Manaslu Trek
Adventure Trek

Manaslu Trek

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Trip Facts

Overview

Manaslu Trek is a well-loved trekking route, providing with pure wilderness,pristine mountain views, rich culture and genuine adventure sum up the trek experience around the world. Opened in 1992, this area is protected by Manaslu Conservation area, established in 1998. Manaslu at 8163 meters (26,775′) is the 8th highest peak in the world.

The route around Manaslu & Larkya la Trekking offers great views of Himalayan landscapes with spectacular views of is the 8th highest peak in the world and the Ganesh Himal Range, Annapurna among others 45 more peaks over 6500m. Furthermore, Manaslu trek offers cultural heritage, a genuine outing in the outback, incomparable beauty and biological varieties that’s amazing.

Manaslu has a lot to offer to trekkers, from the beautiful scenery of the majestic Himalayan ranges and high altitude glacier lakes to rich biological and cultural diversity. Ecologically MCA has a diverse range of habitats which boasts many rare flora and fauna such as Snow leopard, Lynx, Musk deer, Red fox, Jackal, Brown bear and their prey species such as Blue sheep, Himalayan tahr, Himalayan serow, Wooly hare and Himalayan marmot. It is also home to a variety of birds like Snow partridge, Tibetan snowcock, Chukor partridge, Himalayan griffon, Golden eagle, among others, including diverse plant communities.

The culture of the people in the region is equally unique with most people of Tibetan origin following Buddhism. Economically, the people rely on agriculture and animal husbandry system, and are very dependent on natural
resources for firewood, timber and medicinal plants.

The rich cultural heritage is evident in the several large Buddhist monasteries. Local examples of the harmony between religion and environmental conservation can be seen throughout the region, as Lamas (religious leaders) from the monasteries prohibit any kind of violence against wildlife. This has been hugely consequential in the prosperity of wildlife in MCA.

Manaslu circuit trek is one of those delightful adventure treks in Nepal. The magnificent views of the Annapurna and Dhaulagiri peaks reward you on trek. Furthermore, that is literally gratifying to the soul along the way. Despite, the taxing drills of this trek, Mt. Manaslu located in the east of Annapurna Himalaya range.

Manaslu circuit trek can be organized private or group trek on your request. While trekking in Manaslu area, you can stay at local lodges which is called Tea house trek as well. Tea houses are more like hotels, with hot showers, western food, and private rooms (twin sharing). In this arrangement overnight halts with dinner and breakfast will be in Tea-houses (Lodges) and lunches in local restaurants en-route. Freshly cooked food is served at all
times (western, continental and Nepalese, Chinese, Indian and Tibetan meals are available in all places).
Furthermore as you will be staying in locally owned lodges you will be benefiting and interacting with the local community. It will give you a true feel for the Nepalese people and their lives.

This remarkable adventure Manaslu & Larkya la treks begins with an interesting scenic drive to Soti khola bazzar via Arughat, a small market centre in the district of Gurkha region, passing nice traditional villages like Jagat, Samagaon, Dharam sala and the trek crosses the high pass of 5,200m at Larkya La and the journey completes at famous Annapurna circuit trail at Beshisahar after a delightful and memorable time in the high
Himalayan mountains with Unique Path Team.

Itinerary

Day 01

Arrival in Kathmandu.

Arrival in Kathmandu airport (1345meters). There you will be met by our Airport Representative and transferred to hotel by private tourist vehicle. Overnight at hotel at 3 stars level, inclusive breakfast.

  • Max. Altitude
    1345m/4412ft
  • Meal
    Dinner
  • Accomodation
    3 stars level hotel
Day 02

City guide tour

Half day city guide tour then drive back to hotel and preparation for trekking. City tour 4 hours.

  • Max. Altitude
    1345m/4412ft
  • Meal
    Breakfast
  • Accomodation
    3 stars level hotel
Day 03

Drive toSoti Khola by bus (775meters).

