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What options do I have to extend my stay in Thailand without risking my health?

Mar 13, 2025
a month ago
David ********
ORIGINAL POSTER
I’m in a desperate dilemma. Maybe I’ll be ok, but there’s potential of significant harm.

My trip to Thailand was cut short by progressive agitation of my lung injury, the final part due to vibrations of a bus. I’ve been recuperating in a great place in Ao Nang, where healing’s been steady but slow. It’s been 32 days and I’m still not safe for traveling.

My 60-day visa runs out March 16, and to extend I must go to an immigration office 30 minutes away. But car vibrations are bad for me. I could avoid that by sending them a Thai medical certification, but for that I’d need to go the local hospital – 7 minutes by car, not as bad. But there’s nothing doctors can do to confirm my condition; tests will show normal. All a Thai doctor can do is listen to my American doctor, who doesn’t know much though he’d probably write a letter. Without a letter, the Thai hospital won’t grant the certification (and might not even with a letter). I have until Monday (March 17) to get to this done.

The consequences of overstaying my visa are harsh. First, there are fees and bans; the latter would be terrible as I’m considering making Thailand a winter home. Far worse, if found, I’d probably face forced deportment, which could be a potential health catastrophe.

So my dilemma is I'm now forced to take serious risks with my health, likely to some level of injury degrading my quality of life temporarily, and possibly permanently and critically. Ironically, this might land me in the same predicament as earlier, needing more time to recover, but with no option to extend and having to leave the country, at greater risk.

I estimate I could probably make either trip (hospital or immigration office) without major problems. But it’s hard to say.

* One exchange with the US consulate sounds promising, but there's more to work out.

* I've heard of a visa agent, so you don't have to go in. Is this an option?

I welcome your ideas here. Thanks for reading.
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TLDR : Answer Summary
The user is struggling with a health condition and is concerned about overstaying their visa in Thailand. Their 60-day visa expires on March 16, and they are unsure how to proceed due to their lung injury. They are considering options such as getting a medical certificate, hiring a visa agent to facilitate the extension, or attempting to travel to an immigration office despite health risks. Comments from the community offer mixed advice, some emphasizing personal responsibility and suggesting practical solutions like hiring an agent or finding a reliable taxi service, while others express skepticism about the user's situation and decisions.
Ric ******
If money isn't an issue, get an agent to deal with it.
Abdulrahman **************
I think condition is between your ears in your imagination
Judi *******
Just take a few Valiums you will be fine for the car trip just don't drive. Just a thought 🙏
Terary **********
Ao Nang is a great place to get better.
Andy ********
Just tell the taxi driver to drive slowly or book an ambulance. You seem to be very light on info and telling everyone they are making assumptions.
Tohksic ******
Rent a donkey?
David ********
Never heard so much nonsense ... even your US Doctor won't diagnose you have a condition and there is no test etc .. and then blames Thai law will risk his life ...
Sean **********
Some of the people here are just not very empathetic. I feel sorry for you people. Why attack people? Does this make you people happy? No wonder this world is falling apart. The guy is asing for solutions and you people want to attack. Get a life. Empathy is a virtue. God help you perfect people should you find yourself in a dire situation. Karma is a Bitch.
John ********
Ddo not overstay you will be arrested and police will extort $760 from you ban you for 5 years
Steve *********
Bet he really thinks he should not of posted his dilemmas now.....
Gary **********
You can get a medical visa and your doctor can help with this
Charlie *********
After reading everything (the post and all the comments) I see only one thing that sticks out. “It’s been 32 days, and I’m still not safe for traveling,” Thai doctors can’t confirm, and the American doctor you do have “doesn’t know much.” Yet you had a lung “injury” at some point in the past. Either your description of your medical condition and history is very lacking, or you are self-diagnosing and making a life-threatening prognosis that you can’t possibly know is correct. Since you’ve included only scant information about your condition and history, none of it actually medical, it is reasonable for people to lean toward the latter. I’ve made no assumptions here. This is the logic. Don’t be too surprised if many don’t believe you. Myself, I don’t believe you OR disbelieve, but I do see the possibilities of both. I hope it works out for you, whatever it is you need.
David ********
ORIGINAL POSTER
@Charlie ********
“Either your description of your medical condition and history is very lacking, or…” Yes, that’s it, the former. Obviously. It is lacking because it is not intended as a complete system presented for people to speculate about and evaluate for “flaws.” My question was entirely about the visa process and solutions.
Charlie *********
@David *******
Since your first reply to my comment (that you deleted) was that I had made assumptions (an obvious go-to when questioned, in my case not applicable) your answer here is less obvious than you would like to portray, and certainly much less credible. I’ll bow out, because I have now slid more to the disbelief side of the fence. Everything you wrote in your original post is part and parcel to what any reader thinks, or why would you write it? Your answer is disingenuous. Good luck, anyway; I do wish you well. AND I hope my disbelief is wrong.
Pertti *************
Trip to home recover and better luck next time. Insurance covers doctors with you when you fly back home.
Charmaine **********
Why! on earth would you come to the Tropics if you have a condition, seriously you must have known what the odds are. Don't cry wolf now you got yourself into it and now figure it out by yourself as its your doing.. Facebook will not help sort yourself out!
Jay *****
Get a doctor to go to you, after getting an agent to get the visa for you. Be prepared to pay huge amount for the services above. Get a lawyer to represent you for a long term stay or maybe a permanent residency since you can't travel in a car especially the country you are in are mostly running by car or bus. Either hired a private chopper to send you. maybe start a go fund me and get people to donate to all the expenses above.
Davey *************
Maybe Thailand should change it's laws for you as in your initial message wording you seem to think should be the case...Trust me you are nothing special and if you fail to plan then you plan to fail 😉
Mark *********
My advice is use
@THAI *****************************
they are most probably for this situation the best people from the many agents out there
Andy ********
@David *******
by reading your post and replies to other comments I think you are seriously underestimating the quality of medical services in Thailand. You don't say what's wrong with you but you are worried about short journeys to immigration or the local hospital. I wonder how manage with the journeys to and from Thailand.

