readers,

We are going on holiday to Thailand this summer. Now I have rather sensitive bowels (IBS) but I am also very prone to traveler's diarrhea and quick to race. That is of course no fun when you are lying on the beach or walking down the street.

My question is what can I safely eat in Thailand? Are ice creams and ice cubes clean? I am very skeptical about the street stalls. Can I eat better in a restaurant? What should I really watch out for?

Who can help me?

Greetings,

Sandra

20 responses to “Reader question: What can I eat in Thailand and what not?”

  1. micky says up

    Hoi
    A few months ago I was in Thailand for the first time. I have Crohn's disease and on top of that you mentioned 'difficult bowels' in terms of nutrition.
    I mainly ate rice dishes (fried), chicken (fried or not) and Pad Thai.
    The only time I was feverish in bed with diarrhea was after dinner at a restaurant on Phi Phi.
    I have often eaten at stalls. Golden rule is: if it looks okay, it often is.
    Try not to drive yourself crazy in advance.
    I have no experience with ice cream. I used to drink from a bottle of water bought fresh at a stall or 7/11…
    Personally, I don't eat fish. But even in NL be very careful that it is fresh. In Thailand with those temperatures things can sometimes go wrong. Bring known medications that you know work well for you. Also watch out for dairy. 'Iced coffee' sounds good but…
    Have fun in advance.
    Greetings

  2. Frank says up

    Good day, with ice cream and ice cream you should definitely pay attention. It is hot in Thailand and ice-cold drinks or ice cream are never good if you quickly suffer from diarrhea. Also, don't order hot food.

  3. Rob says up

    The food in Thailand is generally good. In tourist centers the risk of abdominal complaints is greater than in the quieter places. Stalls where many locals eat are not dangerous. Pay attention to how things are prepared and how they are washed. If you can't stand spicy food, let us know. It is often also asked whether and how much lombok you want in the dish.
    Do not go to restaurants with Western cuisine. Fresh products are used in Thai cuisine. Often you can also indicate which ingredients you want. You yourself know what you are sensitive to.

    Good luck and bon appetit

  4. ruud says up

    If that's what I'm hearing, you've got a problem.
    Most ice cubes are not clear, although I've never had a problem with them.
    At seven-eleven they do sell those pure ice cubes, but whether they are used in restaurants is very much the question.
    This even though they should officially use ice cubes suitable for consumption.
    But that's only official.

    They also packed ice cream from the factory (the same as in the Netherlands)
    You probably won't have a problem with that.

    You can also buy good bread (Farmhouse) at the seven-eleven, which you can use to calm your stomach.
    In the large department stores, freshly baked bread and things like cheese and other fillings are often available.
    When it comes to Thai meals in restaurants, it's always a gamble.
    In your case it is probably advisable to eat in the restaurants of (somewhat larger) hotels.
    The chance of problems there is somewhat smaller than on a cart on the street, I think.
    On the street, the noodles lie in the heat for a whole day.
    That can never be good for things that also contain meat.

    Furthermore, in my experience, traveler's diarrhea is not (only) caused by other, or spoiled, food, but also by the change in temperature.
    In all the years that I flew back and forth, I ended up with mild diarrhea after arriving in Thailand and constipation after arriving in the Netherlands.

    I would also bring norit capsules.
    They work wonders.

    • Nicole says up

      Eating in large hotels is also not always safe. I myself contracted food poisoning 5 years ago in Kohn Kaen in the SOFITEL at the chinese restaurant. If the food is freshly prepared in the wok, it is usually safe. also see if they use disposable trays and cutlery. Not good for the environment, but good for your health. There the plastic plates are rinsed a little with cold water.

      otherwise just buy drinks from the 7/11. is the safest

  5. Arie says up

    Dear Sandra,

    I myself have had IBS complaints for 12 years, a very good diet has been developed for these patients by the Monasch University of Melbourne. More information about this diet can be found on Fodmap.nl.
    I can only advise against eating street food from my own experience, this entails an extra risk for people with sensitive intestines. I never take ice in my drink, although most good restaurants use good water for this. Eating scoop ice cream involves a risk, factory ice cream or soft ice cream at a fast food chain is safe. If you still want to eat street food, go to a stall where it is busy and make sure that the food is prepared on site, do not buy food that is already ready. Due to the high temperatures in the wok, none of the harmful bacteria will survive. Be careful with fried rice, sometimes too old rice is used, the Thai themselves can handle it, but we cannot.

  6. Harrybr says up

    irritable bowel syndrome: predisposition or caused by letting the rigid European hygiene rules diminish?
    My wife once went on a business trip to Thailand: ate at a business friend's house and… hours later folded in half from vomiting. I only noticed the consequences the next day, when the "animals" had been able to breed well. Result: my wife was free of problems 4 hours later, and I, half immune, had problems for a week. That's why every time I make a deliberate infection, to keep the "archive of natural defense mechanisms" active.

    For you as a totally unimmune “archive”: I would avoid the street stalls and small restaurants. If you are “touched”: it will cost you a day of hospital or a week of medication

  7. Fransamsterdam says up

    Packed ice from the 7-eleven is of course no problem, nor ice cubes in your drink, and I would also check what you can eat in the Netherlands without any problems, and then look for restaurants where they sell it. Restaurants with cuisines from all over the world are widely represented in the tourist areas.
    If you still want Thai food, don't take the spicy dishes, such as Tom Yum Kung, but, for example, a Pad Thai. There is some risk of reduced bacteriological cleanliness of the food everywhere, but not necessarily more in street stalls than in a restaurant.

  8. GJB says up

    The advice of the GGD is very clear in this regard.
    Only prepackaged ice cream.
    So no ice cream and no ice cubes.

