Pisang Peak Climbing

Pisang Peak Climbing

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Trip Facts

  • Max Altitude 6,091 m
  • Grade Moderate
  • Duration 16
  • Group Size 1 - 15


Pisang Peak (6,091 m/ 19,983 ft) is one among the 400 plus peaks in Nepal which are open for mountaineering purposes. It is one of the most frequented among these 400 odd peaks because of its stunning beauty and the thrill associated with climbing. Pisang Peak Climbing is one of the famous peak climbing in Nepal. Since we will also cross the Thorong La Pass, this trek offers a complete Himalayan experience.

Pisang Peak is located in the northern part of the Manang district. It stands up like a tower from the village of Pisang. The unique pyramid shape of the peak is one of the reasons why it is a favorite among mountaineers. Summiters who are targeting to climb other higher Himalayan peaks like Annapurna and Everest also take part in Pisang peak climbing as a training exercise. The peak was first climbed by a German team in 1955. Pisang Peak is located between the two eight-thousanders – Annapurna I (8,091 m) and Manaslu (8,163 m). The peak stands roughly opposite to the Annapurna II mountain.

The high camp of the Pisang peak is located at an altitude of 5,400 m. Between the high camp and the Pisang village are located beautiful yak grazing pastures. Once we conquer the Pisang peak, we will get down towards Pisang village and again venture northwards where lies the Thorong La Pass. The Thorong La Pass connects the district of Manang with the district of Mustang. It is one of the most challenging and thrilling passes in Nepal to conquer. Once we cross the pass we will reach the beautiful Kali Gandaki valley.

Pisang Peak Climbing explores the valley and visits the historic town of Muktinath. The Muktinath temple, which is a sacred temple of the Hindus, lies in the upper part of the Kali Gandaki Valley. We will head towards the natural hot water spring in Tatopani after visiting the Muktinath temple. We will then enter the domain of the Annapurna Sanctuary from here and head to the beautiful village of Ghorepani. The Poon Hill viewpoint lies nearby Ghorepani from where we can get a mesmerizing view of the sun rising over tall Himalayan peaks like Annapurna, Himchuli, Dhaulagiri, Gangapurna, and Machhapuchhre.

We will conclude our trek with a downward walk towards Nayapul, which lies at the foot of the mountain. After reaching Nayapul we will board a bus to Pokhara, the lake city which also serves as the district headquarters of Kaski. The last part of the trip is a joyful ride to Kathmandu on a tourist coach from Pokhara.


Day 01

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

We will begin our trip with a bus ride to Besisahar, the headquarter of Lamjung, a district located in the western part of Nepal. The bus ride takes us six hours through the picturesque green hills of the mid Nepal. The Lamjung district is mainly inhabited by the Gurung people, who have a unique culture and display impeccable hospitality. The Trishuli river flows outside our window screen as we slide across the valleys. We will leave the highway from Dumre and head northwards.


We will reach Besi Shahar after two and a half an hours drive from Dumre. Besi Sahar is a major trade center and tourist hotspot of the region. We will stay at a guest house in Besi Shahar for the night.

  • Max. Altitude
  • Meal
  • Accomodation
    3 stars level hotel
Day 02

Drive from Kathmandu to Besi Shahar by bus. Driving 6 hours.

We will take part in a mixture of bus ride and trek today. We will drive up to the village of Chyamje in local transport. The road is dusty and graveled but the ride is thrilling and memorable. We will get off the bus near the village of Chyamje.

After getting off the bus we will cross a suspension bridge and head towards the village of Chyamje. Chortens, stupas, mani walls and prayer flags are abundant as we approach the village. The village of Tal lies between Chyamje and Dharapani. There is a beautiful waterfall near Tal. We will walk slightly uphill from Tal and reach a small but beautiful village of Dharapani which will provide us with the night’s stay.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 03

Drive to Chyamje by Jeep then trek to Dharapani . Driving 2:30 hours & walking 5:30 hours.

