Healthcare / Montezuma's Revenge

Montezuma's Revenge

Montezuma's Revenge

17 April 2006 Healthcare, LIVING, Interviews & Editorials 24

Many people who travel to the Yucatan or contemplate living here worry about the water. Almost every guide book and travel web site, and even the U.S. State Department, caution not to drink the water in Mexico or risk being yet another victim of the dreaded "Montezuma's Revenge", commonly known to those in the great white north as diarrhea. While there is no one-size-fits-all answer to any health issue, we'd like our readers to know our "up close and personal" experiences here.

But first a note about the phrase, "Montezuma's Revenge":

Moctecuzoma II (that's his real name) was the ruler of the Mexica (mistakenly called Aztec) empire until the Spaniards came along and whacked them. This highly developed yet brutal regime was located in the center of Mexico, where the city of the same name is today. That's a few thousand miles from Yucatan. Montezuma was undoubtedly aware of the Mayans, but he didn't have any pull with them. Everyone in North America was happy to see the Mexica get the whacking they deserved, along with their brooding little sellout, Montezuma. Therefore, it is our opinion that there is no such thing as Montezuma's Revenge in Yucatan, due to the jurisdictional technicality, and even some question of whether Montezuma deserves to be avenged anyway.

We have heard that the Mayans have as many words for diarrhea as Eskimos have words for snow. This suggests, we believe, why outsiders have so many diarrhea tales to tell after visiting here: this is a tropical environment and more of everything grows here more of the time. While those in the north are still dusting the snow off their mufflers, we're growing mangos down here. We're also growing all sorts of lively bacterial fauna. Think of it as Mayan snow.

The most important point we'd like to make is that nobody in Mexico or Yucatan likes diarrhea any more than you do. They go out of their way to avoid it - using bottled or purified water and washing foods thoroughly - especially in public restaurants and anywhere having to do with the tourism industry. They have to do this largely for the same reasons you have to shovel snow, not because of some innate defect in their engineering or sanitation.

Let's agree that there are really two different issues here. One is traveler's diarrhea and the other is living in the tropics.

The worst case of traveler's diarrhea we ever experienced was not in Mexico or Yucatan or even in the tropics. A few years ago, one of us spent an entire night praying (please, God) to die in their richly-appointed hotel bathroom located in the historic center of the lovely city of Florence, Italy. Was it the arugula? The tiramisu? The Perrier?

Anyone traveling anywhere in the world is exposing their exhausted, sightseeing selves to all kinds of unfamiliar stuff their intestinal tract may not approve of. Most who travel regularly take this for granted and carry some Pepto Bismol or Imodium in their Baggallini. But thousands of occasional and often careless tourists come to Yucatan every year only to return and report trouble with some long dead sniveler's revenge. We doubt all the others return to happily report they are diarrhea-free. And so, Mexico's reputation stands.

Living in the tropics of Yucatan is a different matter. It turns out that there are many causes of diarrhea, and we have not actually found water to be chief among them. When we moved here, over four years ago, we behaved as good travelers should, avoiding all but the tourist eating establishments, drinking and brushing our teeth with bottled water and avoiding fresh vegetables and fruits unless they had been washed in bottled or purified water.

There is a rather popular little blue bottle that looks like eye drops but contains a dark blue liquid. It is called Microdyne. It's sold where they sell fruits and vegetables. Add a drop of this stuff to a liter of tap water and stir, then soak your veggies or whatever in it for 15 minutes to eradicate those pesky fauna. We did this religiously for the first few months. Then we forgot sometimes. Then the little blue bottle drifted into the Tupperware bin under the sink and was forgotten. Before we even knew what we were doing, we were brushing our teeth in tap water and washing our faces in it. Then we even cooked with it. It was a slippery slope until we hit bottom and began to wonder what all this fuss over the water was about.

Did our bodies adapt to whatever it is that swims through the supposedly unholy water here?

The life cycle of water in the Yucatan suggests that if it were not for the tropical environment, there would be little trouble with diarrhea-causing bacteria. The rains fall on a slender layer of top soil and percolate into the 70 to 200 foot thick limestone pancake that nature left behind when it clobbered the region with the Chicxulub meteor about 65 million years ago. This limestone pancake is really more like an English muffin, with lots of nooks and crannies. By the time the rainwater reaches an underground river or cenote, it has been pretty well filtered. Contrast this with your normal reservoir or lake, where runoff, recreational use and airborne pollutants can really muck things up.

Merida's city water is delivered from this cenote water and arrives at your home where your pump sends it up to your tinaco, or holding tank, on your roof. Storing your own water on the roof not only provides the gravity for your water pressure, but it comes in handy if a hurricane or bad storm causes any flooding, which can temporarily contaminate water in the distribution system. Just turn off your pump until the flooding subsides and live out of your tinaco for a few days.

