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ACUTE MOUNTAIN SICKNESS

Headache Loss of appetite

High altitude cerebral edema; Altitude anoxia; Altitude sickness; Mountain

Nausea or vomiting

sickness; High altitude pulmonary edema

Rapid pulse (heart rate)

Acute mountain sickness is an illness that can affect mountain climbers,

Shortness of breath with exertion

hikers, skiers, or travelers at high altitudes, usually above 8,000 feet (2,400 meters).

Symptoms that may occur with more severe acute mountain sickness include:

Causes, incidence, and risk factors



Blue color to the skin (cyanosis)

Acute mountain sickness is caused by reduced air pressure and lower

Chest tightness or congestion

oxygen levels at high altitudes.

Confusion

The faster you climb to a high altitude, the more likely you will get acute

Cough

mountain sickness.

Coughing up blood

You are at higher risk for acute mountain sickness if:

Decreased consciousness or withdrawal from social interaction



You live at or near sea level and travel to a high altitude



You have had the illness before

Gray or pale complexion Cannot walk in a straight line, or walk at all Shortness of breath at rest

AMS SYMPTOMS Your symptoms will also depend on the speed of your climb and how hard you push (exert) yourself. Symptoms range from mild to life-threatening. They can affect the nervous system, lungs, muscles, and heart.

Expectations (prognosis) Most cases are mild. Symptoms improve quickly when you climb down the mountain to a lower altitude. Severe cases may result in death due to lung problems or brain swelling,

In most cases, symptoms are mild. Symptoms of mild to moderate acute

called cerebral edema.

mountain sickness may include:

In remote locations, emergency evacuation may not be possible, or



treatment may be delayed. This can have a negative affect on your

Difficulty sleeping Dizziness or light-headedness

outcome.

Fatigue

Imperial Nepal Treks & Expedition (Pvt.) Ltd. E-mail:- [email protected] URL:- imperialnepaltreks.com


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Complications

If you are traveling above 9,840 feet (3,000 meters), you should carry enough oxygen for several days.

Coma

You should avoid high altitudes if you have heart or lung disease.

Fluid in the lungs (pulmonary edema) Swelling of the brain (cerebral edema), which can lead to seizures, mental changes, or permanent damage to the nervous system

CLIMATE AND WEATHER Nepal has two distinct seasons, a dry one that lasts from September to

Calling your health care provider

May, and a wet monsoon from June to September. The traditional trekking

Call your health care provider if you have or had symptoms of acute mountain sickness, even if you felt better when you returned to a lower altitude. Call your local emergency number if you or another climber has any of the following symptoms:



season starts from October to May. During this trekking season, the nights can be very cold in the mountains, but the bright sun makes a day time pleasant and temperature rises up to around 25 degrees celsius, falling to 5 degree celcius, at night, between 1000m to 3500m At the Higher altitudes, temperature ranges from about 20 degree celsius down to -10 degrees. These are the best time for trekking in Mt. Everest as

Severe breathing problems

weather & visibility are at their best. After May, the summer (June, July, &

Altered level of alertness

August) is a monsoon time so the visibility & rain are an issue. Morning is

Coughing up blood

usually clear with cloud build-up, occasionally brings afternoon rain. Treks

Climb down the mountain immediately and as safely as possible.

can last from two days to a month or more, and the first consideration will be to choose a trek that fits into your available time and physical conditions. You’ll also need to strike a balance between trekking in the

Prevention

best weather for the area you wish to trek in and avoiding the crowds for Keys to preventing acute mountain sickness include:



the good weather.

Climb the mountain gradually Stop for a day or two of rest for every 2,000 feet (600 meters) above 8,000 feet (2,400 meters) Sleep at a lower altitude when possible Learn how to recognize early symptoms of mountain sickness



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HEALTH AND FITNESS REQUIRED : As of this writing, there is no required immunization for travel to any of

USEFULL INFORMATION TEA - HOUSE/LODGE TREKS

the countries where we go, however, for your protection you should consider getting vaccinated against some ailments that exist in any of

