Updated on : 2007-02-06
Altitude Sickness or AMS :
While you climb or trek in Nepal you are likely to cross the high altitude area (2500 mtr/8200ft). At the altitude above this, it is quite common that one might experience the affect of thin oxygen experiencing the breathlessness, sleeplessness, mild headache, etc. This particular physical condition is called AMS (Acute Mountain Sickness) or Altitude Sickness. AMS's mild symptoms occur in approximately 20-40% of people crossing altitude area and this can be worse if not taken care properly or if not acclimatized properly. Trekking trips with Himalayan Pilgrimage is set to cope the guidelines given by AMS experts unless it's unavoidable. All of our guides are extensively trained about AMS and first aid. Following is the very brief information about AMS.
Normal person in altitude:
  • Good appetite
  • May be mild swelling of hands, feet, face
  • Increasing of breathing on exercise
  • Increased urine output
  • Broken sleep
Mild symptoms:
  • Dizziness, light headache
  • Tiredness
  • Loss of sense of humour
  • Poor broken sleep
  • Loss of appetite
  • Nausea
  • Mild shortness of breath
  • No increase in urine output (should be minimum of half liter a day)
SEVERE CONDITIONS, HACE AND HAPE
Sever conditions appear if the mild symptoms are not taken care properly.
HACE(Cerebral Edema) HAPE( Pulmonary Edema)
  • Any of the mild symptoms
  • Any of the mild symptoms
  • Severe headache
  • Shortness of breath even in rest
  • Double vision
  • Cough (dry cough)
  • Can't think properly
  • Wet sound in chest
  • Loss of balance of the body
  • Pains in chest
  • Severe vomiting
  • Mild fever
In case of HACE and HAPE following symptoms may occur on both.
Exhaustion, Confusion and Poor or No urine
Prevention:
Slow ascent (300m. a day above 3000m.)
Trek should be planed with enough acclimatization days
Drink non alcoholic fluid at least 3 ltr. per 24 hrs.
Take Diamox with advice from doctor or your trip leader (guide).
Avoid becoming out of breath
Keep an eye on each other of your group (including staff) and try to learn symptoms
If symptoms occur rest there, if symptoms worsen descend and if symptoms are gone ascent back again.
Buddhist Circuit

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