My advice to you would be to go to your nearest hospital with as much information on your condition as possible. Take advice from them on the best course of action. In addition talk to your travel insurance company.
Gerald ******
Sounds like your demise is coming sooner than you think. Take a few para and wash them down with several pints of the black stuff on paddy's day, wouldn't be to worried about overstay or winter home in the future. Ide say you may be departing thailand in a casket!
Mally *******
Use your travel insurance,I don't think you have any though?????
Aaron *********
This bloke's condition isn't physical...
Peter ********
30 minutes car ride (with 'vibrations) is about 10km at worst.

Many options are available if you consider.

Walk: at worst 3 hours, maybe longer depending how long you stop at cofffe shops en route to rest.

Bicycle: at worst 2 hours, though the biggest problem might be balancing upright if riding that slowly; alternatively a tricycle so you can sit down while resting.

Ambulance: you can hire a private ambulance to carry you to and from immigration office. They are specifically equipped with air ride suspension to absolutely minimise any vibration, added benefit medical assistance on hand should you need it.

VIP taxi: With a good driver you may not even notice you are moving.

Or use an agent that offers a servicecyou can cope with.

Alternatively if you can create a medical treatment plan to mitigate or alliviate your symptoms a medical DTV might work for you.

Lastly, give your head an 'attitude adjustment ' wobble.

Your choice to use a bus, which is very likely to have vibrations, that exacerbated a pre existing condition, has led to your current situation.

No reason not to comply with the reasonable requirements of Thai immigration.
Michael ********
To be really sure you would you need to go to the immigration, there you get another 30 days . That might not be enough ? You can complete the papers online and print . Make sure you have two photos ( recent ) . You still need to do that the agent will ask you for it . But even the agent is not a guarantee that you not need to go there . Some immigration still ask you to be present . USA doctor I doubt they can help . The documents would have to be translation most Likely and Stamped by US consular or embassy . So better get those information . Some hospitals help with an extension for visa for a fee , you should ask . Hope you get better soon
Mark ********
Really you travel with an injury that bad? To a country where the heat and humidity alone make it hard to breath and one would imagine prevents healing well. And then you worry about it? Stereotypical...
Lisa ****************
You can have your doctor write a note requesting a medical visa if you need continued treatment… can allow you to stay for up to 12 months
Tom ********
If I was you I would get myself home as soon as possible and resign myself to never traveling anywhere again unless it's in walking distance and the vibrations of your foot steps don't harm you.
Jeffrey **********
Seems you've got an excuse for everything. But you were the one who took the risk. Nobody forced you to come here. You should have stayed home
David ********
ORIGINAL POSTER
@Jeffrey *********
Wow, you too are seeing tons of stuff in my post that was neither said nor implied. I’m sure deep down you’re wishing me good luck with my health problem, just as I’m wishing you good luck with your misanthropy.
Ted ********
@David *******
best to just ignore this person. he is just looking for attention.
Chizel *******
Go to the Doctor and explain what's going on, they're humans not robots, they will advise you what's your best step moving forward.