Your Trekking staff will come to your Hotel early in the morning at 8.00 am to pick you up, from there we have an 6 hour driving journey to Arughat. O/N at mountain lodge

  • Max. Altitude
    815m/2673ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 04

Trek to Machha Khola (900meters).

The trail descends slowly until you climb again to mountain ridge to Almara. Pass the forest trail to arrive at Riden Gaon. The valley here cuts into another side of the river to enter Budhi Gandaki. At Lambesi, the trail follows down to the sandy river bed of Budhi Gandaki. Camp tonight at Machha River.

  • Max. Altitude
    900m/2952ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 05

Trek to Jagat (1340meters).

After crossing Machha River and Khrola besi, there is a hot spring called “Tatopani”. The trail follows forested area after this toward Dovan. Below Dovan, there is a huge rapid at Budhi Gandaki. As the elevation increases, the rapids and the scenery undergoes a complete transformation. At Jagat, there is a police check-post where your trekking permit will be checked.

  • Max. Altitude
    1250m/4100ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 06

Trek to Ngyak (2310meters).

After ascending to a terraced hill of Saguleri and view of Sringi Himal (7177 meters) we continue toward Sirish Gaon, Gandaki valley narrows from herewith soaring precipitous walls.

  • Max. Altitude
    1950m/6496ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 07

Trek to Ghap (2100meters).

 Follow the trail upstream of Deng River – a tiny village of 4 houses. We walk through a newly built rock tunnel from here, thus avoiding the traditional steep climb. At Ghap, the Tibetan culture begins with Mani stones and chortens all around.

  • Max. Altitude
    2050m/6724ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 08

Trek to Lho (3200meters).

Today is a wonderful trekking day; after passing through the seemingly deserted seasonal village of Nambachhe, planted with fields of barley and lined with mani walls, we ascend through a dense, cool forest for an half an hour, crossing the Buri Gandaki once on a wooden bridge, to Namrung, at 2540 meters, where we will stop for a cup of chai at a lodge run by a Tibetan family. As we gain altitude, we reach alpine territory and are treated to increasing mountain views. Namrung village is the start of Nubri, the region of purely Tibetan inhabitants speaking a dialect of western Tibet. Above this village the valley opens out and there are extensive pastures. A few hours later, we reach the village of Lihi at 2840 meters, a substantial altitude gain. We are climbing climb gently now, cross a large stream flowing down from the Lidanda Glaciers, and reach the picturesque Tibetan village of Sho at 3000m, where we stop for lunch. Look for the bear claw on the upper deck of the house, and across the river to the ruins of an old Tibetan fort. From Sho, the views of Ngadi Chuli are spectacular, and further on, towards Lho, we are finally treated to views of Manaslu itself; quite an impressive afternoon! We set up camp in Lho, a lively village adorned with many prayer flags, in the yard of a small lodge. Sunset and sunrise from the campsite are wonderful, and the small gompa just below our campsite worth a visit.

  • Max. Altitude
    3148m/10325ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 09

Trek to Sama Gaon (3500meters).

Walking through the upper reaches of Lho, with the snowy peaks of Manaslu ahead of us in the distance, we pass the new gompa and then ascend through light forests next to a small river to reach the Tibetan settlement of Shyla, where the villagers are often out in the fields. Another few hours of trekking through classic alpine scenery leads us past Tibet grazing settlements, the train to Pung Gyan Gompa, and then Sama Gaon, or Ro, as the locals call it. Sama Gaon sits in a bowl at the foot of the pastures leading to the high peaks, with mani walls, a small gompa and tightly packed rows of houses at the lower reaches of village, and the large gompa at the upper reaches. The people settled here from Tibet over 500 years ago, and the two gompas date from this time, both having unique architecture and built of wood. The Tibetan villages here have entrance gates which are very distinctive from the Tibetan ones, and they maintain an active trade with their co-religionists in Tibet (notice the Chinese brandy and beer on sale). If the weather is good, you will see the village women weaving wool (baal) from Tibet into gowns – which are then traded back to Tibet. Taxes were actually paid to the Dzongka Dzong (fortress) at the border of Tibet, a few days walk from Sama Gaon, as late as the 1940’s until it was taken over by the Gorkas in the late 19th century. Later, after 1959, the region was home to Tibetan guerillas, and thus closed to trekking until 1992.