Water

these countries. To learn about prevention against malaria etc. For those

We highly advise to minimize use of plastic during the trek. Please always

of you that will be taking part in our tours in, Nepal , Tibet, Bhutan, India

remember that there is no any plastic recycle facilities up in the

and or any other tours that will take you into altitudes above 4,500 meters

Mountains. In this regard we highly recommend you to use boiled water

/14,000 feet, you should be familiar with the prevention, recognition, and

for drinking or use water purification tablets instead of buying water in

treatment of altitude illness including shortness of breath, restlessness or

plastic bottles. Your Trekking Guide will suggest you the best and most

sleeplessness at night, and headaches as well as other health dangers

ecological friendly way for drinking water during a trek depending on a

potentially arising from trekking at high altitude. Please do note that for

trek area.

some treks we will require proof of your medical fitness, a thorough physical exam and certification from your doctor that you have no general medical problems that could result in any potentially serious medical consequences while on a high altitude trek. Trekking at high altitudes is strenuous and you must be in top physical shape in order to endure up to eight hours of trekking over steep and often rocky terrain. To be able to sustain and hopefully enjoy such a demanding exercise, you need to possess good cardiovascular endurance

We advise to have your own water bottle with you for the whole trek which you can refill at the lodge/campsite in the evening and morning or at lunch break on the way. Food For Tea - House Treks, food will be provided at the tea - house /lodge on menu. Altitude:

and muscular strength. In order to prepare yourself for your trekking tour

Acclimatization is important for the trekking above 3500m. Our trekking

you should undertake regular aerobic exercise.

schedules have been carefully designed to maximize your ability to acclimatize safely. We ascend slowly and ensure an adequate number of rest days. However, it is still possible for mountain sickness and your tour leader or Sirdar will be watching for symptoms with an experienced eye throughout the trip. These symptoms are commonly headache, nausea, lethargy and sometime breathlessness. If you or any of the group



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members display any of these symptoms he will be able to provide

original trek plan. Also each two trekker would have one Sherpa helper for

informed advice and ensure a proper course of action. Your tour leader

carrying your trekking bags.

will advise you more thoroughly regarding the altitude and most of the Meals and Accommodations:

problems prior to starting on trail.

While in Kathmandu and any other cities, your accommodation is at Group Size:

tourist standard hotels ( Attached Bath, A/C, 24 hours running hot/cold

In our trip, the minimum group size would be two and maximum group

shower) similar of 2 to 3 star standard hotel and while in trek, your

size is ten or more on request. We can also organize private trip to solo

accommodation is at Mt. Lodge and local tea houses, they are clean and

person with single supplement cost. Else, join our estimated group

comfortable. Our entire accommodation is at twin share unless stated but

departure dates available online or ask us with your personal dates, we

single supplement accommodation is also available on personal request

will open group date on the same date.

at the additional cost of US$- 200.

Our Guide, trip and safety

In city, only breakfast is included on the offered trip itinerary but while in

Since these hikes take you on the remote Himalayan region, it is very

trek full board of meals is included (Breakfast, Lunch & Dinner, and Tea-

essential that you are accompanied with the very experienced and

Coffee). We provide you food from the local tea- house/ Mt. Lodge from en

qualified & equipped leader for the safe and successful trip. We Imperial

route. Breakfast and dinner is to be provided from the same tea- house/

Nepal treks employee the local trek guide and stuff who are trained and

guest house we would overnight but lunch would be en route in between.

qualified on the trip we worked on. Our guides are trained and licensed from Nepal Gov, certify from TAAN & Nepal Mountaineering Association.

Foods provided are depends on the availability of the Mt. lodges we

All of our leading Trekking and Climbing Guide are experience from last 8

would be staying but in general, you can have Nepalese foods (Dal Bhat),

to 10 years. We have train them specially for your trip, to cater the flexible

Tibetan fried bread, various soups, Mo mo’s (steamed dumplings),

needs of our peoples in the group joining from different countries, this

potatoes, pastas and even a version of pizza! So, over all you have a

double assure you that your trip is at the right and professional hands.

different choice of food on trek.

At every trip, there would be our one Trek leader and one assistance

Vaccination:

leader on each additional 2 peoples on the trek- this arrangement would

Vaccination is required to plan to your trip to Nepal but it is not a must to

ensure that even if any of our guide/ assistance guides get sick or if any

have thing to come, but highly suggested. Your doctor will have the

travelers gets sick and need to be back or delay the days of walking, it

information of vaccination you would require to the country you will be

would still works smoothly and there would not be any impact on our

travelling.



