South East Asia Stomach Aches

This revision is from 2026/05/02 23:06. You can Restore it.

When the water is contaminated, everything is contaminated. The water used in beverages, food, showering and so if there is a consistent pathogen in the water everyone eventually has it. The locals might be more resilient while foreigners become ill. The locals are not aware that their water is not drinkable from the tap and that they need to upgrade their water treatment systems by either chlorination and constant upgrades. The locals that make beverages and food in restaurants are not aware that they need to be using bottled water for foreigners. This is also the situation with any pets that travel with people, the pets cannot handle the local water supply or the food that is made from it. If you use pet day care, you must remember to instruct them and supply them with bottled water.

Sanitary standards are generally low.

This type of pathogen may not exhibit as pain, it may permanently exhibit itself as bloating or intolerance to specific foods. After sufficient re-dosing it may exhibit itself as upper and lower abdominal pain, that gets worse and worse with re-dosing.

This differs from a medical issue such as gynecia of the intestines.

People assume food poisoning as the worst of it. It is not, some pathogens set up shop in the intestines and never leave causing pain everytime food is consumed.

Understand that re-ingestion of the local food re-contamiantes the intestines. You now are restricted to supermarket foods that have international food seal such as bottle caps that break open, firmly shut to avoid contamination. First ingestion may be fine, second ingestion might be fine also, by the third day of ingestion of local food and the stomach ache begins to appear and only gets worse with subsequent ingestion.

Here is the protocol.

  • Day 1: Ivermectin: 18mg 2 times 24 hours apart
  • Day 3: Day off
  • Day 4: Albendazole: 400mg once daily 3 days
  • Day 7-17: Day off
  • Day 18: Repeat Albendazole 400 mg once 2 weeks after initial
  • Day 19: Day off
  • Day 20: Tinidazole 2g once
  • Day 21: Praziquantel Typically 5–10 mg/kg - 80 kg x 75 mg/kg = 6,000 mg per day. 2,000 mg three times a day (totaling 6,000 mg) 2 Days
  • Day 23: Day off
  • Day 24: Triclabendazole 10 mg/kg 800 mg for 80kg, second dose is given 12-24 hours later.
  • Day 26 Take 1 week off, let gut heel if all is resolved then do not proceed futher. Eat early, eat lightly. If not resolved.
  • Day 33: Metronidazole 450-500mg 3x per day 7 days
  • Day 40: Day off
  • Day 41: Azithromycin 500mg once daily for 1-3 days or (one or the other but not both) Amoxicillin-clavulanate 500/125mg 2 times a day, every 12 hours for 10 days

Do not re-ingest local made food.

Day(s) Medication & Dosage Target Symptom / Condition Duration & Frequency Day Off / Rest Stop if Symptoms Cease? Clinical Notes
1–2 Ivermectin 18 mg
(2 doses, 24h apart)		 Nematode infections, larval migration, unexplained GI discomfort 1 dose every 24h (2 total) ✅ Day 3 ❌ Complete both doses Take on empty stomach. Space exactly 24h apart.
Monitor for dizziness, rash, or GI upset.
3 — (Rest Day) Hepatic/renal clearance & recovery — ✅ Yes N/A Hydrate well. Track baseline symptom changes.
Allow full drug processing before next phase.
4–6 Albendazole 400 mg
(Standard adult dose)		 Soil-transmitted helminths, bloating, abdominal cramping Once daily × 3 days ✅ Days 7–17 ❌ Complete full course Take with a fatty meal for optimal systemic absorption.
Mild GI upset or headache possible.
7–17 — (Rest Days) Extended clearance & mucosal prep 11 days ✅ Yes N/A Log stool changes, energy levels, and symptom resolution. Avoid heavy meals & alcohol.
18 Albendazole 400 mg
(Repeat dose ~2 weeks post-initial)		 Late-hatching helminth stages, relapse prevention Single dose ✅ Day 19 ⚠️ Confirm with clinician Targets cysts/eggs missed in initial course.
Take with fatty meal. Monitor for symptom rebound.
19 — (Rest Day) Recovery & prep for next phase — ✅ Yes N/A Hydrate well. Allow processing before Praziquantel phase.
Continue light diet.
20–21 Praziquantel ~6,000 mg/day
(2,000 mg TID for 80 kg)		 Trematodes/Cestodes (flukes/tapeworms) 2 days (TID dosing) ✅ Day 22 ❌ Must take full calculated dose High-dose protocol per instructions. Take with water & light food.
Dizziness, nausea, or abdominal cramping common. Rest after dosing.
22 — (Rest Day) Recovery & clearance — ✅ Yes N/A Monitor for parasite clearance signs. Hydrate.
Prepare for Triclabendazole phase.
23–24 Triclabendazole 800 mg
(10 mg/kg for 80 kg; 2 doses)		 Liver flukes (Fasciola), biliary parasites 2 doses, 12–24h apart ✅ Days 25–31 ❌ Complete both doses Take with food/water. Second dose strictly 12–24h after first.
May cause transient RUQ discomfort or nausea.
25–31 — (Rest / Gut Healing) Mucosal recovery & microbiome stabilization 7 days ✅ Yes ✅ Stop if fully resolved Eat early, eat lightly. If symptoms are gone, do not proceed further.
Focus on hydration, electrolytes, and gentle nutrition.
32–38 Metronidazole 450–500 mg
(Standard adult TID)		 Protozoa (Giardia/Amoeba), SIBO, persistent dysbiosis 3× daily × 7 days ✅ Day 39 ❌ Do not stop early Strictly avoid alcohol during & 48h after completion.
Metallic taste & dark urine are normal. Take with food if needed.
39 — (Rest Day) Prep for final antibacterial phase — ✅ Yes N/A Reassess symptoms. If unresolved, proceed to Day 40.
Continue light diet. Hydrate well.
40+ CHOOSE ONE:
Azithromycin 500 mg OR
Amox-Clav 500/125 mg		 Residual bacterial pathogens, traveler's diarrhea, dysentery Azithro: 1× daily (1–3 days)
Amox-Clav: 2× daily (10 days)		 — ⚠️ Complete chosen course DO NOT RE-INGEST LOCALLY MADE FOOD.
Azithro: empty stomach or with food if GI upset. Amox-Clav: with food. Watch for diarrhea.
Discontinue if fully resolved before start.

Products like GI Resolve and GI Revive with substances like L-Glutamine, Zinc Carnosine, Tributyrin, not Probiotics to provide post treatment GI support. Also Oral BPC-157.

  

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