Take the afternoon to hike up to the gompa above town, and to wander the streets of the fascinating Sama Gaon village.

  • Max. Altitude
    3517m/11535ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 10

Acclimatization and exploration day.

On our rest day here why not a day trip to the border of Tibet; no passport required. It takes five hours walking to the Gya La (‘large pass’) to do just that, and then take in the views and ruminate on the border markers at the top: ‘China, 1962.’ We will probably share the trail with groups of Samdo residents, carrying timbers over the border to Tibet. True High Asia! Like the people of Ro, Samdo inhabitants are Tibetan, and were ceded the land by the king of Jumla over 500 years ago; but, unlike the Ro people, they only claimed their land after the Chinese takeover in the early 1950s. Since then they have established a trade with China and India, marketing among other things, the aphrodisiac root that grows in the region. We’ll try to get into some of the local houses for chang (Tibetan barley beer), salt butter tea and perhaps a few carpets to buy!

  • Max. Altitude
    3738m/12260ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 11

Trek to Dharamsala/Larkya Phedi (4460meters).

 We leave on the trade route to Tibet and climb through the ruins of Larkya bazaar, one of the trade markets that flourished years back. After two hours of climbing past glaciers, with increasingly awe-inspiring panoramas, we come to the campsite at Dharamsala, where we have lunch and gaze out at the views. You’ll really feel the altitude and the cold here, so enjoy a more leisurely afternoon and keep warm. We’ll have an early dinner in preparation for our pass crossing tomorrow.

  • Max. Altitude
    4480m/14694ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 12

Rest at Dharamashala.

Rest and acclimatization at Dharamashala. Short day hiking.

  • Max. Altitude
    4480m/14694ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 13

Cross Larkya La (5215meters) and trek to Bimtang.

After a short climb above the campsite, we reach the ablation valley on the North side of the Larkya Glaciers where we have views of Cho Danda and then of Larkya Peak. We continue across the moraines of the glacier, making a gradual ascent which becomes steeper only in the last section to the pass, which should take us about three hours to crest. From the pass, there are outstanding views of Himlung Himal, Cheo Himal, Kangguru and the huge Annapurna II. If there is fresh snow, we may see Snow Leopard prints from the evening before; it’s also blue sheep (Bharal) and Tibetan Snow Cock territory.
The views from the top of the pass are truly unbelievable. After hanging our Tibetan prayer flags, and yelling ‘Ki ki so so lha gyalo’ (may the Gods be victorious), get ready for a steep, ankle straining drop to a trail following the glacial moraine, very slippery if covered in snow so have your ‘Yak tracks’ ready if you’ve brought them, and definitely use trekking poles. It is a longer day then usual to our campsite at Bimtang, but to walk into these low pastures with the evening mist coming in and Manaslu; it’s an experience not to be missed. A boulder-strewn descent brings us, finally, to Bimtang, where the three sisters of the ‘Three Sisters Hotel’ are on hand with Himalayan chilled beer.

  • Max. Altitude
    3890m/12760ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 14

Trek to Tilje (2500meters)

The campsite at Bimtang is frigid in the morning, so get to the dining tent quickly for a cup of fresh coffee! Porters pour hot water over tent pegs to get them out. Pee bottles freeze. No option if you want to get warm, move down valley into the sun, through forested hillsides to Tilje, at the end of our lost world. Here the inhabitants are a mix of Manangis (of Tibetan descent) and Chettris (Hindus), so eat a mix of dal bhaat, buckwheat dhiro, tsampa and Tibetan tea. The gorge ahead marks the land of apple pie, cold beers and hot showers – the Annapurna Circuit.

  • Max. Altitude
    3010m/9872ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 15

Trek to Chyamje (1430meters).

