Tilicho Lake Trek
Annapurna Trekking

Tilicho Lake Trek

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Trip Facts

  • Max Altitude 820m - 5416m
  • Duration 16 Days
  • Group Size 1 - 15


Tilicho Lake Trekking collects the glacial melt of the entire northern slopes of Annapurna and Thorang Peak, which is claimed to be the highest lake in the world. In 2001, Hindu pilgrims from around the world flocked to the lake convinced it is a holy spot mentioned in the Ramayan – a holy book of the Hindus. Tilicho Lake Trek starts right from Besisahar as Annapurna Circuit Trekking, which goes along the Marshyangdi River, with great views of Manaslu and Himal Chuli to the east.

This magnificent Tilicho lake trekking leads you to the fine village inhabited by a wide diversity of people from different ethnic groups, offering spectacular and majestic views of the white Himalayas.

We have customized this route, as it is basically, the same as Annapurna Circuit, from Manang instead of taking the valley north to Tanki Manang and Yak Kharka. This route goes to the main valley to the west and passes through the Khanshar Village (The Last Village of Nepal).

Trek up to Tilicho Lake, then we travel to Yak Kharka then up to pass Thorung La at an elevation of 5416 meters. From the Thorung – La pass, the treks lead down to Muktinath and then to Jomsom from where thirty-five minutes of scenic flights take you to Pokhara.

Highlights of Tilicho Lake Trek

  • Ascending the Marshyangdi Valley
  • Passing Manaslu and Hinchuli
  • Visit the old Buddhist monastery in Braga
  • Explore beautiful Manag village
  • Enjoy the mixed culture of Tibetan
  • World’s highest Tilicho Lake
  • Stunning view of Mt Manaslu (8163m), Annapurna 1 (8091), and Dhaulagiri (8167m)
  • Crossing Throng La Pass (5416m).


Day 01

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

There you will be met by our Airport Representative and transferred to the hotel by private tourist vehicle. Overnight at the hotel.

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

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

We will start our tour with a drive from Kathmandu to Besi Shahar, which is the headquarters of the western Nepali district of Lamjung. The drive takes us through the Prithvi highway up to Dumre. The Prithvi highway runs parallel to the Trishuli river for the most part. Once we cross the Nagdhunga pass, we will see a wide and fertile Naubise valley on one side and the Kathmandu valley on the other. The Naubise valley is enriched by the Naubise river, which meets with the Trishuli river near the Galchi. Once we cross Galchi, the dark green Trishuli river is our companion along with beautiful villages and occasional towns. Most of the area around the highway is covered in dense forests of the Mahabharata hills, along the side of which the highway runs. We will leave the Trishuli river from Muglin, which flows south towards Chitwan and later becomes Narayani as it is joined by Kali Gandaki and Seti, and head on our path towards Besisahar.

We will take the route to Pokhara from Mugling up to Dumre,The section of the highway goes along the bank of the Marsyangdi River. We will leave the Prithvi highway from Dumre and head northwards along the Marsyangdi River to Besisahar. The drive is a joyride because we will have the beautiful Marsyangdi river to our right and the stunning Himalayan peaks at our front all along the journey. We will stay at a guest house in Besisahar for the night. Breakfast, lunch, and dinner plans are included in today’s part of the trek.

  • 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.

We will start our day with a two and half hours of jeep ride up to the village of the Chyamje in the north part of Lamjung District. The jeep drive goes along the serpentine Marsyangdi river. We will meet many waterfalls which flow very close to the road and often over it. We will stop at a short distance from Chyamje. Our trek starts by crossing the beautiful suspension bridge over Marsyangdi river below Chyamje.

The second part of the trek is wonderful as it is a light walk among the beautiful ambiance of the upper Mahabharata hills. The village of Tal is on our way, which is the first village of the Manang district that we meet. There is a gorgeous waterfall near Tal. We will walk further along the Marsyangdi river basin and reach Dharapani during the latter part of the day. We will stay at a guest house for the night.

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

Dharapani to Chame(2725m). 6 hours.

