From prevention to emergency intervention, our (un)healthy journey to India
Our family of 5 is comprised of three kids ages 9, 13 and 15, and two seasoned traveler adults. Home is in the Washington, DC area and we recently traveled to explore India, the country where my husband grew up.
Our health stats:
- 2 weeks in India
- 5 cities visited: Delhi, Agra, Jaipur, Goa and Mumbai
- 3 trips to a pharmacy
- 0 cases of “Delhi Belly”
- Dozens of mosquito bites (but no malaria!)
- Multiple doses of albuterol (for asthma)
- 1 EpiPen administered (for food allergy reaction)
All in all, I think we did pretty well, though looking at the stats, we definitely could have done better.
About six weeks before the trip we visited our local Arlington Travel Clinic to consult on recommended vaccines and malaria prophylaxis. We’d been there before our trips to Nicaragua and Uganda and love that we have a travel clinic just minutes from home! We dutifully got our typhoid shots/pills. (Three of us took the shot, it lasts three years, whereas the pills only last two. But despite the OBVIOUS $$ savings, two of the kids who HATE needles opted for the pills.)
I counted EpiPens (emergency auto-injectors for epinephrine, a stimulant used to stop an allergic reaction) and packed the asthma inhaler, extra Benadryl, our malaria pills and some diarrhea meds, just in case. My every-day purse has a stash of Advil and Sudafed. We left feeling pretty well prepared for our two weeks of adventure in India.
That was, until day three when the pollution took away my voice and I couldn’t stop coughing. It was: THAT. BAD.
I talked a bit about the pharmacies in India in another post about retail in India. What I found frustrating/interesting is that I couldn’t replenish my pseudoephedrine (Sudafed) supply. India banned it a few years ago. I tried the pharmacists’ alternative and it made me feel sick. And the cough medicine I bought was HORRIBLE. I mean, they don’t use all the fake sweeteners and food dyes that we do in America. It tasted like medicine 😦 Luckily I am a big girl and could deal; but it took me a week of terrible coughing before I thought to use my son’s Albuterol inhaler, and it was magic. I am sure that if it had been one of my kids coughing like I was, I would have had them on an inhaler in no time. (Of course, part of our prep for the trip was to have my son on inhaled steroids to help protect him from the poor air quality, so he did fine!)
To summarize: pollution = bad. Albuterol = good.
It really was my food-allergic/asthmatic son that we worried the most about while envisioning the trip to India. Our travel experience previously taught us that it was good practice to bring safe foods, understand cultural barriers regarding food and food prep, and be prepared. Thanks to his pre-trip regimen of steroids, he only needed a few puffs of Albuterol the whole trip, which was awesome.
And we did ok with food allergy prevention/mitigation too. The first week was harder than the second since we were in hotels and had to eat in restaurants for every meal. He had to eat a few packaged things here and there when we just didn’t feel comfortable with the restaurant or airline, particularly on Emirates Airlines and while dining at the Raddison Blu in Agra.
Emirates, surprisingly, told me “oh, if you have a nut allergy you need to bring your own food.” Now, had I been a good mom and called them AHEAD of time, it would have been better. I think my experienced traveler status had me super comfortable that I could figure things out on the fly. And I could – we had a backpack full of packaged junk food, like pop tarts, cookies, crackers and granola bites. So when I realized – at 40,000 feet above the Atlantic – that Emirates doesn’t provide anything more than a banana that is safe for nut allergies, my son didn’t have to go hungry. Now, this isn’t meant to malign the airline, I didn’t call ahead. But, as someone who eats gluten-free (intolerance, not a severe allergy) I was impressed that I could select a GF meal (among a LONG list of other meal preferences) but none of course were nut-free.
In India, nuts. are. everywhere. We knew this, and it was honestly the biggest reason we hadn’t traveled to India sooner. At least by waiting until my son was 9, he had outgrown his egg and dairy allergies, which makes traveling SO MUCH EASIER. But our experience demonstrates that knowledge and preparedness is not a solution for absolute attentiveness. Unfortunately for my son, we learned the hard way that having too many people watching out for his well being actually created more confusion and less protection.
After twelve days in India, he ate a small bite of chicken that had (we later learned) been marinated in a yogurt and cashew mixture. Cue allergic reaction and his request for an EpiPen.
[Pause, because writing this still gives me chills.]
We were literally next door to the local hospital in Mumbai, and sitting with a cousin who is an M.D., so we were covered in case he had a rebound reaction. Luckily he recovered quickly and was able to enjoy the rest of his day. This was his third serious allergic reaction in his life, and the first where he seemed in control and calm. Afterwards, he was almost amazed that he ate something that he was allergic to and was calm with getting the EpiPen. I am still queasy just thinking about it – his having an allergic reaction while traveling abroad has always been our nightmare and was a significant reason why we didn’t do more traveling while he was younger. And here we were, living our nightmare. We are quite aware that the situation could have been far more serious, and know we got very lucky that he was fine.
Living with food allergies is tough; traveling while managing significant food allergies is even tougher. But despite the challenges, and frankly the risk, our family will continue to prioritize travel and exploration, and will apply the lessons learned in India to make future travel even safer. If I have any concluding advice for other families considering international travel with their food-allergic children, it is: trust yourself, travel heavy with food from home, and do enough research so that you have an action plan if your nightmare happens.