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Health / AMS


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hi Pierre and Mahesh. Very nice to hear from you. Great to hear that Pierre now you are in Kathmandu. We had a wonderful visit to Nepal, the weather was great during the Kali Gandaki trek. We did what wanted to do in Kathmandu and Pokhara and we even managed to do the mountain flight. What more could we ask for. Mahesh and Lhakpa looked after us very well and we came back with wonderful memories of Nepal, with a strong desire to return. Thanks for Frens Himalayan Treks and Expedition. Anu Mitra
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Health / AMS

  • HEALTH : Visit your usual doctor or a specialist to check any recomandation concerning yourself.
    Check that the usual vaccinations are on date (DTPolio type Revaxis, BCG).
    Some vaccinations are advised: Hepathite A, Typhoide, Meningite (A+C).

    - Paludism: Nepal is classed zone 2 (max 3), mainly in the lowlands of Terai near the Indian border and particulary during the monsoon (june to september) 
    Above 1400 m, there is no risk; below this altitude the areas we could cross are not infected during the concerned periods,
    So the risk in Kathmandu and along the treks is very low. For the more exposed areas like Chitwan or Bardia we advise to use a cream against mosquitoes.

    - Acute mountain sickness (AMS):
    Acute mountain sickness (AMS) occurs from the combination of reduced air pressure and a lower concentration of oxygen at high altitude. Symptoms can range from mild to life-threatening, and can affect the nervous system, lungs, muscles, and heart.
    In most cases the symptoms are mild. In severe cases fluid collects in the lungs (pulmonary edema) causing extreme shortness of breath, which further reduces how much oxygen a person gets. Brain swelling may also occur (cerebral edema). This can cause confusion, coma, and, if untreated, death.
    The chance of getting acute mountain sickness increases the faster a person climbs to a high altitude. The severity of the symptoms also depend on this factor, as well as how hard the person pushes (exerts) himself or herself. People who normally live at or near sea level are more prone to acute mountain sickness.
    Symptoms: Difficulty sleeping, dizziness or light-headedness, fatigue, headache, loss of appetite, nausea and vomiting, rapid pulse, shortness of breath.
    Prevention: Education of mountain travelers before ascent is the key to prevention. Basic principles include: gradual ascent (400m/day above 3000m), stopping for a day or two of rest for each 2,000 feet (600 meters) above 3000m; sleeping at a lower altitude when possible, drink enough fluids, avoid alcohol, eat regularly and learning how to recognize early symptoms so you can return to lower altitude before worsening symptoms occur.
    Acetazolamide (Diamox) helps speed the process of getting used to higher altitude, and reduces minor symptoms. Therapy should start one day before the ascent and continue one to two days into the excursion. This measure is recommended for those making a rapid ascent to high altitudes.
    People with underlying cardiac or pulmonary (lung) diseases should avoid high altitudes.

    - Personal medicine: - High protection sunscreen, lip balm
                                      - Antibiotic
                                      - Paracetamol
                                      - Immodium/tinidazole (diarrhoea)
                                      - Betadine
                                      - Rehydratation salt
                                      - Throat tablets
                                      - Bandages, tablets for water purification (type Micropur)
    Don’t drink local water if it’s not boiled (tea, coffee, soup) or purified by tablets or filter. Don’t eat fruits and fresh vegetables if they are not peeled.