You planned beach days, jungle hikes, and epic coffee. Your body planned a plot twist. If you get sick in Costa Rica, you still control the situation, but what if I get sick in Costa Rica? I’ve handled food poisoning on the Nicoya Peninsula, a twisted ankle in La Fortuna, and a random rash near Tamarindo. None of it ruined the trip. You just need a game plan and a bit of local know-how.
First things first: take a breath
You don’t need to panic. You can access solid medical care across the country. Many doctors trained abroad and run modern clinics. Pharmacies sit on almost every corner. You can call 911 and reach an English-speaking operator in most areas.
So what should you do right now if you feel lousy? Keep it simple.
- Drink water and sip electrolytes.
- Check your symptoms and your temperature.
- Rest in the shade or in your room with a fan or AC.
- Message your hotel host for the nearest clinic or pharmacy.
- Use your travel insurance details and log the time and symptoms.
How healthcare works in Costa Rica
Costa Rica runs two systems: public and private. You can use both as a visitor, but you’ll probably prefer private clinics for speed and convenience. I usually pick private clinics when I travel, since they take walk-ins and move fast.
Public vs. private at a glance
| Feature | Public System (Caja) | Private Clinics/Hospitals |
|---|---|---|
| Access for visitors | You can access it, but you wait longer. | You walk in or book same-day appointments. |
| Speed | Longer lines in busy areas. | Short waits and quick diagnostics. |
| Language | Many staff speak Spanish only. | Many doctors speak English. |
| Cost | Lower fees but slower process. | Higher fees but faster care. |
| Payment | You pay out of pocket if you’re a visitor. | You pay out of pocket, then file insurance claims. |
| Facilities | Functional and reliable. | Modern equipment and comfortable rooms. |
Private hospitals in San José include CIMA, Clínica Bíblica, and Hospital La Católica. You can find good private clinics in popular spots like Tamarindo, Jacó, Nosara, and La Fortuna. I once limped into a clinic in La Fortuna and saw a doctor within 20 minutes. He wrapped my ankle, ordered an X-ray down the hall, and sent me out the door in under an hour. Not bad.

What to do the moment symptoms hit
You don’t need a complicated plan. You only need the right steps in the right order.
- Hydrate with intent
Start with water, then switch to oral rehydration salts or a sports drink. Pharmacies sell packets labeled suero oral. These packets work better than plain water if your stomach acts up. - Rate your symptoms
Ask yourself a few quick questions:
- Do you feel feverish or wiped out?
- Do you feel sharp pain that doesn’t fade?
- Do you see blood or signs of dehydration?
- Do you feel short of breath?
- Rest and track
Rest for two to four hours. Track your temperature and note your fluid intake. If you don’t improve, move to a clinic visit. - Use local help
Ask your hotel or Airbnb host for the nearest private clinic or 24-hour pharmacy. Locals know the fastest option. - Call 911 for urgent problems
You can use 911 anywhere in Costa Rica. Operators dispatch ambulances, and many operators speak English. Use it if you feel chest pain, severe allergic reactions, trouble breathing, confusion, or serious trauma.
Pharmacies in Costa Rica: your secret weapon
Pharmacists in Costa Rica help a lot. They often triage minor issues and point you to the right treatment or clinic.
- You can buy many meds without a prescription. Think antihistamines, pain relievers, rehydration packets, probiotics, and anti-nausea meds.
- Pharmacists require a prescription for antibiotics. They won’t bend on that. I tried once with a sinus infection and walked out with a doctor referral and lozenges.
- You can find chains like Fischel, La Bomba, Santa Lucía, and Farmacia Sucre in most towns. Many stores stay open late, and some run 24 hours in bigger cities.
Pro tip: Snap a photo of your home meds and dosages before you fly. Pharmacists can match active ingredients even if brands look different.
When you should see a doctor
You don’t need to play superhero. If any of this happens, head to a clinic the same day:
- Persistent fever over 101.5 F for more than 24 hours
- Severe abdominal pain or repeated vomiting
- Diarrhea that doesn’t improve after 24–36 hours
- Signs of dehydration, like dry mouth, dizziness, and very dark urine
- Chest pain, shortness of breath, or palpitations
- Deep cuts, head injuries, or suspected fractures
- Worsening rash, hives, or swelling of lips and tongue
- A scorpion sting or snake bite
I like to set a simple rule for myself. If I ask “Should I go?” more than twice, I just go.
