Traveling with IBD: Real Talk, Hard Truths, and the Courage to Keep Exploring

Traveling with inflammatory bowel disease (IBD) is rarely as simple as packing a suitcase and showing up. It’s logistics, emotions, planning, and flexibility. It takes a bit of hypervigilance. This layered on top of a disease that doesn’t take vacation days. But it is possible. And for many of us, it becomes one of the most empowering reminders that life with IBD can still be adventurous, and rich with new experiences.

This week on Lights, Camera, Crohn’s you’ll hear from two incredible IBD advocates, Kelly Dwyer and Rachel Verbanac. They both open up about their diagnoses, their anxieties, their coping strategies, and their go-to travel essentials. Their honesty and wisdom offer a roadmap for anyone who wants to explore the world without letting IBD call all the shots.

Meet Kelly: 21 Years of Symptoms, 7 Years Diagnosed

Kelly may have been diagnosed with Crohn’s disease in 2018, but she’d been living with severe perianal fistulizing ileal Crohn’s since the early 2000s.

“Before diagnosis, I avoided significant travel whenever possible because I was so ill. And when I did travel, I tried so hard to plan for every single scenario that it became stressful for me and everyone around me.”

Now in deep remission thanks to medication, Kelly still plans intentionally, but the difference is that the planning empowers her instead of holding her back.

She structures trips around:

  • Her injection schedule
  • The time of day she flies or drives
  • What foods she eats before travel
  • How to pace her energy
  • And what she needs to stay healthy while surrounded by crowds

“I wear a mask, use sanitizer constantly, wash my hands as much as I can… it all helps me feel like I’m doing what I can to set myself up for success.”

Kelly on Travel Anxiety: The Trauma Stays with You

Despite years of remission, Kelly still carries fear rooted in lived experience.

“I constantly worry about not making it to a bathroom. Even though it has not happened in years, that trauma stays with you.”

Kelly also experiences nausea, anxiety and a whole lot of gas and burbling guts when she travels.

“Finding the right medication cocktail that keeps things calm and in order in my guts (and brain!) took a lot of trial and error, but was worth it for me to find a combination to give me confidence that I’ll feel like I’ve done everything I can to get the trip off on the right foot. I would recommend you ask your doctor or GI about Zofran, anti-anxiety medications in small doses, Gas-x, antacids, and other OTC medications that might help you to make sure they’re safe for you to take.”

She’s built a system that helps her feel confident when she’s traveling:

  • A “Can’t Wait” restroom access card
  • Depends or heavy-duty panty liners on days she’s unsure
  • Change of clothes and wipes in her purse, not her carry-on
  • Imodium and emergency meds ready to go
  • Small meals before and during travel days
  • Medication for nausea, anxiety, gas, and gut discomfort

“I had to learn to relax into the chaos of travel and not panic when plans change. Travel is unpredictable—but so is Crohn’s.”

The Power of Protection: Insurance (Both Emotional and Literal)

Kelly is adamant that travel insurance is non-negotiable.

“I have used travel insurance many times for flare-related cancellations. It can be heartbreaking to miss something important, but it’s not your fault. This is your reality, and you’re doing your best.”

She also communicates openly with travel companions, so expectations are clear and compassionate from the start.

“Find as much peace as possible. Asking for everyone’s understanding and compassion, is so important. I remind myself that it’s not my fault that I am unwell. It’s not anything I did to cause the flare. This is simply my reality, and I am trying my very best, even if it doesn’t always work out the way I’d hoped.”

Kelly’s Must-Have Travel Kit

Here’s what she never leaves home without:

Kelly’s biggest piece of advice?

“Treat yourself with compassion, always. Build in extra time everywhere. Your comfort is worth it. Having a few extra hours at the airport to sit and read a magazine is much preferable to rushing through security lines and not being able to use the bathroom before getting on the plane because you’re late.”

Meet Rachel: A Travel-Lover Who Refused to Stop Exploring

Rachel was diagnosed with Crohn’s disease in 2021, right as she was going back to nursing school. Before that, she spent months living a nomadic lifestyle in New Zealand and expected to spend her twenties exploring the world. Her diagnosis meant rethinking what travel could look like. Requiring infusions changed everything.

“Hiking the Appalachian Trail used to be a dream, but with the need for insurance, pharmacy authorizations, infusion clinics, and access to university health systems… that lifestyle just wasn’t realistic anymore.”

But Rachel didn’t stop traveling. She adapted.

How Rachel Travels Now

Rachel describes herself as someone who “packs her anxieties,” but in a productive way.