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Hepatitis A, Japanese Encephalitis, Polio, Rabies, Tetanus, Typhoid and Malaria etc. are the recommended vaccination for travel Nepal. Porter Care : Our porter are fully equipped and insured for each trip they are undertaking with us. As you know that we are very sincere with the porter issues and their situation while on trek thus we make sure that our porter are fully prepared for the trip. We are closely working with International Porter Progress Association for the welfare and befit for the touristic porters. The maximum load carried by our porter is 20 to 25 KG maximum so be sure that your trekking bag so not load more than 12 KG. Communication facilities on this Trek: These days, there are enough communication facilities on this trek, most of the local villages has local telephone booth phone thus if required, you can easily communicate with your friends and family however the cost is slightly expensive, 2 to 3 $ per minute. Nowadays, during the clear days, reception of Nepalese cell phones is on throughout the trail, your guide will have Cell phone on the trip.

Travel Insurance To be adequately protected in terms of insurance, you will need special travel insurance for participation in the hazardous activities. You should be careful about your travel insurance policy that covers emergency helicopter evacuation, trip cancellation, injury, death, lost baggage, theft, liability, medical treatment and expenses is strongly recommended. If you are injured and unable to travel, you can ask for a helicopter rescue from a remote area only if you have definite proof you can pay for it. Imperial Nepal Treks have an agreement in Kathmandu that guarantees payment for helicopter evacuations. They pay a cash deposit to the helicopter operator and collect the money from you once you have been rescued. Be sure your policy specifically covers mountaineering or alpinism or you may have a difficult time settling a claim.



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be extended from the Immigration Department on payment of visa fee as specified above.

Visa Information Visa can be obtained on arrival at the   

C. FOR INDIAN NATIONAL

Tribhuvan International Airport, Kathmandu, Border entry points in Kakadvitta, Birgunj, Bhairahawa, Nepalgunj, Gaddachowki on Nepal-India border and kailali Kodari on Nepal-China border.

Visa can also be obtained at the nearest Nepal Embassy or Diplomatic Mission, (renewal purposes) at Department of Immigration, Kalikasthan, Kathmandu. A valid passport and one passport -size photo with a light background is required. Immigration Department has not specified the size of the passport-size photo. Visa is obtained only through payment of cash in the following currency: Euro, Swiss Franc, Pound Sterling, US Dollar, Australian Dollar, Canadian Dollar, Hong Kong Dollar, Singapore Dollar and Japanese Yen. Credit card, Indian currency and Nepali currency are not accepted as payment of visa fee.

A. TOURIST VISA Visa Multipleentry Multiple entry Multiple entry

Duration Fees 15 days US$ 25 or equivalent convertible currency 30 days US$ 40 or equivalent convertible currency 90 days US$ 100 or equivalent convertible currency

B. GRATIS (FREE) VISA For first visit in one year visa (January to December), gratis visa for 30 days is available only for nationals of (SAARC) South Asian countries like Bangladesh, Bhutan, Maldives, Pakistan and Sri Lanka. However, visa can

Indian nationals do not require visa to enter Nepal. As per the Nepalese Immigration, Indian Nationals Traveling to Nepal must posses any One of the following documents. 1. 2. 3. 4. 5. 6. 7.

Passport Driving License with photo Photo Identity card issued by a Government Agency Ration Card with Photo Election Commission Card with Photo Identity Card issued by Embassy of India in Kathmandu Identity Card with Photo issued by Sub- Divisional Magistrate or any other officials above his rank

D. OTHER INFORMATION Nationals from Nigeria, Ghana, Zimbabwe, Swaziland, Cameroon, Somalia, Liberia, Ethiopia, Iraq, Palestine and Afghanistan will need to obtain visa from Nepal Embassies or Diplomatic Missions in their respective countries, as they do not get visa on arrival at the immigration entry points of Nepal.

E. VISA EXTENSION Tourists can stay for a maximum of 150 days in a visa year (Jan 1 to Dec 31). For further information, please contact: Department of Immigration Kalikasthan, Kathmandu Tel: 00977-1- 4429660 / 4438862 / 4438868/ 4433934 E-mail: [email protected] Web site: www.immi.gov.np
