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Mexico is so notorious for traveler's diarrhea that it is often called "Montezuma's Revenge" (Venganza de Moctezuma). The reason for this is not so much the spicy food but the contamination of the water supply in some of the poorer zones in Mexico. In most of the small towns that are less industrialized, only the poorest Mexicans will drink tap water. The best policy is to only drink bottled or purified water, both of which are readily available. Just like in the USA, in most major Mexican cities the water is purified at the cities' water company. In most restaurants in these poor zones, the only water served comes from large jugs of purified water. If you get sick visit your local clinic as soon as possible. There is medicine available that will counter the bacteria.
Tap water is safe to drink in Mexico City, Monterrey, and several other major urban centers. Most travelers will tell you that it is not even though they have never even tried drinking it! If in doubt, just avoid drinking it or take mind of how you feel afterwards.
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Medicine in urban areas is highly developed, public hospitals are just as good as public hospitals in USA, and just as the American public hospitals, they are always full. It's recommended going to private hospitals for faster service.
In remote areas consider carrying a first aid kit, aspirin, and other related items are sold without medical prescription.
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