What a clinic visit looks like
You walk in, check in with your passport, and pay a visit fee at the desk. A nurse checks your vitals. A doctor sees you, asks questions, and orders tests if needed. You pay with a credit card and keep your receipt for insurance. You fill your prescription at a pharmacy next door or on-site.
You control the pace. Ask for a breakdown of costs. Ask for a simple treatment plan. Ask for a written summary in English if you want to file a claim later.
What it might cost
You won’t guess exact costs in every town, but you can use these ranges for private care:
- Clinic visit with a general physician: 60 to 120 USD
- Urgent care visit with basic labs: 80 to 200 USD
- X-ray: 40 to 100 USD
- Ultrasound: 60 to 120 USD
- Basic blood work: 20 to 60 USD
- Common prescriptions: 10 to 50 USD
- IV rehydration in a clinic: 80 to 180 USD
I keep a backup credit card for medical visits. I also snap photos of every receipt and write the date and clinic name on them right away. Future you will thank present you.
Travel insurance that actually helps
You can get care without insurance, but insurance makes everything easier. You pay the clinic, then you submit a claim. Some policies offer direct billing with specific hospitals in San José. Ask your insurer before you travel and save the local contact number.
Your policy should cover:
- Emergency care and hospitalization
- Outpatient visits, meds, and diagnostics
- Medical evacuation, just in case
- Preexisting conditions, if you need it
Keep these handy:
- Policy number and WhatsApp for the assistance team
- A photo of your passport
- Names and doses of your current meds
- A short list of allergies and conditions
FYI, I lock all of this in a secure notes app and share it with my travel buddy.
Stomach issues: the most common hassle
Let’s call it what it is. You ate like a champion, and now your gut files a complaint. I respect the hustle.
Do this:
- Hydrate with water and electrolytes.
- Eat bland foods like rice, bananas, toast, and broth.
- Use bismuth subsalicylate or loperamide for mild diarrhea.
- Add a probiotic and a zinc supplement if you have them.
- Visit a clinic if you see blood, high fever, or strong pain.
You can drink tap water in many towns, including parts of San José and the Central Valley. You should still ask your host. In some beach towns and rural areas, I switch to bottled water or use a filter bottle. I don’t overthink it, but I use common sense.

Sun, heat, altitude, and bugs
Costa Rica throws different climates at you. Your body loves balance, so help it a little.
- Sun and heat: Wear a hat, reapply sunscreen, and drink more than you think you need. Heat exhaustion sneaks up fast. If you feel weak or nauseous, move to shade, drink electrolytes, and cool your neck.
- Mosquitoes: You can meet dengue, chikungunya, and Zika in some regions. Use DEET or picaridin, wear light long sleeves at dusk, and sleep with a fan or AC. If you get body aches with a fever and a rash, go to a clinic. Doctors can test and treat symptoms.
- Altitude: If you plan to visit places like Cerro de la Muerte, climb slowly, drink water, and rest if you feel dizzy. If you feel severe shortness of breath or chest pain, head down and seek care.
Kids and chronic conditions
Travel with kids or preexisting conditions? You can still feel confident with a plan.
- Pack enough meds for the whole trip, plus extra for delays.
- Keep a doctor’s note for controlled meds.
- Bring a copy of prescriptions with generic names.
- Ask your home doctor for a quick summary of your condition and baseline numbers.
- Locate the nearest private hospital to your hotel on Google Maps and save it offline.
I travel with asthma, so I pack an extra inhaler and a spacer. I also check that my first hotel sits close to a clinic. Paranoid? Maybe. Effective? Definitely 🙂
Vaccines and entry rules that matter
You don’t need a huge list of shots to enter Costa Rica, but smart travelers handle a few basics.
- Tetanus booster: Keep it current.
- Hepatitis A: I recommend it for most travelers.
- Typhoid: I consider it if I plan to eat street food in smaller towns.
- Yellow fever: Costa Rica requires proof of vaccination only if you arrive from certain countries in South America or sub-Saharan Africa. You can skip it if you arrive from North America or Europe.