Hire a decent car, hardly feel any bumps in a nice car, especially if you drive yourself.

Pay an agent to do your extension, plenty in Ao-Nang/surrounds.
Ju ********
Ask around for someone with an electric car to drive you to the hospital ? Pay him to drive very very slowly ? 🤷🏼‍♂️

Otherwise I hope Thai Visa Centre is able to help you out on this one as you've already got in touch with them 🤞🏼hope everything ends well and that your condition will improve kr. 🙏🏼
Braulio *********
No need to criticize Thai laws. Respect your host country's law.
Max **********
Seems like your only option is to teleport back to America since cars, planes and boats will aggravate your injury
Krystian ******
You can pay and use reliable agent to extend it. Simple as that
Malc *******
If in Pattaya I would strongly recommend NickyVisa just had my yearly one done by her very quick very professional.
Kristie *******
Don’t you have insurance ? Get them to medi vac you home as it is so serious !
Phil ******
@Da***
firstly you don't have a visa as you enter WITHOUT a Visa. 60 days no visa.

2nd you can get a 30 day extension-ask your local immigration office. Why won't your Doctor certify your unfit to travel so you can apply for a medical extension?

Seek another Doctors opinion and take all tests with you. The area Ao nang doesn't have significant pm2.5 levels.
Jay *****
@Phil *****
he mean he can't travel in a car due to all the vibration. I will see if the relevant department could make the road as smooth as possible so he can proceed to the immigration office.
Phil ******
@Jay ****
yes me too. Cannot travel in aircraft or boat either as specialist care isn't there. I can use a medical evacuation flight but can't afford this so my next specialist appointment is April.
David ********
ORIGINAL POSTER
@Phil *****
Thanks, but you’re making many wrong assumptions about my condition.
Phil ******
@David *******
no you didn't share your condition with me and tests are fine as you said. I have NSIP and suffered a pulmonary embolism early October so I understand. I have an acute pulmonary embolism still and I'm under a lung specialist. Oh the operating surgeon said 3 more minutes he couldn't save me.

You said your tests were fine and the Doctor hasn't given you a medical certificate. So in summary this Doctor won't sign off on an unfit to travel medial certificate so GET A SECOND OPINION.
David ********
ORIGINAL POSTER
@Phil *****
That sounds like a lot to go through. I wish us both healthier days
Phil ******
@David *******
I made 72 and other than the bad aqi I'm stronger. Couldn't walk or talk when I was there but came back after 12 weeks
Jim ********
Call an ambulance, go to the hospital, receive correct treatment and let your insurance deal with the payment. The hospital can also liaise with immigration regarding your visa 👌
David ********
ORIGINAL POSTER
@Jim *******
Thanks, but I wasn’t asking for medical advice. Like so many here, you’re making wrong assumptions. My condition is not treatable.
Jim ********
@David *******
but your insurance will fly you home so you can start recovery
Andy **********
@Jim *******
Unless he doesn't have insurance because he didn't declare a preexisting illness.
Jim ********
@Andy *********
the whole post is weird in my eyes so god knows 🤣🤣
Joseph ****
@Jim *******
And with this supposed condition, he waits until 3 days before his visa expires.🙄 Why should any responsible immigration agent WANT this person remaining in Thailand? Will become a ward of the state. Staying is a privilege, not a right. This is just contrived clickbate.
Andy **********
@David *******
So how is lying in a hotel room making it any better. Get on to your insurer and request medical evacuation.
Jim ********
@David *******
Ok we’ll get yourself to immigration then. 5 minutes intervals on the car, stop and stretch and carry on 🤷‍♂️
Travis *******
@Jim *******
yep, we just had a baby here in January and they offered us medical extension. Didnt end up needing it, but they were happy to offer it with a reasonable "treatment".
Tom *********
Go see a doctor, if what you say is correct, he will give you a certificate, for immigration. I had 9 months of just that, I had a disc, herniate in my lower back. The orthopaedic surgeon, gave me ongoing certificates, until I could travel again.
Andriy ***************************
Visa agent near where you're staying is probably your best bet
THAI ******************************
We serve a large number of clients across Thailand who rely on our postal services for visa extensions due to medical conditions or other challenges that make it difficult for them to extend on their own.

