Mera Peak Climbing
Everest Trekking

Mera Peak Climbing

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Trip Facts

  • Max Altitude 6,476 m
  • Grade Moderate
  • Duration 18 DAYS
  • Group Size 1 - 15

Overview

Mera Peak (6,476 m / 21,267 ft) is a mid-altitude mountain situated in the Sagarmatha National Park. It belongs to the Barun sub-section of the Mahalangur Himalayan sub-range, which is part of the greater Himalayan mountain range. The Nepal Mountaineering Association has classified Mera Peak as a trekking peak, making it the highest trekking peak in the country.

Climbing Mera Peak offers spectacular views of the surrounding mountains, such as Everest, Lhotse, Cho Oyu, and Kanchenjunga. Charming and Baruntse Peaks are also located close to Mera Peak and provide beautiful views from the summit.

The Hinku and Hongku valleys are visible from the top of Mera Peak, showcasing their glacial moraines, deep woods, and rivers. Hinku Valley is also famous for the prehistoric caves scattered throughout the area.

Mera Peak is made up of three peaks – Mera North (6,476 m/ 21,247 ft), Mera South (6,065 m/ 19,898 ft), and Mera Central (6,461 m/ 21,098 ft). Mera North is the highest and most commonly used for climbing. The Mera Central was first climbed in 1953 by Colonel Jimmy Roberts and Sen Tenzing, and the Mera North was scaled in 1977 by a team of French and Nepali climbers. The Mera South was climbed in 1986 by Mal Duff and Ian Tattersall, two British men.

The trek to Mera Peak starts in Kathmandu with a beautiful mountain flight from Tribhuvan International Airport to the Lukla airstrip in the eastern part of Nepal. The Lukla airport is located in the Sagarmatha National Park, which was established in 1976 to protect the pristine flora and fauna of the Khumbu Region.

The trek to Mera Peak base camp passes through Thuli Kharka, Mousam Kharka, Tagnag, and Khare, with forests and yak-grazing pastures dominating most of the route. As we get closer to Mera peak, we will walk through glacial moraines and snowy terrain.

The Mera Peak Base Camp is located at an altitude of (5,300 m/ 17,388 ft), while the High Camp is located at an altitude of (5,780 m/ 18,963 ft). We will set up base at the High Camp before tackling the final climb to the summit, which is slightly challenging.

However, the view of the Hinku and Hongku valleys beneath the peak, separated by a mountain ridge that connects Mera Peak with northern giants like Everest, Lhotse, Nuptse, Baruntse, and Pumori, is worth the effort.

Itinerary

Day 01

Arrival in Kathmandu airport. Our Airport Representative transferred to hotel by private tourist vehicle.

We will begin our trip with a spectacular morning mountain flight from Kathmandu to Lukla. The flight first introduces us to mountain ranges like Ganesh, Langtang, and Lakpa Dorje located in the central part of Nepal.

The early morning sun glistening on the crest of these mountains provides us with a blissful sight. As we approach east, we will see some of the tallest mountains in the world like Everest, Lhotse, Kanchenjunga, Pumori, Nuptse, etc.

We will land at the Lukla airstrip which is located in the middle of a mountainous valley.

We will recollect our luggage at the airport and then begin our trek toward the village of Chutanga. The first part of the trek goes through the lush green forests of Rhododendron. The Rhododendron flower is the national flower of Nepal.

As we move further, pine trees start to dominate the beautiful mountain landscape. This part of the trek falls below the Kalo Himal Range. Many streams cross our path to Chutanga. We will cross them via picturesque suspension bridges. We will stay at a hotel in Chutanga for the night.

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

An early morning flight to Lukla from Kathmandu and trek to Phuiyan. Flight 30 minutes and walking 4 hours.

We will begin our trek from Chutanga following breakfast. We will keep walking along the Kalo Himal ridge for the first part.

As we move along we will see a spectacular view of the ridge separating the two famed valleys in the Everest Region – the Hinku Valley and the Khumbu Valley. We will first trek up to Zatra Wa La Pass. The pass is located at an altitude of 4,600 m (15,091 ft).

We will see many prayer flags on our way as we move toward the Zatra Wa La Pass. The path goes downhill from Zatra Wa La Pass. We will meet many yak herds on our way. The place is famous for Yak grazing pastures. There are a few trees in the area.

The last destination of the day – Thuli Kharka – is also a famous yak-grazing pasture. In fact, the Nepali translation of the name Thuli Kharka is ‘large pasture’. There is a small settlement in Thuli Kharka. We will rest at a hotel there for the night.