You can check official requirements before you fly. Your airline will enforce those rules at check-in.
Language and communication tips
You can find many English-speaking doctors, especially in private clinics. You still win when you carry a few Spanish phrases.
- Me duele el estómago: My stomach hurts.
- Tengo fiebre: I have a fever.
- Soy alérgico a…: I’m allergic to…
- ¿Dónde está la clínica más cercana?: Where is the nearest clinic?
You can also use telemedicine. Private hospitals in San José offer video consults. Your hotel can help you book a same-day slot. I tried one for a skin rash and got a prescription sent to the nearest pharmacy in minutes.
Remote areas and nature adventures
You might roam into Osa Peninsula, Tortuguero, Santa Teresa, or Rio Celeste. Beautiful spots, limited services. You can still prepare.
- Save the nearest clinic and pharmacy in Google Maps and download offline maps.
- Ask your host for the fastest route to care, not just the closest clinic. Road quality varies a lot.
- Pack a stronger first aid kit if you plan to surf, hike, or ride ATVs.
I carry elastic wraps, wound wash, blister patches, and a compact splint when I plan big hikes. I don’t plan to use them, but I like choices.
A practical health kit that earns its space
You don’t need a suitcase full of meds. You only need the stuff you reach for first when things go sideways.
- Oral rehydration salts and a collapsible water bottle
- Pain reliever and fever reducer
- Antihistamines for bites and minor reactions
- Antidiarrheal and bismuth tablets
- Probiotics and zinc
- Motion sickness tablets if you plan boat trips
- Small first-aid kit: bandages, blister patches, wound wash, antibiotic ointment
- Sunscreen and aloe gel
- Insect repellent with DEET or picaridin
- A few masks and hand sanitizer
- Copy of prescriptions and a spare pair of glasses or contacts
I keep this kit in a zip pouch and throw it in my daypack. Easy.
Food safety without food paranoia
The food in Costa Rica tastes amazing. You don’t need to fear it. You can use a few simple rules and still enjoy every gallo pinto and casado.
- Pick busy places and watch for clean prep areas.
- Eat fruits you can peel and salads from trusted restaurants.
- Order ice from places with filtered water.
- Wash your hands before meals and after cash handling.
- Trust your nose. If something smells off, skip it.
I eat at sodas all the time and rarely get sick. I still carry bismuth just in case.
Quick symptom playbooks
You can handle common issues, and ask yourself ‘what if I get sick in Costa Rica?’ with a simple checklist. Keep it tight and practical.
Stomach cramps and diarrhea
- Hydrate and sip electrolytes every 15 minutes.
- Take bismuth or loperamide for mild symptoms.
- Eat light bland foods.
- Visit a clinic if you see blood, lose fluids fast, or feel high fever.
Fever and body aches
- Rest, hydrate, and take a fever reducer.
- Use tepid showers and light clothing.
- Watch for rash or severe headache. If you see either, go to a clinic to rule out dengue.
Respiratory infection
- Rest and drink warm fluids.
- Use saline spray and lozenges.
- Visit a clinic if symptoms last more than 3–4 days or if you feel chest tightness.
Rashes and bites
- Clean the area and apply hydrocortisone or an antihistamine cream.
- Watch for spreading redness or fever.
- Go to a clinic if you see fast swelling, red streaks, or pus.
Sprains and strains
- Rest, ice, compress, elevate.
- Walk only with support.
- Visit a clinic for an X-ray if pain or swelling doesn’t ease in 24 hours.
Local phone numbers and simple logistics
You don’t need a thick playbook. A few numbers and habits go a long way.
- Emergency: 911 from any phone
- Hotel reception or host: store the number in your favorites
- Insurance assistance line: save it in WhatsApp
- Nearest private hospital: pin it on your map
- Taxi or rideshare: confirm availability in your area before a late night out
Carry a copy of your passport or a photo of the ID page. Clinics ask for ID. I also carry a physical credit card and a backup card, since some smaller clinics don’t process Apple Pay or Google Pay yet.
A few myths I hear a lot
Let’s keep the rumor mill quiet.
- “You can’t trust clinics outside San José.” False. I’ve met excellent doctors in La Fortuna, Tamarindo, and Puerto Viejo.