  9. LOUISE says up

    Hi Sandra,

    First, buy 2 packs of 4 pills, NOXZY, 15 baht.
    Is really good and helps class.
    Open a bottle / can of cola, carbon dioxide disappear later and only then drink.
    Helps guaranteed.

    Furthermore, as far as street food is concerned, a quick turnover, so good food.
    You usually see this in the number of “waiting for you”

    At a very good restaurant I sometimes ate the wrong seafood, which resulted in a general clearance.
    Likewise with beef.
    But also in the Netherlands.
    Luckily I have a stomach like a concrete mixer and can have it all, but yes, sometimes it's your turn.

    Enjoy your vacation and try not to make this a big deal.

    Good times.

    LOUISE

  10. LOUISE says up

    Sandra,

    Forget to mention that on the front of that square box is a moon traveler in a white suit..

    LOUISE

  11. The Child Marcel says up

    I think there is little that can be done . I lived in Thailand for 3 years without any problem. Never sick. But when I go on vacation for a month I have diarrhea for a few days almost every time. Last time almost a whole week. What I don't read here is the danger of eating fresh crab. Those critters are incredibly polluted, absorb all kinds of poison from the sea and can disrupt your system. Scampis are not that dangerous. So it must be the shock of the big change between the heat and the food.

  12. Mister BP says up

    As a Crohn's patient I go to Thailand and surrounding countries every year. My intestines are also hypersensitive. So what I don't eat:
    ice cubes
    – KFC chicken (extremely fatty)
    – fish
    – drinking drinks that are too cold in the heat
    – only drink water from a sealed bottle.
    – only packed ice cream and see if it has not already melted once.

  13. KhunBram says up

    Everything you can eat here and everywhere. Of course depending on your taste.
    7 years living here and never 1 problem.
    Was different in NL.
    Never at the street stalls either. On the contrary. For 50 bath, say 1 euro 25 food and drink.
    But……..opinions depend on experiences.
    Yes, sometimes things don't go quite right here. Like everywhere.
    Think of 1 thing. Fruit and fresh vegetables are plentiful.
    More than in European countries.
    Welcome and wish you lots of good food.

    KhunBram.

    • Jer says up

      In shops of 7 eleven and small Lotus shops and others there is a lot of food but no fruit or vegetables to be found !!! In addition, people eat very few vegetables in Thailand, just look around and find out. And in addition, fruits and vegetables are contaminated with pesticides, dyes, and other harmful substances to make it look good. And that there is an abundance of vegetables: nonsense, at most you will come across it at markets and large supermarkets.
      This blog has been written about it many times. Eating little fruit and vegetables when you stay in Thailand is unhealthy in many cases. Even organic products; recently a study showed that 46% of organically grown vegetables were contaminated with pesticides and the like. It is no coincidence that there is a regular ban on the import of foodstuffs from Thailand into the EU or that products are simply not allowed to be sold in the EU.

    • Chander says up

      I totally agree with Ger.
      That is the reality in Isan. I don't know if this is also the case in other regions of Thailand.
      My Thai family has a large store where they sell all kinds of agricultural products.
      Agricultural poisons are used at an alarming rate by horticulturists and farmers.

  14. gash says up

    Probiotics can probably help very well, both with problems and preventively. There is a large number of different brands and forms (capsules, powder, etc.). Capsules are easier to use as a powder that needs to be stirred in water many times. Have seen people who were on the immodium for a week but skipped probiotics after 1 day. Buying here and taking it with you is the best.

  15. Jacob says up

    My experience (18 years) in Thailand is that food along the street is normally well stir-fried and heated, I had 2 bad experiences in a Farang restaurant, ordered a steak with pepper sauce, the sauce was
    probably from the previous day, and had been on the counter before going into the refrigerator to cool down, the result was probably flies, this happened to me 2 times, 1 time in Pattaya and 1 time in Roi et, now live in the Isan where we use the local eateries and stalls for our meals, cheap and well prepared food by friendly people, in the real Thailand.

  16. maurice says up

    hi sandra,

    I myself have benefited greatly from the small bottles of Yakult, available at the 7 Eleven supermarkets.
    Cost: 7-10 Baht. They contain a kind of drinking yoghurt, consisting of a kind of yeast, which supplements the good bacteria in your intestines. Look up the product in Wikipedia. 1 bottle a day and you will be walking down the street whistling and singing…..
    Have a safe journey and return home in good health!

    Maurice

  17. Joop says up

    Don't be fooled by everything above. I advise you not to eat raw vegetables, you do not know what the vegetables are washed in. You can enjoy the excellent Thai noodle soups without any problems. I have been eating delicious coconut ice creams at the market for 7 years and have never gotten sick from it. Be careful with all fried foods, the oil is often of the cheapest quality and is heated too hot. At the market you can buy freshly grilled fish, with a layer of salt applied to the scale. They are beaten to death in front of you, less pleasant but you can't get any fresher. You can also buy chicken grilled in barrels or cooked in special broth at the market. The vegetables from the Royal Project farms are generally of excellent quality. There are special shops, but supermarkets also sell it. In the large shopping malls there are food courts that are run by Tops supermarket and use good vegetables. I also buy my vegetables from local residents that I know and eat them myself, usually those are types that are unknown to Westerners. It is a myth that a lot of poison is used for it. Most poison is used for intensive agriculture. There are many foreigners here who have taken growing organic vegetables to a high level. Many Thai people who eat traditionally (with quite a lot of vegetables) reach an advanced age.
    The ice for all those cold drinks is supplied by special ice factories and is strictly controlled. I myself have seen how people work in a water factory, the same water for ice also disappears in bottles. Every coffee shop uses this ice because they can't afford an outbreak of disease.
    All in all, don't worry too much and have a good time here.


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