As long as theres a post office near them with signature delivery we can assist.
Chris ******
Excuse me for bring harsh albeit your difficult moment!

Why in hells name prompted you to travel such a great distance with a debilitating health condition!

Its madness! Your worried about a 15 minute car ride!

How in hells name will you get home in a 12 16 or 20+ hr flight? Where aircraft pressurization could be devastating for your condition !

In conclusion something just doesn’t add up in your story!

Just get an agent to extend your vida for an extra 60 days!

No need to invent complicated stories as a pretext!

Keep it simple stupid!

Otherwise you will get caught in a doubtful situation which could raise immigration agent hackles which in turn bring doubt! When a immigration agent has any doubt, by default they will act and render decision on the side of rule of law, rather than personal observation which could place them the civil servant a position of being questioned as to the veracity of their work and decision!

Jeopardizing their job!
Chris ******
There note false assumptions! They are factual assumptions!

The conclusion remains the same!

A serious pre-existing medical condition and travel occurs knowing that is difficult to diagnose and treat!

You still travel!

Hence the conclusion stands!!

Keep it simple stupid!

Pay a Thai agent and have them extend your visa ! Without all sorts of explanations or stories that the average immigrant civil servant will not have the knowledge to understand!

If i was you! Facebook is not going to fix your problem!!

Pick up your cellphone and call an agent to act for you to extend your visa!

Its that simple! Seems to me you are truly clueless!

Trying to find a cheap way to fix your visa!

Stop your nonsense! You have the where with all to travel to Thai for a winter stay, you have the ability

to pay a nominal fee to an
@THAI *****************************
to get your visa sorted as you rest and recover!

Those are the simple facts

Wake up and smell the roses!
Chris ******
This was never implied

There is no need to request a medical extension!

Just as for a 60 day extension! Keep it simple stupid!

Gee ! Its astonishing how people can complicate a simple process

Get over it
Phil *******
@Chris *****
and a US doctor, who can not physically examine can come up with a diagnosis, that Thai doctors can’t???
David ********
ORIGINAL POSTER
@Chris *****
You’re making lots of false assumptions.
Chris ******
@David *******
Regardless of assumptions!

Get an agent to fix the issue!

Its that simple endless hopeless dialogue on FB isn’t going to do shit for this person!

Their very ill! Stay home and recover!

Chasing down bureaucratic bullshit is the last thing an ill person needs for healing!

What in hells name happened to common sense!

Wake up !
Andy **********
Because you give half of an account, you cannot blame people for making assumptions. You're not a doctor, but somehow thing a trip in a taxi will kill you. Maybe there is a pulmonologist in the group who can give reassurance. Presumably your insurer knew about this preexisting condition. Plus I wouldn't worry about retiring to Thailand. It's not the place to live with likely a progressive chronic illness.
John **********
You could give someone power of attorney to attend immigration on your behalf and get the 30 day extension
David *******
You said: "Bottom line: The laws of Thailand are forcing me to take serious risks with my health, likely to some level of injury degrading my quality of life temporarily, and possibly permanently and critically.". That is just nonsense. You have travelled with a pre-existing medical condition - your lung injury. You don't state if you have medical insurance. Knowing your medical condition you chose to travel. If a 30 minute car drive is going to put you at risk what will a multi-hour flight in a plane do? Don't try and blame the laws of Thailand - admit that your own decisions have put you in the predicament you are in, take responsibility, and work forward from there.
Jason *******
@David ******
well said
Sean **********
@David ******
that is pretty harsh
David *******
@Sean *********
sometimes the truth is confronting
David ********
ORIGINAL POSTER
@David ******
You’re speaking in ignorance about my condition, making a lot of false assumptions, for example that plane rides are more hazardous than car rides to my condition. This was unexpected and a dramatic re-injuring of an old, healed injury, not something easy to forecast. I had no idea of the preciseness of description I should have used to avoid a false public scolding from callous seekers of negative critique. Even if I had acted imprudently, my statement is still 100% true about what the laws are now compelling me to do, aside from workarounds I haven’t yet found. I think you’re wrong about what medical insurance could do. You have no knowledge of what responsibility I’ve admitted or haven’t, and there’s no reason a post like this should be a psychological or civic confessional.
Damo ******
@David *******
With respect sir, what was your original injury ? Is it an injury or a medically diagnosed conditon/ illness. ?
Ted ********
@David *******
ignore these people.
Mark ********
@David *******
You sound like AI...i smell scam!
Mark ********
@David *******
sound to me you have been very irresponsible travelling with such an alleged serious condition.
David ********
ORIGINAL POSTER
@Mark *******
I’ve edited my comment for clarity.
Aaron *********
@David *******
what is wrong with you?
Howard ***********
@David ******
I didn’t want to sound mean by saying this but since you did I don’t feel so bad agreeing with you. If you have a major medical condition you shouldn’t be traveling to a foreign country unless it’s to get care for something you can’t get at home. At this point his best option is to find an agent or find a way to travel home.
Ross **********
What lung injury have you got? What did your US doctor diagnose you with? Sounds like broken ribs if agitation affects your lungs
Chris *******
You can likely pay a local agent to do a 30 day tourist extension, 1 time, you may be able to avoid an actual trip in.

