Why am I so sick after a cruise?

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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After you return home from a cruise, it's normal to feel like you're still at sea for a short time. You may lay down to sleep or stand in the shower and feel like the floor is moving and your body is swaying, rocking and bobbing. Within a day or so, your land legs likely will return and the symptoms will disappear.

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While the effects typically clear up in a few hours after returning to land, they can last for as long as two days. Symptoms can also return, or increase in intensity, if the condition is triggered. For some people, it does not go away without medical intervention.

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Mal de débarquement syndrome (MdDS) is a rare vestibular disorder that makes you feel like you're moving even when you're not. MdDS is common after traveling, especially by boat. In most cases, MdDS symptoms go away within 24 hours. But they can linger for months, or even years, in some instances.

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MdDS is a disorder that mainly affects women (85%) between 40-49 (Cha et al, 2020)s. Almost all individuals with MdDS are women. They typically have gone on a 7-day cruise. After getting off the boat, or debarking (debarquement), they immediately develop a rocking sensation, as if they are still on the boat.

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If you are wondering how to get rid of land sickness after your voyage, many of the same strategies may help:
  1. Keep moving and taking walks or car rides to provide the missing sensation of movement while you readjust.
  2. Stay hydrated and get enough sleep.


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Bacterial diseases, such as enterotoxigenic or enteroaggregative E. coli [12] and campylobacter [13], are the most common cause of travellers' diarrhoea. However, on cruise ships, norovirus is the most common cause of outbreaks.

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Norovirus is a very contagious virus that often causes diarrhea and vomiting. Some people call it the “cruise ship virus.” Miami Herald File. Summer travel has returned and people are flocking to cruises again, with more than 31.5 million passengers expected to sail in 2023. But sometimes people get sick while onboard.

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

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Norovirus. On cruise ships, >90% of GI illness outbreaks with a confirmed cause are due to norovirus.

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