Our trek starts along the beaten path of the Marsyangdi river following breakfast where you have the option of enjoying Tibetan bread, Himalayan tea, local lentils and beans. Our road is sandwiched between mountains on both sides. Sometimes the trail goes down towards the river but moves swiftly up towards the mountain ridges. Beautiful villages like Bagarchap, Danaque and Timang of the local Gurung, Magar and Sherpa people lie on our way to Chame from Dharapani.

Chame is the main town and headquarters of the Manang district. It is the largest village north of Besi Shahar in Nepal. We will get a wonderful view of Dhaulagiri, Himchuli and Ganesh Himal from Chame which constitutes a large cluster of houses sprawled over flatlands.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 04

Dharapani to Chame. Walking 6 hours.

We will start our trek following breakfast and venture towards the upper north part of the Manang district. We will be followed by mules and traders coming in and out of Chame during the first part of the trek. Deep forests of rhododendron, pine, fir and cedars welcome us as we stroll along the pleasant surrounding of the Marsyangdi river.

After walking along the forest for some time, we will be welcomed with hot tea in the village of Barthang. The village is a typical Buddhist settlement with relics like mani walls and prayer flags all around it. The climb gets a little difficult as we move towards Pisang. The view of Pisang Peak as we approach the village is stunning as we will start to see the full pyramid shape of the southern face.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 05

Chame to Pisang . Walking 5:30 hours.

We will head towards the Pisang peak today with its Base Camp being our target. The village of Pisang is divided into upper and lower Pisang. Once we cross upper Pisang, we will walk through grasslands and forests with sparse trees. If we are lucky then we can spot the Himalayan Blue Sheep, Himalayan Tahr and the Danphe – which is the national bird of Nepal.

We will see the Pisang, Gangapurna, Tilicho and Annapurna I glistening before us in full glory as we move closer and closer to the base camp. We will reach the base camp during the latter half of the day when the setting sun makes the surrounding peaks look like jewels glistening in astral light.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 06

Pisang to Pisang peak base camp. Walking 6:30 hours.

We will stay at the Pisang Base Camp today to take rest, acclimatize for the journey ahead and prepare for the difficult mountain exercise to take place in the following two days. We will learn how to use tools like ropes, axes and harnesses that are required in the upper slopes of the peak. We will also learn how to communicate effectively with each other and how to coordinate while moving in single file.

After taking part in the training exercise we will get back to our base and explore the surrounding with a light stroll along the base camp. We will enjoy the spectacular view of the sunrise from the Base Camp and slide into our beds before the chill evening wind starts to blow.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Tented camp
Day 07

Rest and acclimatization at Pisang peak base camp.

The trek from Pisang Base Camp to the Pisang High Camp takes us along the ridge of the mountain which goes upwards in our foreground towards the peak of Pisang mountain. The ground is mostly covered in snow with a few bare portions visible in the snow from where moss, lichens and light grass sprout.

The last part of the trek is especially challenging as the ridge starts to get more and more vertical. We will set our camps upon reaching the Pisang Base Camp. We will also continue our basic training for a short while so as to reinforce our practice with the equipment yesterday. Since the air is very thin at this point, we will not take part in heavy ordeals at the Base Camp and acclimatize ourselves by taking an early rest.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Tented camp
Day 08

Summit Pisang peak (6091m/ 19978ft). Approximately 9 hours.

We will wake up a few hours before sunbreak today because it is ideal to reach the top of the peak before the regular heady midday wind starts to blow at the mountain top. We might not need to make use of ropes during the first part of the climb. However, the last two hundred meters of the climb is almost vertical and we need to lay ropes to conquer this part of the ridge. Our trek team leader and other experienced staff will first lay the rope on the slope and test it for strength.

Once the rope has been laid, then we will begin a slow walk along the ridge of the mountain by holding the rope. We will also need to make use of harnesses and ice axes during the climb. The view from the top of Pisang peak is spectacular with mountains like Tilicho, Annapurna, Gangapurna, Himchuli etc. surrounding the Pisang peak in all directions. We will get back to the High Camp after spending some time at the peak. The climb down is much easier compared to the ascent. We will reach Pisang in the evening and stay there for the night.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Tented camp
Day 09

Pisang peak base camp to Manang. Walking 7:30 hours.