Tilje to Chamje. O/N at mountain lodge. Walking 6:30 hours

  • Max. Altitude
    1625m/5330ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 16

Drive to Besishar by local transport either by local jeep or Bus then continue drive to Kathmandu by private car.

  • Max. Altitude
    1345m/4412ft
  • Meal
    Breakfast/Lunch
  • Accomodation
    3 stars level hotel
Day 17

Departure from Nepal

After breakfast, the trip ends, our Airport Representative will drop you to the Kathmandu international airport for your final flight departure from Nepal.

  • Meal
    Breakfast

Group Pricing

The trip cost will vary depending on the group size, please find Manaslu Trek rates below.

Group Size
(PAX)
2-3 4-5 6-7 8-9 10 +
Price (USD)
per person
1295 1225 1175 1125 1100

Service Includes and Excludes

Service Included in this Trip

  • All the ground transportation as per itinerary. 
  • Hotel in Kathmandu, inclusive breakfast at 3 stars level (2 nights before trekking and 1 night after trekking).
  • Meals 3 times a day (Breakfast, lunch and dinner) in trekking for you.
  • Seasonable Local fresh fruits after dinner.  
  • Twin sharing private comfortable room in trekking.
  • Manaslu trekking Map.
  • First aid medical kit, Ox meter to check pulse, heart rate and oxygen saturation at higher altitude.
  • Trip achievement certificate. 
  •  An experienced, knowledgeable, helpful and English-speaking trekking  guide.
  • Strong and friendly mountain porter to carry your trekking baggage.
  • Food, drinks, accommodation, insurance, salary, equipment’s, transportation, local tax for Guide and porter.  
  • Four season sleeping bag and down jackets to use for trekking, if necessary. 
  • All necessary paper works .
  • Manaslu & Annapurna Conservation entry permit. 
  • Special Trekking Permit for Manasalu.
  • TIMS (Trekkers’ Information Management System). 
  • Emergency helicopter rescue arrangement which will be paid by your insurance company.
  • Farewell dinner in Kathmandu.
  • All our government taxes, vat, local tax, tourist service charges.

Service Excluded in this Trip

  • Extra accommodation and meals in Kathmandu (Except Farewell Dinner)
  •  All kinds of drinks (Hot/cold & alcoholic) in trekking.
  • Personal equipment.
  •  Travel and rescue insurance.
  • Extra personal expenses (phone calls, laundry, bar bills, battery recharge, laundry, shower, excess baggage charges).
  • Tips for trekking staffs and driver (Tipping is expected).
  • Any others expenses which are not mentioned on ‘Price Includes’ section.

SEASONS & DEALS
February through May and September through November are the major seasons in Nepal. So, we kindly ask you to confirm your trip as early as possible for the best deal and good travel management.
For the most up–to–date information & latest pricing please contact us.

Fixed Departure

Year
  • 2022
  • 2023
Start Date End Date Availability Booking
09 Dec, 2022 24 Dec, 2022 OPEN Book Now
09 Dec, 2022 24 Dec, 2022 OPEN Book Now
16 Dec, 2022 31 Dec, 2022 OPEN Book Now
16 Dec, 2022 31 Dec, 2022 OPEN Book Now
23 Dec, 2022 07 Jan, 2023 OPEN Book Now
30 Dec, 2022 14 Jan, 2023 OPEN Book Now
30 Dec, 2022 14 Jan, 2023 OPEN Book Now

Does our itinerary plan do not go with your holiday dates? Does fixed departure dates are not suitable for you? Do you want to extend or shorten your trip duration? No worries, we can create your own custom tailor-made holidays with flexible duration and dates.
Click here to share your plan with us.

