Most visitors to Tibet will suffer from at least some symptoms that will generally disappear through acclimatization in several hours to several days.
Altitude sickness often known as acute mountain sickness (A.M.S.) in general may occur when people ascend too quickly normally in altitudes of over 3000 m. We ensure minimal risk by building in rest days into our trekking itineraries. Most people will feel some affect of altitude, shortness of breath and possibly a light headed, which is fairly common. Acute mountain sickness is very different and normally involves a severe headache, sickness and loss of awareness. In almost every potential case there are enough warning signs to take appropriate action.
Our expert and trained guides will advise you about any health requirements and also altitude sickness while you are tour, so you should not worry about it, we do however recommend you get advice from you travel doctor or health advisor before you leave. The following information gives you an idea about high altitude sickness and how to minimize the affects
There are three stages of altitude sickness and symptoms.
Normal AMS Symptoms Should expect but not worry
Mild AMS Symptoms- NEVER GO HIGHER
What to do if a mild symptom doesn’t go way?
Serious AMS Symptoms IMMEDIATE DESCENT
Dangerous cases of AMS
High Altitude Cerebral Edema (HACE)
This is a build-up of fluid around the brain. It In most cases the first five symptoms on the mild and severe lists previously. Coma from HACE can lead to unconsciousness are death within 12 hours from the onset of symptoms, but normally takes 1-2 days to develop. At the first sign of ataxia begin treatment with medication, oxygen and descent. Usually 4 to 8mg of dexamethasone is given as a first does, then 4mg every six hours, Diamox every 12 hours and 2-4 liters /minute oxygen. Descent is necessary but a PAC (portable altitude chamber) bag will often be used first if available.
High Altitude Pulmonary Edema (HAPE)
This is an accumulation of fluid in the lungs and is very serious. It is responsible for all the other mild and serious symptoms and it is often accompanied by a mild fever. By far the treatment is oxygen at 4 liters a minute but using PAC (portable altitude chamber) bag treatment is a good substitute. If there is no PAC bag or oxygen then descent will be life saving. HAPE can lead to unconsciousness are death very quick.
Prevention of Acute Mountain Sickness (AMS)
Allow sufficient time for acclimatization (After 3000 meters).
Don’t make rapid Ascent. Don’t go too far too fast.
No Alcohol, Sleeping pills and Smoking.
Drink more fluid 3-4 Liters a day, clean water-boiled or treated / tea / coffee / soup / juice etc.
Climb high and sleep low.
Do not trek/travel alone, take guide/porter.
Follow the advice from your guide, hotel, local, guide book.
Descent if mild symptoms rapidly getting worse.
Never leave or descent sick person along.
Avoid getting cold.
Take an easy and comfortable trekking route even if its longer.
First Aid Kit
This is the basic list to cover the more common ailments. Climbing groups, expeditions and trekkers going to isolated areas will need a more comprehensive kit.
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