We will first walk towards the village of Bagarchap from Dharapani. The walk takes us through rocky paths along the Marsyangdi River. Bagarchap is a picturesque village of the Gurung people which is characterized by houses with stone roofs. The trail passes through beautiful forests of oak, pine, and other conifers. We will come across Danaque (2,100 m/ 6,889 ft) village after walking for some time along the beautiful forest.

The path from Danaque to Timang goes through lush green forests and beautiful waterfalls. The village of Timang is located at the foot of the Lamjung Himal (6,983 m). The view of Lamjung Himal (meaning mountain) along with Annapurna II (7,937 m) and Kangaroo Peak (6,981 m) is stunning from Timang. The trail from Timang to Chame is relatively flat along the arid valley. We will reach Chame in the late afternoon. Chame is the administrative headquarters of the Manang district and is also a trading center of the region. We will stay at a guest house in Chame for the night.

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

Chame to Pisang (3190m). 5:30 hours.

We will start our trek with an early morning stroll from Pisang across beautiful forests of pine, oak, junipers, and other trees. After we walk for an hour, the road starts to get more rocky and steep. The walking trail creeps through high mountain slopes with a sharp fall below to the foot of the river. We will come across the village of Barthang (2,950 m) on our way and rest there for a while.

We will get a glorious view of Annapurna II and Pisang Peak (6,091 m) as we move further along from Barthang. Many monasteries and stupas lie on our way as we get near to the village of Pisang. We will cross a bridge near the lower Pisang and move towards the central part of the villages. Mani walls and prayer flags adorn our path throughout the village. We will rest at a guest house for the night.

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

Pisang to Manang village. Walking 6:30 hours.

Pisang village with grand scenery of mountains and surrounding landscapes, from here on feeling the altitude gain, morning walk passes through the forest with a short uphill with superb views of Hongde airstrip beneath the staggering Annapurna II and III, Gangapurna Chulu’s and Pisang peak, then walking on the downhill path and towards the flat valley at Hongde village, after this place tree line disappears with barren, arid with cold and dry climate. Just before Manang, visit the old Braga monastery which houses old Buddhist relics, ancient wall painting, and frescos, offering stunning views of Annapurna Himalaya, from here an hour walk brings to Manang village, the houses here are built up in traditional Tibetan style and Manang people are known for their rich culture and traditions.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 07

Trek to Khangsar Village. 5 hours.

We will start our day by trekking down towards old Manang first. We will cross the Jarshing river via a suspension bridge after walking for a short while from Manang. The path ahead goes through the slopes of the Gangapurna mountain. We will also get a stunning view of the Pisang peak. We will walk slowly along the slopes because a deep ravine will follow us for the most part of the journey.

As we move further up, the vegetation starts to get much scarcer. This part of Nepal bears a close resemblance to the arid Tibetan plateau on the other side of the Himalayas. We will also cross the crystal white Khangsar river on our way to Manang. Chortens, mani walls, prayer flags, and gompas start to get frequent as we approach the village of Khangsar. We will rest at a guest house in Khangsar for the night.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 08

Khangsar Village to Tilicho Lake base camp. Walking 4:30 hours.

We will come across a monastery as we move a little ahead of the village of Khangasar. As we pass further ahead, we will come across many pasture lands. These pastures are used for rearing animals like Yak and Chyangra, which is Himalayan goat. We will get a clear view of the wide valley ahead of us as we move further up from Khangsar. The Khangsar river also follows us for most of our journey and we will walk along its cliffs.

This part of the trek is famous for crystals. You will see sparkling crystals in the path as we are about to reach Tilicho Lake Base Camp. The last part of the trek takes us through the level path of the valley into the area where the base camp is located. We will stay at a guest house in base camp for the night. We will take an early sleep today because tomorrow’s part of the trek is as arduous as it is glorious.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 09

Tilicho Lake base camp to Tilicho Lake (4910m/16105ft) and back to Tilicho lake Base camp. Walking 6 hours.

We will start our trek to Tilicho lake after early morning breakfast. We will be going to an altitude of around 5,000 m for the first time during our trek so we will walk slowly. The first part of the trek is a steep and long climb up to the altitude of 4,750 m. The spot at the end of this long climb reveals the wonderful view of Tarke Gyang, Gangapurna, and the Khangsar Kang.

