Are cruises nauseating?

Most large cruise ships are built with stabilizers to make the ride as smooth as possible. Even so, people who are prone to motion sickness can start to feel queasy onboard. Even those who never get seasick could find themselves in a bit of discomfort if their ship sails through rough waters or a storm.



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After a cruise, most people regain their land legs in a day or two. But for a rare few, the sensation of persistent motion lingers for weeks. Here's what you should know about mal de debarquement syndrome.

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For some travelers, the rocking never ends. They suffer from mal de debarquement syndrome (MdDS), a rare and chronic form of reverse motion sickness. Instead of getting seasick on board, their illness begins when they hit dry land — and it never ends.

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Once back on shore, most people “get their land legs back” within two days. People with MdDS still feel like they're rocking and swaying, even though they're no longer on a ship. Less common MdDS triggers include: Flying in a plane.

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The best motion sickness medicines for cruises If you are worried about being seasick, pack some seasickness medication—options include Dramamine (dimenhydrinate) and Bonine (meclizine). There is a downside to these medications, in that they may cause drowsiness. (There are some nondrowsy options available as well.)

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Benjamin Shore, Chief Medical Consultant at Royal Caribbean, to break down the basics and whether it's actually common for guests to experience seasickness while vacationing at sea. “Considering the large size of today's cruise ships, seasickness is rarely a problem,” says Dr. Benjamin Shore.

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Keep in mind that the ocean is much larger than even the most gargantuan ships, so when the seas are rough, you can still feel movement — just less than if you're sailing on a 100-person yacht.

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In 2023, a decade-high number of cruise ships have reported an unwelcome passenger on board: norovirus. Outbreaks of the stomach bug have surged on cruise ships this year, reaching the highest levels seen in 10 years.

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Respiratory Illnesses. Respiratory illnesses are the most common medical complaint on cruise ships.

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After motion sickness begins, it usually doesn't start getting better until you stop moving. But, most people who are on a boat for a long trip feel better a few days into the trip when they get used to being on the boat, but some people feel seasick for several days.

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Motion sickness is least likely on larger ships and when you're moving slowly in calm waters, for example in the Alaskan straits, Norwegian fjords, or along the Mediterranean coast. The Caribbean is generally placid, except during hurricane season, which typically runs from June through November.

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The disorder is called mal de debarquement syndrome. “It is a phenomenon that isn't fully understood,” says audiologist Julie Honaker, PhD CCC-A, Director of Cleveland Clinic's Vestibular and Balance Disorders Laboratories. “We think it may have to do with the brain rather than the inner ears.”

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