High Altitude Acclimatization

High Altitude Acclimatization is very important part and major concern of the trip while traveling above 3000M. You need to follow few guideline that will help lot to acclimatize with altitude.  Acute Mountain Sickness (AMS) might occur if one does not acclimatize well in the height. Usually the symptom of AMS can be felt above 3,000 m with thin air, lack of oxygen from low air pressure. The Rapid Ascend, dehydration and Hypothermia are the cause of the symptom. We Trexmount Ventures have rated three different level of the Altitude Sickness:

  1.  AMS – Acute Mountain Sickness: 
    The initial symptoms of Acute Mountain Sickness starts with headache, nausea, shortness of breath, fatigue / tiredness, Loss of appetite, disturbance in sleep which is mild a symptoms that will make like hangover / not feeling well.  You don’t need to worry much this will take time to heal after a good acclimatization, this can be avoided after slow ascend or resting into the same elevation.
  2. HAPE – High Altitude Pulmonary Edema:
    This second level of the sickness may get water in the lungs with the symptoms of increasing Headache, wish to vomiting or vomiting, diarrhea, Dizziness’, Breathing hard, severe cough (dry or Productive), increasing tiredness/weakness, high pulse, Fatigue while walking, Blueness of the face, Lips, Fingers nails which means inability to circulate the Oxygen into the blood. If these symptoms occur, you shouldn’t ascend higher, take medicine & rest/stay into the same altitude for extra night, if it does not improves, you need to descend into lower elevation.
  3. Hace – High Altitude Cerebral Edema
    The final level is a extreme stage of altitude sickness with the symptoms of worsening headache & Vomiting, mental confusion, swelling hand & face, walking like drunk, irritable, unconsciousness or coma. If these serious symptoms appear, you need to get into the hospital as soon as possible.

Decision Making: 

  1. Find out the main problem i.e. at altitude. Assume all problems are Altitude Sickness unless proven otherwise. 
  2. If it is an altitude problem with mild symptoms, stay at the same altitude until the symptoms are completely gone. Take an Aspirin tablet, try to go up but listen to your body. If symptoms are worsening, descend into the lower and get into the Hospital.

Treatment: The main healer and treatment is Descent, Descent, Descent, the best way of recovering. However, there are few medicine which maybe helpful when suffering: Oxygen, Diamox (Acetomolide) for AMS 125 mg. Before dinner, for sleeping problem if feeling suffocated, Nafedipine for HAPE, Steroids/Dexamethasone for HACE, Hyperbolic Bag – Gamow Bag

High Altitude AcclimatizationGo up slowly with take your own pace. Do not let your body get cold. Do not leave your team member behind unattended, either trekker or porter. Drink plenty of fluids (at least 3 liters per day). Get all information about Altitude Sickness before your trekking tour that will make you confident to make your tour successful.

Prevention is better than cure. Even though if you have enough High Altitude Acclimatization before heading higher elevation. you need to follow few guide line for betterment;

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