 Tilicho Lake, which is arguably the highest lake in the world, is a dark blue lake situated in the lap of the glorious Himalayas. The water of the lake is however often frozen, and it is possible to cross the lake on foot during peak winter. We will spend some time at Tilicho lake and get back towards the base camp. The descent is relatively easier than the climb, but slippery mountain slopes can add misery to our already beaten up body so we must tread slowly and carefully.

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

Trek to Yak Kharka (4000 meters) 5 hours.

Our destination for today is the village of Yak Kharka, which means Yak grazing pasture. There are many yak grazing pastures near the village of Yak Kharka which is also famous for Yak products including cheese. Our road from Tilicho Lake Base Camp first leads us out of the Marsyangdi river valley and then takes us to the beautiful village of Tenki Manang. The village is made up of closely clustered traditional houses.

We will then walk nearby the village of Khangsar. There is a path in a slope 500 m above Khangsar. We will take this path and continue on our journey forward. We will come across Jarshang Khola and cross it via a suspension bridge. This part has even fewer trees compared to the Marsyangdi valley but the breathtaking view of the Himalayas, including the Tilicho Peak (7,134 m), Khatungkang (6,484 m), and Chulu Peak (6,584 m) as we near Yak Kharka compensates for the lack of trees. We will be welcomed by herds of yak upon green grasslands as we reach Yak Kharka.



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

Yak kharka to Throung Phedi walking 6 hours.

We will walk towards Thorong Phedi today. Thorung Phedi is also known as Thorong High Camp and is located at the base of the Thorong La Pass. We will come across the village of Ledar after a short trek from Yak Kharka. We will rest for a bit at Ledar and continue on a trail that passes through the cliffs of the Jarshang River. We will cross the Jarshang River via a wooden bridge and continue to enter further deep into the heart of the mountain peaks which by now encircle us from all sides.

 Right, when we are about to reach Thorung Phedi we will get a spectacular view of mountains like Thorung Peak (6,144 m), Syagang Peak (6,026 m), Khatungkang Peak (6,484 m), Purbung Himal (6,590 m), and other surrounding mountains. If we are lucky then we can also spot the Himalayan Blue Ship at this altitude. We will stay at a guest house in Thorung Phedi. We will take an early rest because tomorrow’s part of the trek is the most challenging one.

  • 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.

We will conquer the Thorong La Pass today. Thorung La Pass is one of the high Himalayan passes of Nepal and one of the most challenging ones to conquer. The road to Thorong La Pass is difficult because we will have to walk along the glacial moraines. The moraines are slippery and often abound with sharp crevasses. We will have to reach Thorung La Pass before mid-day because a strong wind blows during this time around the pass.which connects the district of Manang with the district of Mustang. We will head towards Muktinath after spending some time at the Thorong La Pass. Muktinath is a famous temple of the Hindus. There are 108 taps of water in the Muktinath Temple, bathing upon which Hindus believe will wash away your sins. The goddess Jwala Mai temple is also located near Muktinath. We will stay at a guest house in Muktinath for the night after a long hard day of the trek. We will celebrate the successful passage through Thorong La Pass tonight.

  • 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.

Early morning a short walk up to Muktinath temple premises and visit the main temple of Lord Vishnu after getting washed on 108 holy water spouts with freezing icy waters then ready for worship and puja where the priest will offer you with blessing.

 From here visit other main areas of Jal Devi temple and witness the ever-present flames in the main temple hall, after a meaningful visit of great purpose then drive to Jomsom by local transport either by Jeep or bus as available with scenic views of surrounding hills and mountains.


  • Max. Altitude
    2757m /9045ft
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    Hotel/Tea house
Day 14

Flight to Pokhara & transfer to the hotel. At after noon, free or sightseeing in Pokhara.

Today’s 35 minutes morning flight takes us to Pokhara from Jomsom. Once we arrived at Pokhara airport, we then drive to the hotel. In the afternoon we will have a sightseeing tour around Pokhara valley, which covers Fewa Lake, Devi’s waterfall, and Museum. Overnight back at the hotel.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    3 stars level hotel
Day 15

Drive to Kathmandu by tourist bus. Driving 6 hours.

Morning a scenic drive to Kathmandu, after a wonderful memorable trip in the high mountains of Annapurna area, then on reaching Kathmandu transfer to respective hotels with afternoon free at leisure.