We will leave the village of Pisang behind and head towards Manang today. After walking a short while from Pisang we will enter deep and silent woods in the way. Many waterfalls and streams which flow into the Marsyangdi river are our companions. We will take the first stop at the village of Ghyaru, which is a small village of the Gurung people.

Many beautiful monasteries like the Braga monastery and the Bodzo monastery lie on our way. We will reach the village of Mungji during the last quarter of our trek and take another short break there. We will cross the Marsyangdi river via a suspension bridge after walking for a short while from Mungji. The large and beautiful Manag village lies at the end of today’s journey. It is the largest settlement in north Manang. We will stay at  a guest house in Manang for the night.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 10

Manang to Yak Kharka . Walking 5 hours.

We will begin our trek following breakfasts. We will see beautiful terraced fields above Manang after getting out of the village. The Jarshing river flows in our path after a short walk and we will cross it and climb to the slopes of the opposite mountain. The forest gets thin as we move up and we are welcomed by swathes of wide vegetation less valleys that are gorges between mountain walls on the left and right.

We will reach the village of Kharsang during the middle of our trek. We will rest there for a while and continue our journey into the area where there are several green pastures. We will see herds of yaks grazing in these pastures as we move closer to the village of Yak Kharka. In fact the meaning of the village Yak Kharka is yak grazing pasture. We will stay in Yak Kharka for the night.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 11

: Yak kharka to Throung Phedi walking 6 hours.

We will begin a trek towards Thorong Phedi following breakfast. The road now leads us much above the river valleys below and towards the foot of the pass itself. We will cross the Jarshang river once again after going past the village of Ledar. Ledar is a small village which is perched on the mountain side. We will rest for a while at the village and resume our trek.

The road just before reaching the Thorong Phedi, the literal meaning of which is the base of the Thorong La Pass, is quite steep and we will have to walk slowly acclimatizing ourselves with the thin air. Himchuli, Dhaulagiri and Annapurna look majestic from their northern face, which is a rare view reserved only to those who make their way to this part of Manang. We will rest for the night at Thorong Phedi.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 12

Thorung Phedi to Muktinath via Thoroung-la passes (5416m). Walking 8:30 hours.

This part of the trek is the second most difficult one after the ascent to the top of Pisang peak. In fact, we will be gaining more altitude today than we did when we climbed the Pisang peak from its high camp. The road just before reaching Thorong La Pass goes through glacial moraine so is slippery. It is also significantly uphill. However, we will forget all our pain and hardships after we reach the top of Thorong La Pass. We will see mountains on all sides covered in glaciers and sheets of snow. If the weather is clear we can also catch a glimpse of far flung icy blue lakes.

Thorong La Pass connects the district of Manang with the district of Mustang. On the other side of the pass is located the Kali Gandaki Valley, which looks like a valley from the dreams of a painter. The arid valley is carved open by Kali Gandaki river in its middle with tall mountains standing guard on either side. We will descend towards the valley after spending some time at the Thorong La Pass. Our destination for today is the pilgrimage town of Muktinath, where lies the famous temple of the Hindus – the Muktinath Temple and the Jwala Mai Temple.

  • Max. Altitude
    3802m /12470ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 13

Morning visit Muktinath Temple then trek to Jomsom. Walking 4:30 hours.

We will drive along the outskirts of the dusty Kali Gandaki Valley and head southeast towards the village of Tatopani, the literal translation of the name being hot water. The drive takes us along gravelled roads on edgy mountain slopes that meet with a deep ravine at its foot. It’s a thrilling ride with occasional waterfalls directly crossing our path.

We will reach Tatopani after six hours of drive and we start to see green valleys of the Annapurna Sanctuary to the east. There is a natural hot water spring in Tatopani. We will soak our body there and relieve ourselves. We will stay at a guest house for the night.

