In-Flight Food Poisoning: Is There Anything You Can Do?

As some of you may remember, last year Sam F. wrote a post about American’s Business Extra program, which is their excellent business rewards program. Now Sam is back to share his experience dealing with in-flight food poisoning. Shockingly this is something I’ve never dealt with firsthand, so I was especially interested to read about this, and am curious to hear from those of you who have dealt with it as well.


Lucky’s April post, “Tips For Going Number Two On A Plane With Grace,” and its amazing comments section got me thinking a related taboo subject: in-flight food poisoning.

In 2016, I had the misfortune of getting food poisoning in-flight. Twice. The first episode was in January in Emirates first class from Dubai to London. The second was in November, flying Etihad business class from Abu Dhabi to New York.

As has become customary in OMAAT posts, I’ll preface this by acknowledging that I had the luxury of traveling in premium cabins on these flights. I have no doubt that being curled up in a lifeless ball would have been even more unpleasant in an economy lavatory than in what became my private Emirates A380 shower suite.

The purpose of this post is two-fold:

  1. Bring the subject of in-flight food poisoning out of the shadows
  2. Share practical coping strategies

The Emiratis Are Trying to Kill Me

I flew 80 legs and over 150K “butt in seat” miles in 2016. A grand total of two of those flights departed the UAE and both times I got horribly, violently ill.

While I cannot pinpoint exactly what made me sick, I believe in both cases it was from food consumed in the lounge pre-flight.

Round 1 in Emirates first class from Dubai to London was the more severe episode. During the 7-hour flight, I spent approximately 4 hours in a shower suite with the proverbial “coming out of both ends” every 15-20 minutes. I had neither the strength nor courage to return to my seat for fear of not making it back to the lavatory in time when the next wave hit.

Instead, I acquainted myself with the heated floor of the shower suite, delirious and dangerously dehydrated, alternating between chills and profuse sweating, unsure of when it would all be over. While I planned on informing the crew that I would need an ambulance on arrival, about 30 minutes prior to landing I was able to compose myself enough that I felt I could get to the hospital on my own (and without causing a scene).

The crew did what they could, which is exactly zilch. They checked on me on occasion but they could not offer any remedy. Ultimately, this was a dragon I had to ride solo.

Fast-forward 10 months to round 2 in Etihad business class from Abu Dhabi to New York, which was relatively less severe. The bouts of “coming out of both ends” were fewer and farther between, which allowed me to return to the comfort of my seat where my wife kept a watchful eye. And my old friends chills, sweats, and aches made sure I was never lonely.

The highlight of this flight came during my first visit to the lavatory. I woke up approximately 5 hours into the red-eye flight and immediately recognized the symptoms. I nudged my wife and told her I would be gone for a while, grabbed an airsickness bag, and headed for the handicap lavatory, which I knew would be more spacious.

Thirty minutes later, after experiencing the carnage of my body waging war against itself, I was ready to return to my seat. As I prepared to do so, I realized that the crew had not restocked the toilet paper. Or the tissues. Or the paper towels. There was not a scrap of any paper product that I could use to clean myself up.

I MacGyvered that situation but will spare you the details.

Lesson Learned

After my first dalliance with in-flight food poisoning, I assumed it was a once-in-a-lifetime event and that I had now paid my dues. After the second occurrence, I decided that leaving it to fate might not be my best strategy. So I started researching food poisoning remedies and formulated a plan for how to deal with it in-flight should it ever happen again.

The two products I found to be most effective in combating the causes and symptoms of food poisoning are activated charcoal and apple cider vinegar. Both are available in pill form and over the counter (or Amazon), making them ideal for travel.

Activated charcoal works by binding with the toxins in your body, and is commonly used in hospitals to treat drug overdoses. Apple cider vinegar works by coating the gastrointestinal lining and killing bacteria, providing near instant relief.

A few months ago I once again got sick with a food-borne illness. While I was fortunate to be in a hotel room and not on a plane, the combination of activated charcoal and apple cider vinegar worked wonders and helped me to start feeling better within half an hour. It is a combination that now I swear by and travel with at all times.

Not everyone metabolizes activated charcoal and cider vinegar the same way so your mileage may vary. The moral of the story is figure out now what works for you, and bring it with you whenever you travel. Hopefully you’ll never need it in the air, but if you do, you’ll thank your lucky stars that you came prepared.

And even if you never get food poisoning on a plane, chances are a travel companion or someone else on the plane will. And when they do, you’ll be there to lend a helping hand.