For anything past that 30 days.

In all cases, without a local diagnosis from a hospital/doctor and a document explaining the reason you cannot fly, you will not get an emergency medical extension.

You will need a local agent and a fistful of money, to find a possible workaround.
Paul **********
Sign in online, or just pay the fine the next time you renew your visa, I believe it's only 2000 if you miss all four sign ups.
Chris *******
@Paul *********
I think you have miss reading the post.

They are here on tourist stamp, not any long term visa.

90 day reports do not apply in any way.
Paul **********
@Chris ******
yes you're right I didn't realise he was a tourist, thanks Chris.
Peter *******
Trust me here a medical extension for my friend was not easy. Pictures of him in bed face down. Three times denied for various forms incomplete.

Get your proper extension even if you have to do so in 3 sections of ten minutes in a cab and use an agent
David ********
ORIGINAL POSTER
Sorry, I didn't say where I was. I'm in Ao Nang, and nearest immigration office is in Krabi. Have updated post to reflect that.
THAI ******************************
@David *******
Your situation is tough, but it’s not unique to Thailand. If you were in the U.S. under a visa, you would face a very similar problem. U.S. immigration law also requires physical presence for most visa-related processes. If your visa were expiring and you were too sick to travel, you would need to apply for an extension (Form I-539), which requires supporting documentation, usually from a doctor (which you mentioned cannot be verified).

Our suggestion is to find someone you trust to send your documents to an agency. We offer nationwide services which sound like they would resolve your issue assuming you can find someone, and are able to let them in your accommodation to post your documents.
David ********
ORIGINAL POSTER
@THAI *****************************
Just to clarify, I never compared Thailand to any other country, and I’m aware other countries’ laws are similar.

Thanks for your offer. I will send you a DM.
Pui *****
@David *******
I think part of why people are reacting harshly is that your whole tone about the laws of Thailand somehow forcing you to take serious risks with your health, which implies that Thailand is somehow inhumane and more difficult than other countries, so it is correct to compare it to the USA and many other countries that would be equally, if not more difficult, for someone in your situation. Perhaps you didn't mean it that way, but it sounds like you are accusing Thailand of being overly strict rather than easier than most countries for getting extensions.
THAI ******************************
@Pui ****
The question gave us the impression that there was an issue with the system in relation to their situation.

We apologize if that was not the intent of this message.

We referenced U.S. policy because the OP appeared to be from North Carolina.
Ning ******
You can go to a hospital, and ask them to help you with the visa (medical visa) ?
David ********
ORIGINAL POSTER
@Ning *****
I explain in the post why that's a problem. I have a diagnosis-resistant condition, so I don't know if drs. would grant it.
Mark ********
@David *******
So what is this mystery illness? Seems that supplying that would help you and maybe would empathize more. ATM it just seems like another dumb yank crying because Thailand isn't rushing to bend laws to help you...
Hanahn ********
@David *******
that sounds a little questionable; but if you have am MD in your home country who can verify you diagnosis accompanied by whatever tests he did to confirm your diagnosis, the local doctors can surely corroborate with the signs and symptoms they will be able to perceive that you’re having and maybe run a few tests to confirm. Can you just pay someone to drive you to the hospital slowly? And stay nearby until the 17th so you don’t aggravate your condition.
Pete ********
See if you can hire grab eletric to go to immigration that’s whom you will ultimately have to deal with
Mark ********
@Pete *******
An electric car with super hard suspension?
Bill ********
@Mark *******
no, a nice new one with soft suspension.
Martin *****
Just hire an agent.. if u in Pattaya I recommend
@Mots *********
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