  • Max. Altitude
    (2796mtrs/9170ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 03

Phuiyan to Pangkogma. Walk approx 6 hrs.

We will begin the day with a spectacular view of the rising sun over tall Himalayan peaks like Everest, Lhotse, Pumori, Kangneta, etc.

The trek will begin after breakfast. We can indulge ourselves in a breakfast of Tibetan bread and local lentils. We will then begin the trek via beautiful forests of pine, juniper, and berries. The forest starts to get sparser as we move ahead.

This part of the trek will provide us an opportunity to spot many endangered wild animals and birds like sloth bears, Himalayan musk deer, Danphe (the national bird of Nepal), Himalayan Blue Sheep, Jharal, etc.

Mousam Kharka is also a popular grazing pasture located on the slope of a wide mountainside. We will rest at a hotel in Mousam Kharka for the night.

  • Max. Altitude
    (2846mtrs/9335ft)
  • Meal
    Hotel/Tea house
  • Accomodation
    Breakfast/ Lunch/Dinner
Day 04

Pangkogma to Ramailo Dada. Walk 5:30 hours.

We will begin our trek to Tangnang following breakfast. Tangnang is a mountainous valley.

The first part of the trek is easy and goes through patchy forests, mountain ridges, and grazing pastures. We will see Buddhist prayer flags here and there along the way as most people in the region are Buddhists.

We will get first sight of the Mera Peak on our way to Tangnang from Mausam Kharka. We will also get spectacular views of mountains like Kusum Kangaru and Mount Charpate.

The second part of the trek is slightly challenging as we need to climb steeply to reach the edge of the Tangnang Valley. We will stay at a hotel in Tangnang for the night.

  • Max. Altitude
    (2690mtrs/8823ft)
  • Meal
    Hotel/Tea house
  • Accomodation
    Breakfast/ Lunch/Dinner
Day 05

Ramailo Dada to Chatra Khola. Walking 6 hours

Since it is considered wise to take breaks in between during long mountain voyages, we will stop at Tangnang today.

We will take a full rest today without any adventure so as to acclimatize ourselves for the long and hard trek to come. We can also explore a local Gumba situated on the side of the mountain atop a large rock if we are interested.

The Tangnag Valley holds a unique variety of Tibetan culture. We will explore the village of the local Sherpa people in the evening and learn more about their traditions and culture.

We will have a meal with the locals tonight. We will slide into our beds early tonight.

  • Max. Altitude
    (3440m/11284ft)
  • Meal
    Hotel/Tea house
  • Accomodation
    Breakfast/ Lunch/Dinner
Day 06

Chatra Khola to Kote. Walking 6 hours

We will begin another round of walking today following a day of solid rest. We will first walk along a wide area that opens up into a valley.

We can get a wonderful view of the Hinku Nup glacier on the northern side from this place. We will also get a view of the mountains like Everest, Lhotse, Nuptse, Kangneta, and Pumori in the further northern part.

We will then come to a place called Chhatrapati Tal. The place is named after a lake (Tal in Nepali) of the same name.

The lake lies at the bottom of the valley. From here, we will go steeply upwards towards the place called Dig Kharkha. The place is a large pasture that feeds herds of yaks from the surrounding area.

We will climb more from Dig Kharka to reach Khare, where we will sleep for the night.

  • Max. Altitude
    (3490m/11447ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 07

Kote to Tagna. Walking 6 hours

We will trek to the Mera Peak Base Camp today. It is only located a few hundred meters above Khare but the path goes through winding mountain trails that frequently go up or down, thus elongating our journey.

We will also walk slowly to preserve energy and help acclimatize ourselves as we are now entering territory over 5,000 m.

The final part of the walk reveals a wonderful sight of the wide mountain valleys and tall mountains arranged like jewels in a bead.

We might have to rest in camps during the night at the Mera Peak Base Camp as round-the-year accommodation is not guaranteed. We will either sleep at a temporary hotel or at our camps tonight.

  • Max. Altitude
    (4140m/13580ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 08

Tagna to Khare (5045m). Walking 6 hours

We will trek to the Mera Peak High Camp today. We will get a spectacular view of the mountains like Makalu, Baruntse, Kangneta, Lhotse, and Everest from our way.

We will also get a spectacular view of the Mera Peak and Mera Glacier from our path. As we move closer to the High Camp, we will get an opportunity to spot the Hinku Valley for the first time.