  • Max. Altitude
  • Meal
    Breakfast/ Lunch/Dinner
  • Accomodation
    3 stars level hotel
Day 16

Departure from Nepal.

Our Airport Representative will drop you to the Kathmandu international airport for your final flight departure from Nepal.

  • Meal

Group Pricing

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

Group Size
1 2-3 4-5 6-7 8-9 10+
Price (USD)
per person
1600 1300 1200 1125 1100 1055

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).
  • Hotel in Pokhara, inclusive breakfast at 3 stars level (1 night)
  • Meals 3 times a day ( Breakfast, lunch, and dinner) in Trekking & Pokhara 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.
  • Annapurna trekking Map. 
  • Domestic flight tickets from Jomsom to Pokhara, inclusive taxes.
  • 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 .
  • Annapurna Conservation entry permit. 
  • 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.

Fixed Departure

Please, kindly note that following starting date will be your arrival date in Nepal and ending date will be your return date from Nepal after the trip completion.

  • 2023
  • 2024
Start Date End Date Availability Booking
28 Sep, 2023 15 Oct, 2023 OPEN Book Now
05 Oct, 2023 22 Oct, 2023 OPEN Book Now
12 Oct, 2023 29 Oct, 2023 OPEN Book Now
19 Oct, 2023 05 Nov, 2023 OPEN Book Now
26 Oct, 2023 12 Nov, 2023 OPEN Book Now
30 Oct, 2023 16 Nov, 2023 OPEN Book Now
02 Nov, 2023 19 Nov, 2023 OPEN Book Now
09 Nov, 2023 26 Nov, 2023 OPEN Book Now
16 Nov, 2023 03 Dec, 2023 OPEN Book Now
23 Nov, 2023 10 Dec, 2023 OPEN Book Now
07 Dec, 2023 24 Dec, 2023 OPEN Book Now
14 Dec, 2023 31 Dec, 2023 OPEN Book Now
21 Dec, 2023 07 Jan, 2024 OPEN Book Now
28 Dec, 2023 14 Jan, 2024 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

The Tilicho Lake Trek embarks with one’s arrival in Kathmandu city and tour of the Kathmandu valley. After that drive to Besi Sahar about 185 km drive from Kathmandu. Then from BesiSahar to Chamje by local transport either by bus or Jeep after that trek to Dharapani. From there, to Chame, Pisang, Manang. Similarly, from Manag, the further trekking journey resumes to Khangsar Village and from there to Tilicho Lake base.

And after that, we trek to Tilicho lake, trek to Yak Kharka, trek to Throung Phedi, trek to Muktinath via Thorong-la passes. Similarly, in the Morning visit Muktinath Temple and trek to Jomsom. Likewise, after that Flight to Pokhara and drive to Kathmandu by car. Then, fly to Pokhara and drive to Kathmandu by car.

Frequently Asked Questions

What is the best time for the Tilicho Lake trek?

The best time for Tilicho Lake Trek is the spring and autumn seasons. Similarly, this is a long trek. Therefore, great care must be taken when choosing the right time for trekking. Spring and autumn are sunny and warm, so you can travel outdoors and enjoy the beautiful scenery. Also, since autumn is the festive season in the country, you can enjoy the biggest festivals in the country, Dashain and Tihar. In addition, you can travel to Nepal at this time of the year to learn about the culture and traditions of the place. Furthermore, you can explore various other festivals in the country.

What are the difficulties when doing the Tilicho Lake Trek?

How fit should I be for the Tilicho Lake Trek?

What is the weather and climate at the Tilicho Lake Trek?

Can I take the children with me to the Tilicho Lake Trek?

Are there any age limits for Tilicho Lake Trek?

Can you have altitude sickness on the Tilicho Lake Trek?

What is the food price at Tilicho Lake Trek?

How many hours do I need to walk per day on the Tilicho Lake Trek?

Is the Tilicho Lake Trek trail crowded?

How to get to Tilicho Lake Trek?

How long is the Tilicho Lake trek?

Can you swim to Tilicho Lake?

Is there any cancellation policy on the Tilicho Lake trek?

Is traveling to Tilicho Lake Trek fun with friends?

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.