Her prep includes:

  • Bringing a med kit stocked with small doses of essential meds
  • Monitoring hydration closely on travel days
  • Planning meals and bowel habits ahead of time
  • Understanding bathroom access in each country
  • Carrying small local currency bills for paid restrooms
  • Bringing a letter from her provider outlining her diagnosis and meds

“After many international trips, I’ve proven to myself that how I feel at home reflects how I feel on the road.”

Rachel also buys comprehensive travel insurance that covers pre-existing conditions, often from TinLeg, and encourages others to read the fine print carefully, especially regarding upfront payment rules.

“I feel much more secure knowing all medical bills will be paid for should I need anything abroad. Beyond health insurance, I have used the insurance for trip interruption and costs of delays. I also have my provider write me a letter stating my disease, common side effects, and my current medications. This letter can be useful when seeking care at a new clinic or if TSA should ever give you a difficult time (I have never experienced this). I like having the physical letter in the med kit.”

Bathroom Access: A Cultural Learning Curve

When traveling with others, Rachel gives them a heads up that access to bathrooms is a priority for her. Especially when traveling in Europe.

“Europe often requires a purchase to use a restroom. You cannot just run into a McDonald’s.”

Her strategy?

And she always tried to keep everything in perspective, even when the unexpected happens.

“Accidents are embarrassing, but you will most likely never see these people again. It is okay. You are okay.”

Travel Anxiety: You’re Not Alone

Rachel acknowledges the fears that come with IBD, but her message is clear:

Do not let IBD keep you from seeing the world.
Start small and your confidence will grow.

She now travels to Mexico annually and cannot imagine winters without it.

Nurse-Approved Safety Tips from Rachel

Some of her favorite reminders:

  • Even healthy travelers get GI bugs—be cautious with food and water. Taking general precautions like only drinking bottled water in areas where the water might not be safe to drink, sanitizing your hands often, and avoiding touching your eyes and mouth are still the best ways to prevent infections.
  • Avoid buffet sushi
  • Choose made-to-order stations
  • Read resort and food reviews. She checks out Google reviews, TripAdvisor, and Hotels.com to see what people have to say before she books a trip.
  • Wear an N95 on flights to avoid illness and see if your travel companions will do the same to help keep germs at bay.
  • Advocate for yourself with travel companions
  • Read Google reviews quickly if you’re unsure of a restaurant, locals and travelers will share if they got sick eating there. Look for highly frequented places.

As a nurse, Rachel has these words of wisdom for our community, “Don’t let IBD keep you from seeing places and experiencing new cultures. Often as patients we have anxiety and unknown destinations can seem overwhelming and scary. Start small and your confidence will grow, promise.”

Rachel’s Travel Med Kit

She carries:

  • Doctor’s letter
  • Hand sanitizer
  • Tylenol
  • Imodium
  • Pepto
  • Tums
  • Fiber
  • Gas-X
  • Benadryl
  • Dramamine (also helpful for intense nausea)
  • Zofran
  • Liquid I.V.
  • Band-Aids that are a few sizes
  • Contact solution or small vial of artificial tears (I wear contact lenses) 
  • A few doses of Dayquil and Zyrtec—when changing the container medication comes in, be sure to write the dose (mg or ml or the number of pills) and how often you take it.
  • A tube of triple antibiotic ointment and hydrocortisone ointment (for scrapes and bug bites)

Final Thoughts: You Deserve to Experience the World

Traveling with IBD takes more planning, more flexibility, and more courage than most people will ever understand. But as Kelly and Rachel show, it’s possible and it can even become empowering.

As someone who was diagnosed with Crohn’s more than 20 years ago traveling can still make me feel a bit uneasy. I always keep pain medication, Zofran, and Dramamine in my carry on. If you have to pack your biologic medication, keep that on you as well. It’s important to check how long your injection can be out of the fridge. Nowadays, Humira for example, can be unrefrigerated for up to 14 days. If you have to do your injection while away from home, make sure to have alcohol swabs and an ice pack (if you are used to using one).

I never drink caffeine prior to flights or long road trips, and I eat very light until I am at my destination. I try to dress as comfortably as possible, and do not restrict my belly in any way. The moment I get to my hotel room I take off my travel clothes and shower. If you are traveling and feeling symptomatic, it can be helpful to alert your care team at home and also do research beforehand about local hospitals so you have a game plan in place should you be facing an acute flare that may require a trip to the emergency room.

Whether you are taking a weekend road trip or boarding a long-haul flight, remember:

You’re allowed to take up space.
You’re allowed to prioritize your needs.
You’re allowed to choose comfort over speed.
You’re allowed to protect your energy.

And most importantly:

You deserve to make memories that reach far beyond the walls of your disease.