We will also see the evening sun setting against the backdrop of Mount Everest. We will learn to use equipment like ice axes, ropes, and harnesses in the evening.

We must also learn how to communicate and coordinate effectively while walking in a single file on the mountain. Our tour leader and crew will help us with this training.

We will set tents at the Mera Peak High Camp today and slide into our makeshift home early.

  • Max. Altitude
    (4140m/13580ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 09

Acclimatization day at Khare.

We will begin our day very early today. It is preferable that we wake before 3 am because we will need to climb the peak before the typical strong mid-day wind blows in the mountain top.

We will need ample time to arrange our gear and costume. We need to be quite prepared as we are going over 6,000 m in altitude for the first time in our journey. Moreover, this involves a steep and hard climb to the top of Mera Peak itself.

Therefore early start is our most important asset of the day. We will first walk along a slope of the mountain, where some little patches of green grass are located. The path is all full of either snow or large black boulders as we move along.

After reaching the altitude of 6,000 m, we will need to walk along the slippery slope of a glacial moraine. We will need to make use of a rope for the final 300 meters of the climb. Our tour leader and crew will lay the ropes and we will walk carefully with its support.

The view of the Hingku and the Hongku Valley as we reach the top of the Mera Peak is spectacular. The valleys are separated by a narrow ridge of mountains that joins with the mountains like Everest, Lhotse, and Cho Oyu further north.

The view of the two valleys against the backdrop of some of the tallest mountains in the world is one of the best views in the Himalayan region. We will also get enthralling views of the Baruntse and the Kangneta Peak from the top of Mera Peak.

The view of Mount Kusum Kangaru is another highlight from the top of Mera Peak. We will spend some time at the peak and begin a slow descent towards the High Camp. We will celebrate our success upon reaching the high camp.

  • Max. Altitude
    (4140m/13580ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 10

Khare to High camp.

Today is a contingency day left aside so that we have a spare day to climb the top of the Mera Peak if sudden weather change prompts us to cancel the trek on the scheduled day. We will plan as usual and continue with the trek if the contingency day is not required.

  • Max. Altitude
    (5800m/19025ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Tented camp
Day 11

High camp to Mera summit (6476m/21242) and back to Khare. Walking 8:30 hours

We will trek back to Kothey today. We will set on a glorious downhill journey via mountain slopes and river basins today.

After we cross the mountainous terrain following the first part of the trek, we will reach large grazing pastures used for grazing yaks from nearby villages.

These pastures provide a welcome respite to us during the trek as we will rest and have hot tea in these grazing pastures.

As we move further down from the mountains, we will start to see occasional forests of pine and juniper. These forests become more abundant as we move south. The lower belt of our trek is home to dense rhododendron forests.

Many endangered species of wild animals like the Himalayan Blue Sheep, Jharal, Himalayan Tahr, Himalayan Musk Deer, etc. are found in these parts. We will reach Kothey and stay there for the night.

  • Max. Altitude
    (4140m/13580ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 12

Khare to Kothe. Walking 5 hours

We will trek to Thuli Kharka today. This brings us closer to the end of our trek. We will walk further downhill through picturesque green hills. We will get closer to the Kalo Himal range today.

We can see the distant rim of the Mera Peak valley on our back from most parts of the trek. The forest starts to get thicker and the temperature significantly higher.

The last part of the trek is along the river basin. We will get a chance to spot Danphe, the national bird of Nepal around this part.

Danphe is also found further up in the mountains but most birds spend time in the lower mountainous region. We will reach Thuli Kharka following five hours of walk from Kothey. We will rest at a hotel in Thuli Kharka for the night.

  • Max. Altitude
    (3490m/11447ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 13

Kothe to Thuli kharka. Walking 5:30 hours.

We will trek back to Lukla today. Numerous mountain streams converge in a narrow basin surrounded by the mountains as we approach Lukla.

We will also see numerous prayer flags, gumbas, Chortens, etc. on our way. The last part before reaching Lukla passes through dense forest wherein lie far-flung small settlements.

We will reach Lukla after a gentle downhill climb in the last part. We will place our belongings at the hotel and then take a tour of Lukla town.

We can buy souvenirs for our loved ones back home if we are interested. We will rest at a hotel in Lukla for the night. This concludes the walking part of our trek.

  • Max. Altitude
    (3900m/12792ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 14

Thuli kharka to Lukla. Walking 6:30 hours

We will fly back to Kathmandu today. This is the last day of our tour. We will begin the day by experiencing the beautiful mountain flight for the second time in two weeks.