  • Max. Altitude
    2757m /9043ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 14

Flight to Kathmandu via Pokhara.

We will enter the dense forests of the Annapurna Sanctuary today. We are about to go full circle around Annapurna by now and are at the last part of the trek. The trek along the beautiful forest of Rhododendron is a pleasant affair mixed with frequent rendezvous with animals like deer, foxes, langur and mountain goat.

The last part of the trek is a climb to the beautiful village of Ghorepani. The paved road starts to get wider as we move closer to Ghorepani. Ghorepani is famous for its homestay, where you can spend the night at the houses of the local Gurung people, experiencing first hand their way of life and culture. We will either stay at a guest house or a homestay, depending upon your choice, for the night.

  • Max. Altitude
  • Meal
  • Accomodation
    3 stars level hotel
Day 15

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

We will hike for half an hour before sunrise and reach the viewpoint of Poon Hill, which is famous for its wonderful view of the mountains. You will see the complete set of mountains in the central part of Nepal from Poon Hill with the Ganesh, Manaslu, Annapurna, Dhaulagiri and Machhapuchhre being the standout ones on sight. The sight of the sun breaking into these mountains is also spectacular from Poon Hill.

We will climb down to our guesthouse/homestay and then begin a trek towards Nayapul. The trek along stone paved path takes us through beautiful villages, green terraced fields and pleasant forests. We will reach Nayapul after six hours of trek and catch a bus to the tourist city of Pokhara, which is famous for its beautiful lakes.

  • Meal
Day 16

Our trek ends with a drive to Kathmandu by tourist bus. The drive is also one of the highlights of the tour as we will see the beautiful countryside of the mid Nepali hills. We will be followed by the Trishuli river for about half of our drive. Trishuli river, including the other ones we met on the trek – Kali Gandaki, Marsyangdi, Jarshang etc. – are all tributaries of the Narayani (or the Gandaki) river which drains towards India from the middle of the Chitwan National Park in the southern plains of Nepal.

We will enter Kathmandu at around 3 pm. After we get off near the tourist town of Thamel, we will drop you at your hotel. Our trek officially ends after you check into your hotel.


Price for Pisang Peak Climbing in different currency as follows:

Currency Pricing USD Euro AUD CAD Indian Rupees
Price per person 2405 N/A N/A N/A N/A

For latest offers & pricing for group & individual, please contact us.

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 (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 private comfortable room in trekking part and tented camp at climbing part.
  • Trip Map. 
  • Domestic flight tickets from Jomsom to Pokhara to Kathmandu, inclusive 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’s, transportation, local tax for trekking and climbing staffs.
  • All necessary camping gears like two men 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, climbing rope.
  • 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.
  • 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 staffs and driver (Tipping is expected).
  • Any others expenses which are not mentioned on ‘Price Includes’ section.

Fixed Departure

  • 2023
  • 2024
Start Date End Date Availability Booking
05 Oct, 2023 20 Oct, 2023 OPEN Book Now
17 Oct, 2023 01 Nov, 2023 OPEN Book Now
23 Oct, 2023 08 Nov, 2023 OPEN Book Now
31 Oct, 2023 15 Nov, 2023 OPEN Book Now
08 Nov, 2023 23 Nov, 2023 OPEN Book Now
15 Nov, 2023 30 Nov, 2023 OPEN Book Now
22 Nov, 2023 07 Dec, 2023 OPEN Book Now
27 Nov, 2023 12 Dec, 2023 OPEN Book Now
06 Dec, 2023 21 Dec, 2023 OPEN Book Now
12 Dec, 2023 27 Dec, 2023 OPEN Book Now
26 Dec, 2023 10 Jan, 2024 OPEN Book Now
29 Dec, 2023 13 Jan, 2024 OPEN Book Now

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Trip Info

The full board package includes your meals 3 times daily in trekking where as budget packages does not include meals. Please do let us know which package that 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



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.


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


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.


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.



  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.


  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.


  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.


  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


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.