When you get sick after drinking from a stream, eating raw veggies, or even just sharing a bathroom, it might not be food poisoning—it could be Giardia, a microscopic parasite that lives in contaminated water and spreads through feces. Also known as giardiasis, it’s one of the most common causes of travel-related diarrhea and shows up in backcountry campsites, daycare centers, and even your own kitchen if hygiene slips. Unlike viruses, Giardia doesn’t go away on its own in most cases. It clings to the lining of your small intestine, blocks nutrient absorption, and turns your digestive system into a mess of gas, cramps, and watery stools that can last for weeks.
This parasite doesn’t care if you’re healthy or not—it just needs a host. People often get it from drinking untreated water, but it’s also spread by poor handwashing after using the toilet or changing diapers. Kids in daycare, hikers, and travelers to places with weak sanitation are at higher risk. And here’s the catch: you can carry Giardia without symptoms and still pass it on. That’s why outbreaks happen in places you’d never expect. If you’ve had unexplained diarrhea that won’t quit, especially after travel or outdoor activity, Giardia should be on your list. Testing is simple—a stool sample—and treatment usually involves antibiotics like metronidazole or tinidazole. But here’s the thing: antibiotics can wreck your gut, and that’s where probiotics, live bacteria that help restore gut balance after infection or drug use come in. Taking them at the right time can cut down on side effects like nausea and yeast overgrowth. And if you’re on other meds—like thyroid pills or blood thinners—you need to know how antibiotics, drugs used to kill bacteria but sometimes harm good gut bugs interact with them. Some antibiotics spike your INR if you’re on warfarin, and others mess with how your body absorbs supplements like magnesium or levothyroxine.
What you’ll find below isn’t just theory. These are real stories and practical guides from people who’ve been there: how to treat Giardia without making your gut worse, which OTC meds help (and which ones to avoid), how to space out probiotics with antibiotics, and what to do if your symptoms stick around after treatment. You’ll see how diet, hydration, and timing matter more than you think. No fluff. No guesswork. Just what works when your body’s fighting back.