But woe to them who do not screw the lid down tight on their tinacos. Water by itself can't produce bacteria. For that you need food. If anything flies, falls or jumps into your tinaco, then the tropical environment takes over and you're going for a long ride on the porcelain bus.

We are exposed daily to the water here (even though we do prefer the taste of bottled water, which is what we drink). So if Yucatan water is really not the problem people make it out to be, why are there all those words for diarrhea in Mayan? Fact is, we do have occasional, minor bouts of diarrhea. What causes it? We can't always tell. We can eat at any number of road-side taco stands or cocinas economicas without ill effect, then drive home from a morning at the beach and yikes!

We think it just goes with the tropical territory (on the plus side, we don't get colds anymore). In other words, it's something we've learned to live with. That's not to say we live with intestinal pain or persistent symptoms. If the former, you have a form of traveler's diarrhea. You should take your Pepto, drink lots of water and rest. In our experience, Yucateco bacterium despise Pepto Bismol. If symptoms don't clear up after a day or so, then you may have parasitic diarrhea. Go to your local farmacia (pharmacy) and ask for Daxon. It's a three-day miracle regimen that will send those dudes packing. Of course, check with your doctor and all that. But here in Mexico, where you don't need a prescription for most things, you can just pick it up and try it on your own recognizance.

The kind of diarrhea we live with are those infrequent, one-time occurrences without abdominal pain that in most cases are simply stools that are less firm than usual. We call this tropical diarrhea. (See, now we have almost as many definitions for diarrhea as the Maya.) Here are some things we've learned that might help reduce the frequency of tropical diarrhea. Again, your mileage may vary and past performance is no guarantee of ... Well, you know:

We think it's not so much the water, but the microscopic critters that grow so easily in the tropics on fruits and vegetables. If you buy really fresh foods and eat them soon or keep them refrigerated, you will be avoiding problems. In any case, do wash the fruits and vegetables you eat and don't let food sit around in the open air for long.

Heat exhaustion causes diarrhea. If you are out in the backyard under direct sun in the afternoon exerting yourself in some typical nordic fashion (when you should be taking your siesta), you can probably expect a bad result.

Many foods take time for your body to get used to and your body may never get used to some of them. Ever heard the expression, "I love onions, but they don't love me"? Well, there are a multitude of fruits, vegetables, chilies, legumes, seafood and other exotic things in the Yucatan that you've never eaten. What are the chances that your body is going to appreciate all of them?

In some cases, food complications are well-known to the locals. For example, we used to have morning-after diarrhea when eating poblano chilies. We love poblano chilies, so we had accepted this experience as a fact of Yucatan life. Then one evening when we were describing our love for poblano chilies to a life-long resident of Merida, she matter-of-factly observed how you must remove the paper-thin skin before eating them or pay the consequences.


Local traditions have also taught us the three most important ingredients for a healthy diet in the Yucatan: jugo de limone (lime juice), ajo (garlic) and chili de habanero. One or more of these ingredients are found in most Yucatecan cuisine and it doesn't take a waterworks engineer to figure out that just maybe they help to prevent the growth - and probably outright kill - those pesky little organisms nurtured by our tropical paradise.

We hope this article helps those in search of intestinal fortitude during their stay in Yucatan. We only have one request: if you come to the Yucatan and get diarrhea, please don't call it Montezuma's Revenge. Find out exactly what kind of diarrhea you have and learn the Mayan word for it.


  • Giggles 16 years ago

    Im going to still call it Montezuma's Revenge water. But it is a good idea to take Pepto Bismol. I still haven't changed my mind about the myth I still believe in it. But you did make a point about it. Good Job.

  • Working Gringos 16 years ago

    Thanks, Denis, for the reminder about Pepto Bismol. Our son was sick one night in Cozumel. We had all eaten the same thing, we were fine and he was writhing in agony. The only thing I could think of at 2 in the morning was Pepto Bismol. He swallowed two gulps and felt better within 30 seconds. It was truly miraculous. It took him another half day to completely recover, but Pepto Bismol completely took away the pain. Now we never travel without it.

  • Denis Larsen 16 years ago

    Pepto Bismol first. If that doesn't work take three 500mg Cipro tabs the first day, 2 the second and one the third day. It's worked for me in lots of strange places. MD's use another schedule for Cipro (one a day for 6 days). But the "shortcut" method was taught to me by an experienced field anthropologist as I got sick eating fresh chicharrones or drinking freshly made chocolate after watching, for many of the very early hours of the morning, the preperation of relleno negro in a small village. No one else in our group experienced any discomfort. Go figure. Cipro is available, without a script, at most farmacias.