Trip Info

Manaslu Trek is a well-loved trekking route, providing with pure wilderness,pristine mountain views, rich culture and genuine adventure that sum up the trek experience around the world. Similarly, the Manaslu Circuit Trek starts with the drive from Kathmandu to Soti Khola then from Soti Khola the trek starts towards Machha Khola then to Jagat from Macha Khola. Then from Macha Khola to Ngyak, Ghap, Lho, Sama Gaon. Again trek to Dharamsala to Larkya Phedi and Cross Larkya La, Tilje,  to Chyamje. After driving to Besisahar by local transport either by local jeep or Bus then continue to Kathmandu by car. After breakfast, our Airport Representative will drop you to the Kathmandu international airport for your final flight departure from Nepal.

Frequently Asked Questions

When is the best time to do the Manaslu Circuit trek?

Manaslu Circuit Trek can be done throughout the year. However, the best time to do the Manasluis is during the Spring and Autumn seasons. Furthermore, this trip can be done during the Monsoon Season too. But, the Spring and autumn season is very suitable for the Manaslu trek. During this time of the year, the weather is pleasant and you can travel with clear visibility of the surroundings. Likewise, you can enjoy the beautiful views of mountains in the ManasluRegion including the Manaslu Massif. In addition, if you travel here during this time of the year then you can enjoy the biggest festivals of the country Dashain and Tihar as this time is the festive season in the country. Furthermore, traveling to Nepal during this time of the year will make you knowledgeable about the culture and tradition of the place. Additionally, you can also explore different other festivals in the country.

What are the difficulties that I will face on the Manaslu Circuit trek?

How long is the Manaslu Circuit trek?

How expensive is Manaslu Circuit Trek?

Which trek is better: Manaslu or Everest Base Camp Trek?

Is Manaslu Trek safe?

Can you climb the Manaslu Trek alone?

Do I need a climbing permit for the Manaslu Trek?

Can you have altitude sickness on the Manaslu Trek?

What is the food price at Manaslu Trek?

Do I need Nepali Visa for the Manaslu Trek?

Grade A: Easy *

Trekking is essentially day hiking and doesn’t require any special training. However, good physical condition, a love of walking, and a desire to enjoying the spectacular views of the mountains and encounter village life are essential. We offer a diverse range of easy treks. Categorizing a trek as easy means that no difficult climbing or ascents to high altitudes is involved. They take usually no more than a week and are suitable for anyone. Be assured that a loss of altitude in no way means a loss of interesting things to see and experience. While our more challenging treks get you closer to a small number of mountain ranges, lower altitude treks often provide better viewpoints from which to enjoy the colorful horizons of a whole series of ranges. The duration of a trek can be from 4 to 9 days with an average of 4 to 5 hours walking per day. The elevation of the trail will be between 800m/2624ft and 2800m/ 9240ft above sea level.

Grade B: Moderate **

These treks are suitable for any walker looking for something a little more challenging and energetic. They are a combination of some longer and shorter walks and hill-walking experience is desirable. The duration is usually from 10 to 15 days. Following the up and down terrain of Nepal and walking to higher elevations contrasts these treks to those in the easy classification. However, you will be rewarded for your efforts with spectacular close-up views of glaciers and of the high Himalayas. Although the terrain is not difficult, some vigorous hiking experience is useful. There may be up to 6 hours a day on the trail and the elevation rises and falls from 800m/ 2624ft to 4000m/13210ft above sea level.

Grade C: Fairly Strenuous ***

Since the terrain can be hard and the days long, hikers on these treks should be in good physical condition and have some previous mountain walking experience. Steep climbing may be involved, although it is never necessary to use ropes. Treks at this level can he arranged for periods of 16 to 21 days. Typically, a gradual ascent through a green river valley will lead you up to a number of high passes, where you will reach the altitude of 5416m. Often times, you will get a close insight into the Tibetan culture. Participants should except to trek above 5416m/17872ft.