We will say goodbye to the mountains from mid-air as the mountains of the central and eastern parts of Nepal line up in a spectacular array before our eyes.

We will land at the Tribhuvan International Airport (TIA) in Kathmandu following the flight. We will transfer you to your hotel after the flight. This officially ends our 14-day Mera Peak Climbing adventure.

  • Max. Altitude
    (2850m/9348ft)
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 15

After breakfast an early morning flight back to Kathmandu from Lukla and transfer to the hotel at 3 stars level, inclusive breakfast. Flight time 30 minutes. O/N at hotel.

After breakfast an early morning flight back to Kathmandu from Lukla and transfer to the hotel at 3 stars level, inclusive breakfast. Flight time 30 minutes. O/N at hotel.

  • Max. Altitude
    1345m/4412ft
  • Meal
    Breakfast
  • Accomodation
    3 stars level hotel
Day 16

The trip ends.

The trip ends, our Airport Representative will drop you to the Kathmandu international airport for your final flight departure from Nepal. Driving 15 km – 10 minutes

  • Meal
    Breakfast

Pricing

Price for Mera Peak Climbing in different currency as follows:

Currency Pricing USD Euro AUD CAD Indian Rupees
Price per person N/A N/A N/A N/A N/A

WANT TO KNOW LATEST DEALS ?
For latest offers & pricing for group & individual, please contact us.

Service Includes and Excludes

Service Included in this Trip

  • All the ground transportation by tourist vehicles. 
  • Hotel in Kathmandu, inclusive breakfast at 3 stars level (1 night before trekking and 1 night after trekking).
  • Meals 3 times a day( Breakfast, lunch, and dinner) in trekking and climbing for you.
  • Seasonable Local fresh fruits after dinner. 
  • Filtered water in trekking using (Katadyn Pocket Water Filter)
  • Twin sharing a private comfortable room in trekking part and tented camp at climbing part.
  •  Trip Map. 
  • Both ways domestic flight tickets from KTM/Lukla/KTM, inclusive of taxes.
  • First aid medical kit, Ox meter to check pulse, heart rate, and oxygen saturation at higher altitude.
  •  An experienced government-licensed holder trekking/climbing guide and porters to carry your luggage during the trek.
  • Food, drinks, accommodation, insurance, salary, equipment, transportation, and local tax for trekking and climbing staff.
  • All necessary camping gear like two men’s tent, kitchen tent, kitchen equipment, mattress while climbing period.
  • Group medical supplies (first aid kit will be available).
  • All necessary paper works and national park entry permits.
  •  Climbing permit.
  • TIMS (Trekkers’ Information Management System). 
  •  Climbing equipment like ice axe, Ice crew, snow bar, and climbing rope.
  • Personal climbing equipment(Eight finger, helmet,  crampons, Joomer, carabiner lock, carabiner unlock, Harnex belt.
  • Emergency helicopter rescue arrangements will be paid for by your insurance company.
  • Farewell dinner in Kathmandu.
  • All our government taxes, vat, local tax, and 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.
  • Climbing boots, gaiters, and jackets.
  •  Travel and rescue insurance.
  • Extra personal expenses (phone calls, laundry, bar bills, battery recharge, laundry, shower, excess baggage charges).
  • Tips for trekking staff and drivers (Tipping is expected).
  • Any others expenses which are not mentioned in the ‘Price Includes’ section.

Fixed Departure

Year
  • 2023
  • 2024
Start Date End Date Availability Booking
27 Sep, 2023 14 Oct, 2023 OPEN Book Now
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Trip Info

Note: Differences Between Full Board and Budget Package

The full board package is included your meals 3 times a day in trekking where as budget packages do not include a meal. Please do let us know which package you would like to book we are here for your service.

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

EQUIPMENTS, GEARS AND GUIDES

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

Acute Mountain Sickness (AMS) is common at high altitudes sickness. In general may occur when people ascend too quickly normally in altitudes of over 3000 m. The symptoms of altitude sickness are due to lower air pressure at high altitudes, which results in lower oxygen levels as you breathe the air in. The air is under less pressure and this makes it harder for your body to get the oxygen out of the air and into the circulation. It’s this extra strain on the body that causes altitude sickness.

Symptoms tend to be worse at night and include headache, dizziness, and lethargy, loss of appetite, nausea, breathlessness and irritability. Difficulty sleeping is another common symptom.

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.