The main purpose of this post is to share strategies and learn from each other’s experiences.

Have you ever had food poisoning on a plane? Do you have a go-to remedy when traveling?

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Crysta smith Guest

Buy a medication called “ Dompy” in bulk when you travel. It’s available under different names everywhere but the USA. It stops vomiting and nausea pretty quickly. It’s banned in the states because women were abusing its ability to increase milk production when nursing if taken daily for an extended time frame. It’s a life saver for travel!

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Kayer Guest

This is late but I had terrible food poisoning back in August 2017! I was transiting in Doha and in the Qatar Business Class lounge (was on my way to Singapore). I remember I was disappointed that the gigantic lounge only served possibly some sandwiches (I can’t remember) and 2 soups - corn soup and tomato soup. I had the corn soup, it was so sour so I stopped drinking it. I scooped myself some tomato soup instead. It was extremely sour as well but I thought maybe that was how they made their tomato soup.. After all, they also made their corn soup sour.. And besides that, I had gotten a full bowl of tomato soup that shouldn’t be wasted. So I finished it. A few hours later (?), I boarded the plane, fell asleep, and woke up feeling nauseous. I thought it was the turbulence making me nauseous until I stumbled into the bathroom and threw up. I tried my best to sleep but was having terrible stomach cramps and threw up again. There wasn’t much the air stewardess could do for me. She looked sorry for me and asked if I wanted more food to fill my emptied stomach. Upon arriving in Singapore, the ground staff in Changi Airport were uncharacteristically unhelpful and refused to let me cut the long queue for immigration even though I was, by then, running a high fever, having tremors, stomach cramps, extremely worried that I was about to faint or maybe throw up again. I remember seeing the air crew again while queueing for immigration and they asked me how I was doing. Anyway, lesson learnt is to be wary of lounge food especially if you don’t see any staff around tending to the food. I believe it was around 2-4am when I was in the lounge, so odd hours may also mean that food isn’t as fresh. Also, reminder to myself not to finish strange-tasting soup just because I scooped a whole bowl of it. Most importantly, I now carry medication with me when I travel. - Buscopan for abdominal cramps (may cause drowsiness and blurred vision) - Loperamide for diarrhoea - Dimenate for nausea/vomiting (may cause drowsiness) - Panadol for fever - charcoal pills (I take it immediately if I suspect I have food poisoning, and then monitor, KIV take the above listed medication as required) That’s all! All the best you guys and safe travels!!

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Boobaholic Guest

Facing the possible prospect this morning :-( So far only vomitting but some very unusual aromas surfacing from the other end...... Went against my usual cautions of avoiding seafood 24hrs before a flight and had mussels in cream last night. I can't say it's food poisoning (or that if it is it was that) for sure as it's really not 'that bad' (yet) but I'm (excuse the pun) sh*tting myself I'll get hit hard on the plane. Qatar J so not the hideous prospect of economy. Bit of a shame as was looking forward to a nice breakfast at the Intercontinental Doha and some champers on the flight. Now no brekky and only ginger tea in-flight for me :-( But if that's as bad as it gets I'll be delighted really. Fingers crossed & buttocks clenched it doesn't develop. I have activated charcoal and have popped some. I have found this to help me in the past with gut problems on occasion - just my experience.

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Jan Matthews Guest

Husband came down with compylobacter in Koh Phi Phi and ended up on a drip in a hospital to rehydrate him. The only thing he was taking was rehydration medication for a few days prior but it didn't clear, hence the hospital. Aside from all the advice and comments already on this post, we will be taking apple cider vinegar and activated charcoal capsules to Thailand with us in November - nothing to lose. Question is (at the risk of starting a riot)- how many to take?

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azamaraal Guest

I have friends who "always get food poisoning" when they fly. They claim it happens within hours or even minutes of ingesting some food or other (or alcohol). Food poisoning takes a long time to develop and grows exponentially. Minimum real time would be 8-10 hours after eating. So anyone who gets poisoned after 20 minutes or two hours or whatever has probably ingested too much C2H5OH or some food that they are allergic to (not poisoned by) or are just "nervous fliers". Sympathies about the problems experienced as they are REAL - but the 'cause' is not. Try to determine what is triggering repeated episodes or just lay off the sauce and eat minimally and safely within 12 hours of flying. Its only sensible to be sensible if you suffer from repeated episodes of upset stomach.

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