Grade D: Strenuous ****

These real adventure treks are both technical and highly strenuous. Excellent physical condition is essential and mountaineering experience is preferable. Following rough terrain, they involve steep ascents to high altitudes with the possibility of some rope climbing. Stamina is needed to complete one of these treks, as it can take from 20 to 28 days to reach the heart of the wildernesses that they transverse. Participants should except to trek above 5600m/18480ft

EQUIPMENTS & GEARS

Nepal is one of the best places in the world for river rafting. Numerous fine rivers offer excellent opportunities for rafting, canoeing and simply immersing oneself in the magnificent landscape. Nepal’s thundering waters, coming from the glaciers of the mighty Himalayan, provide unmatched thrills.

Clothing

Down Or Fiber Filled Waterproof Jacket And Trousers 1
Fleece Jacket Or Pullover 1
Warm Cotton Trousers 2 Pairs
Shirts And T-Shirts 4 Pieces
Lightweight Cotton Long Pants 3 Pairs
Long Under Wear 2 Pieces
Short Under Wear 4 Pieces
Sun Hat Or Scarf 1
Woolen Hat 1
Sunglasses 1
Lightweight Gloves 1
Rain Coat 1
Heavyweight Gloves Or Mittens With A Waterproof 1

Footwear

Trekking Boot 1 Pair
Thick Socks 4 Pairs
Light Socks 3 Pairs
Camp Shoes 1 Pair
Sandals 1 Pair

Other Equipments

Sleeping Bag(4seasons) 1
Down Jacket 1
Daypack 1
Water Bottle 1
Sun Cream, Sunglasses
Flashlight With Spare Bulbs, Batteries, Lip Salve, Gaiters.

Optional

Insect Repellent Toilet Articles Note Book & Pen Toilet Roll
Laundry Soap Pocket Knife Towel Sewing Kit
Plasters Binoculars Camera Film
Cards And Personal Medical Kit

Travel insurance is compulsory for all Clients undertaking any tour. It should provide adequate protection for the full duration of the tour to cover personal injury, medical expenses, repatriation expenses, helicopter evacuation, loss of luggage, etc.

For your kind information, we would like to give a list of the insurance companies, please go through the links below:

For Canadians And Americans

  1. http://www.travelguard.com
  2. http://www.worldnomads.com
  3. http://www.mondial-assistance.ca
  4. http://www.travelassistnetwork.com
  5. http://www.travelex-insurance.com
  6. http://www.travelite.com
  7. http://www.travelunderwriters.com
  8. http://www.hccmis.com/atlas-travel-insurance

For Australians And New Zealanders

  1. http://www.covermore.com.au
  2. http://www.allianz.com.au
  3. http://www.worldnomads.com.au
  4. http://www.bupa.com.au
  5. http://www.itrektravelinsurance.com.au
  6. http://www.1cover.com.au

For British

  1. http://www.travel-guard.co.uk
  2. http://www.worldnomads.co.uk
  3. http://www.thebmc.co.uk
  4. http://www.direct-travel.co.uk
  5. http://www.essentialtravel.co.uk

For Europe And Slovenia

  1. http://www.coris.si
  2. http://www.europaeische.at

For South-Africa

  1. http://www.travel-guard.co.za
  2. http://www.tic.co.za

For Indians

  1. http://www.internationalsos.com/en/asia-pacific_india.htm

MAJOR SYMPTOMS OF ALTITUDE SICKNESS

INITIAL SYMPTOMS

  1. Periods of sleeplessness
  2. Runny nose.
  3. Extra tiredness
  4. Occasional loss of appetite
  5. Feeling laziness
  6. Wish to vomiting
  7. Periodic breathing

Above are normal symptoms which may occur into your body that you should not be worried. Every trekker will experience some or all of these, no matter how slowly they ascend.

ADVANCE SYMPTOMS

  1. Headache and vomiting
  2. Dizziness
  3. Racing heartbeat
  4. Exhaustion
  5. Nausea
  6. Diarrhoea
  7. Loss of apatite
  8. Weakness
  9. Hard to breath
  10. Extra tired
  11. Dry Raspy cough
  12. Sleeplessness

When above symptoms will occur into your body, these symptoms usually resolve by spending one or two extra nights at the same altitude or using medicine. Even you are resting at the same altitude or using medicine, if symptoms are becoming worse, then it is necessary to descend.