Additional resources

Traveling with IBD | Crohn’s & Colitis Foundation

Crohn’s Disease: Plan Ahead to Make Travel Easier

Travel Tips When You Have Ulcerative Colitis

Tips for Long Travel Days When You Have Crohn’s Disease

Snacks for Crohn’s Disease: 10 Easy Grab-and-Go Ideas

I’m a Frequent Traveler With Crohn’s Disease—Here Are My Packing List Non-Negotiables | Condé Nast Traveler

21 Tips for Traveling with IBD – Romanwell

IBD Travel Tips You Won’t Want to Leave Home Without

It’s a scary feeling when you’re traveling or away from home and your IBD symptoms flare. As we all know, chronic illness never takes a vacation. Oftentimes the change of scenery and schedule is the perfect storm for disease activity to peak. 

mT3tVteyRCOz2s4mbzraGAThis week–Megan Murray from Balanced Life and Travel shares her top tips for staying in your comfort zone so you can make the most out of your time away. Megan is 37-years-old and was diagnosed with Crohn’s disease in 2013. She’s originally from Oklahoma City, but now she lives in Spain with her husband. She’s passionate about travel and not allowing her disease to hold her back from exploring the world.

Drink water all day, every day

I used to experience painful gas and constipation when I traveled. I don’t like taking laxatives or stool softeners if I can avoid it, so I’ve learned that drinking plenty of water is the best way to avoid/fix constipation on the road. I always carry my stainless-steel water bottle. Single-use plastic bottles of water are convenient, but their cost adds up financially and environmentally. 

Know how to find a restroom quickly

This can be pretty easy when you are traveling in America, because you can usually duck into any store, restaurant, supermarket, museum, hotel, etc. and use the bathroom that is available. Always make sure you have your I Can’t Wait card from the Crohn’s and Colitis Foundation. I’ve only had to use mine once, but boy did it save me from an awful situation.

Outside of North America, it can get trickier depending on where you are and how high the language barrier is. If you don’t speak the language and English isn’t widely spoken in your destination, make “May I use your restroom?” the first thing you learn. Research if there is a Crohn’s and Colitis Foundation in that country and see if they have an I Can’t Wait card in the language of the country. fullsizeoutput_1690

Traveling through Asia and Europe, I’ve never had trouble stopping in at hotels. If it’s a big hotel, especially if it’s an international brand, I just confidently waltz in like I’m staying there and use the lobby bathrooms. If it’s a smaller place, front desk staff will most likely speak English, so you can politely ask to use the bathroom. I’ve never been denied.

Museum lobbies are also a good choice. The one drawback being the security line you have to go through to get to some lobbies. Also look for banks and other businesses that have lobbies. Check out my post on spending a weekend in London with a chronic illness to read about how some very friendly bank employees saved the day for me.

Research food options before you go

My favorite tool on Google Maps is marking restaurants “Want to go” before I visit a city. This helps me avoid finding myself in the middle of fast food restaurants with nowhere to get a meal that won’t trigger my symptoms. IMG_1226

I eat a vegan diet, so I find all of the places that are vegan, vegetarian, and have vegan options before I go and tag them all. In places where I don’t find as many options (usually more rural locations), I pack food that works for me. I love Oh She Glow’s Glo Bars, so I always make a batch or two, wrap them up and throw one in my bag each day. Then I know I always have a snack that will keep the hangry away and won’t make my Crohn’s hurt! Glo bars won’t work for everyone (hello, low-fiber diet I was on for two years), so brainstorm a hearty snack that is portable to take with you. 

Pace yourself

When planning your itinerary, it’s tempting to cram every last activity into your days. Resist this urge! SPq9iyQkSv2CpXItQzKRWgMake a list of everything you’re interested in and then prioritize, cutting out what you don’t have your heart set on. Trying to do it all sets you up for exhaustion, frustration, and disappointment. 

  • Consider how much energy each activity/sight will take and then begin to plan your days
    • Museums are sneakily draining because you are on your feet the whole time.
    • Balance a demanding activity with a laid-back activity on a given day
  • Think about transportation
    • There’s nothing like a 20-minute uphill walk to zap your energy. Budget for taxis. You save time and conserve energy, so they’re worth the cost.
  • Hop-on, Hop-off buses
    • They are super touristy, but they allow you to see and get around a city without the stress of navigating and/or walking to them all.
  • Take breaks
    • I always need a midday break. I either go back to my hotel to decompress and rest or, at the very least, find a cute cafe and have a cup of tea as I read. I love the Kindle app on my phone. Afterward, I’m refreshed and ready to see or do more. fullsizeoutput_f9

I firmly believe that while a diagnosis of Crohn’s or ulcerative colitis is life changing, it’s not a life sentence. I have always loved traveling, so I haven’t stopped. My travels just looks a little differently than they did before.