- “You can’t drink any tap water.” Not true. Many towns run clean municipal systems. Ask locally and adjust.
- “Pharmacies sell antibiotics without a script.” Not anymore. Pharmacists require a prescription.
- “Nobody speaks English.” Many private clinics and tourist-area professionals speak English. You can still use a few Spanish phrases for speed.
A short cost and choice cheat sheet
You feel sick near a beach town. What now?
- Mild symptoms: start with a pharmacy and self-care.
- Moderate symptoms: visit a private clinic the same day.
- Severe symptoms: call 911 or go straight to the nearest private hospital.
- Budget tight? Ask the clinic for a price estimate before you agree to tests. Most clinics explain options if you ask.
A few personal tips I actually use
I run on simple rules when I travel, and they keep me moving.
- I plan one low-key day after arrival, since my body needs a reset.
- I drink a glass of water for every coffee or cocktail.
- I pack electrolytes and probiotics where I can reach them in my daypack.
- I ask the hotel for a clinic recommendation at check-in, not when I feel awful.
- I screen for dengue signs if a fever shows up with aches and a rash.
- I take it easy with spicy food on day one, no matter how brave I feel. IMO, pride tastes worse than bismuth.
Final notes to keep you moving
You can handle getting sick in Costa Rica with calm steps, a little local knowledge, and a solid plan. But what if I get sick in Costa Rica? Don’t panic; follow these tips to manage your health effectively. Keep hydration and rest at the top of your list. Use pharmacies for minor problems and private clinics for anything that worries you. Save 911, your insurance info, and the nearest hospital location on your phone.
Your trip still holds beach sunsets, misty volcano views, and strong coffee. You’ve got this. And if your stomach tries to negotiate again, you can negotiate right back with electrolytes and a clinic visit. Deal? 🙂
Getting Sick in Costa Rica: FAQ
Getting sick while traveling can definitely throw a wrench in vacation plans, but in Costa Rica, you have access to excellent resources. Here’s a quick FAQ to guide you through if you find yourself under the weather during your adventure.
What should I do first if I start feeling unwell?
Initiate hydration, evaluate symptoms, and reach out to local help if necessary.
How accessible is medical care for English speakers?
Private clinics often have English-speaking staff and offer quick care for visitors.
Can I get medications without a prescription?
You can obtain many over-the-counter medications directly, but prescriptions are necessary for antibiotics.
What are the cost ranges for private healthcare visits?
Doctor visits typically range from 60 to 120 USD, with additional costs for labs and X-rays.
Should I use public or private healthcare as a visitor?
Private clinics are generally preferable for their speed and convenience.
How do I contact emergency services?
Dial 911; operators often speak English and can send ambulances if required.
Is travel insurance necessary?
While not mandatory, it simplifies payment processes and covers major expenses.
What can I do to avoid stomach issues?
Hydrate well, eat mindfully, and have probiotics and bismuth on hand.
How do I manage more serious symptoms?
For severe symptoms such as high fever or dehydration, visit a private clinic promptly.
Are any vaccines or special preparations needed before traveling?
Stay updated on common vaccines like tetanus and consider hepatitis A and typhoid shots.?medicine services for communication help.
Imagine sipping Costa Rican coffee on a sunny morning, only to face an unexpected health hiccup. Hello, vacation plot twist! Don’t worry, you’re not doomed; just call it a brief detour.
Access to exceptional healthcare in Costa Rica ensures you’re never left in a bind. While the public clinics are efficient, the private ones? They’re like that express lane at the grocery store—fast, and immensely convenient.
You can even get some over-the-counter meds as easily as you pick up sunscreen. Remember though, no-penicillin-but-without-a-script! The pharmacies firmly hold that line.
When life gives you a health obstacle, hydrate like your travel plans depend on it (FYI, they do). Reach for oral rehydration salts or a sports drink if your stomach starts staging a rebellion. Every pharmacy has them.
Invest in travel insurance, which can be your superhero cape here. It simplifies everything from simple consults to more complex care. It’s the safety net you hope not to use but thank yourself for if you do.
So, as you navigate Costa Rica’s beaches and jungles, keep medical necessities at your fingertips. Lamplight dinners and vibrant days await you. Just track your health, pack a little care kit, and everything else will fall into place. 😎