SERIOUS SYMPTOMS

  1. Worsening headache and vomiting
  2. Swelling of hands and face
  3. Reduced urine output
  4. Walking with a staggering gait
  5. Confusion
  6. Increased tiredness
  7. Breathing irregularity
  8. Visual hallucinations (seeing things that are not real)
  9. Changes in the ability to think
  10. Changes in normal behavior

If above serious symptoms will occur into your body, these extremely dangerous symptoms are called High Altitude Cerebral Edema (or HACE). They can lead to unconsciousness and death within 12 hours. Increasing shortness of breath, cough and tiredness may also be signs of High Altitude Pulmonary Edema or HAPE. HAPE can also be rapidly fatal if ignored.

TO PREVENT ACUTE MOUNTAIN SICKNESS

  1. If possible, don’t fly or drive to high altitude. Start below 3,000 metres (10,000 feet) and walk up.
  2. If you do fly or drive, do not overexert yourself or move higher for the first 24 hours.
  3. If you go above 3,000 metres (10,000 feet), only increase your altitude by 350 to 500 metres (1,000 feet) per day
  4. Climb high and sleep low! You can climb more than 300 to 500 metres in a day as long as you come back down and sleep at a lower altitude.
  5. If you begin to show symptoms of moderate altitude sickness, don’t go higher until symptoms decrease.
  6. Drink plenty of water, tea or juice etc (at least three to 4 liters per day). Urine output should be copious and clear to pale yellow.
  7. Eat high-carbohydrate foods (rice, pasta, cereal) for more energy.
  8. Take it easy and don’t overexert yourself when you first get up to altitude. But, light activity during the day is better than sleeping because respiration decreases during sleep, exacerbating the symptoms.
  9. Avoid alcohol as it may increase the risk of dehydration, and don’t smoke.
  10. Don’t push yourself when climbing up to passes, rather take plenty of breaks.
  11. Avoid taking sleeping pills.
  12. Avoid active movements and try to relax in the first one or two days upon arrival at the high altitude areas.
  13. Bring adequate medicine.
  14. If nothing else works, return to the areas with the lower elevation.
  15. Allow sufficient time for acclimatization (After 3000 meters).
  16. Don’t make rapid Ascent. Don’t go too far too fast.
  17. Do not trek/travel alone, take guide/porter.
  18. Follow the advice from your guide, hotel, local, guide book.
  19. Descent if mild symptoms rapidly getting worse.
  20. Never leave or descent sick person along.
  21. Avoid getting cold.
  22. Take an easy and comfortable trekking route even if its longer

MEDICINE

Following is a list of items you should consider including in your medical kit – consult your pharmacist for brands available in your country.

  1. Aspirin or paracetamol – for pain or fever
  2. Antihistamine – for allergies, eg hay fever; to ease the itch from insect bites or stings; and to prevent motion sickness.
  3. Antibiotics consider including these if you’re traveling well off the beaten track’ see your doctor, as they must be prescribed, and carry the prescription with you.
  4. Loperamides or Diphenoxylate ‘blockers’ for diarrhea’ Prochlorperazine or metaclopramide for nausea and vomiting.
  5. Rehydration mixture to prevent dehydration, eg due to severe diarrhea; particularly important when traveling with children.
  6. Insect repellent, sunscreen, lip balm and eye drops.
  7. Calamine lotion, sting relief spray or aloe vera-to ease irritation from sunburn and insect bites or stings.
  8. Antifungal cream or powder – for fungal skin infections and thrush.
  9. Antiseptic, such as povidone-iodine for cuts and grazes.
  10. Bandages, band-aids or plasters and other would dressings.
  11. Scissors, tweezers and a thermometer (note that mercury thermometers are prohibited by airlines)
  12. Cold and Flu tablets, throat lozenges and nasal decongestant.
  13. Multivitamines – consider for long trips, when dietary vitamin intake may be inadequate.