    In July, I was with my wife and her family (all 43 of them) in Aguascalientes for a family reunion. We all ate tacos from a street vendor. I had roast suckling-pig tacos and my wife had barbacoa goat. She got sick as a dog and I was fine. Sometimes it is just the luck of the draw.

  • Mike 16 years ago

    sarah, to each his own. The term gotta love was a little broad. When we first went to Merida 12 years ago, we brought many of my family members with us. This is becuase my wife and I were married there. The fast food chains helped us out a lot with people that were not as comfortable with a different culture. They all had a great time, however, they knew they were not there for the long haul as I commited to Mexico. Where I am now, you will not find fast food chains. My favorite place in Merida is Eladios for live entertanment and dancing. Another establishment is a cuban club with live music. I forgot the name of that place.


  • sarah 16 years ago

    no mike you don't gotta love it - chain restaurants are awful tacky and lead people to the lowest common denominator - inexpensive food doesn't have to be 'corporate' - it can be simple and tasty home cooking that is actually good for you - and everyone else.

  • Mike 16 years ago

    My wife's family invited me out to the "El Torro" seafood restaurant in Progreso. I am what some would call a picky eater. I ate a little bit of the shrimp coctail. When they brought the fish, I got over my appetite real quick. It had nothing to do with the restaurant, it was me. My Yucatec family is very considerate. They ordered a pizza and had it delivered to the seafood restaurant. The establisment did not mind at all. Great people! Sorry to say, the next morning I thought to myself, I should have had the fish!

    With all of the culture and traditional food in Merida, there is definately no shortage in variety of food establishments. Merida has every food chain restaurant that we have in our US home town and then some. You gotta love it!

  • Joseph Sabido 17 years ago

    Holy butt flow Batman!

    Another names for "diarrea" are:

    In Spanish:
    *Cagalera (kah-gah-leh-ra)
    *Chorrillo (chaw-ree-yo)

    In Maya:
    *Tirix ta’

    It's a little hard for me to try to write mayan words in english phonetics, but you can try to walk down the streets downtown reciting the words in different pronunciations, as soon as someone gives you a piece of toilet paiper, you've got it right :D


  • Working Gringa 17 years ago

    I don't think it's mental. I really think there's something there, but after four and a half years, I'm just as puzzled.

    When our son was with us in Cozumel, we all ate at a fish restaurant. The WGs were fine, but the WG son was sick as a dog. After a frantic taxi ride to an all night farmacia, I gave him Pepto Bismol and his pain *instantly* disappeared. He was still a little under the weather for the next twelve hours, but not writhing in pain anymore. I never travel without it anymore.

  • islaToni 17 years ago

    i really don't know what causes it. but i went down to isla mujeres about 2 weeks ago with 2 newbies. we stayed in town for the first 4 days where i told them the water (at the hotel) was filtered. we ate nothing but salads, to speak of. everyone was fine.

    we moved down to the caribbean side where i knew they didn't have filtered water in the rooms and didn't tell them to brush their teeth with the bottled water in the room. everyone was ok.

    we all were ok. so, i really don't know what causes it. and i will take my chances.

    another time i was in cancun with some friends at a 5 star resort(years ago)...she ate raw oysters! sicker than a DOG. a shot from the hotel dr. and she felt great the next day.

    i have been going to mexico for years and years...stayed at that same condo in cancun one year. can't remember what i ate, but got sick for one day. took some 'A' word, can't remember the name of it and was fine the next day.

    so, is it all mental? who knows.

  • Working Gringos 17 years ago


    Where have you been? Are you still in oh-hock-uh? That's the way actor Jack Black says it during an interview about his upcoming comedy about lucha libre called Nacho Libre.(

    We've read and heard that there really is a water problem there. So sorry to hear you were hit. Five days sounds like a long time to us. Did you see a doctor?

    And if you're back in Yucatan, what do you think of the quemando de las milpas?

  • KAT 17 years ago

    Another helpful article-- thanks. I'm on the mend now after about 5 days of no-fun intestinal antics.

    Let's see... could it have been the almost hard-boiled eggs I had on Thursday afternoon, the dulce de pepita that I ate later on, or the icecream cone I had that night?...

    My Yucatecan colleagues voted unanimously (after a lengthy inquiry into what I had eaten... like snow in the north, locals here seem tirelessly interested in analyzing mal de estomago) for the dulce de pepita... despite the supposedly critter-fighting sugar, you have no way of knowing the quality of those pumpkin seeds.

    Anyway, thanks again. I've never liked that term, Montezuma's Revenge, anyway. Now I have a reason to back it up.

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