Health

Mountain sickness guide

Altitude  Sickness, also  known as Acute Mountain  Sickness (AMS), Altitude Illness, Hypobaropathy,  or Soroche, is a pathological effect of high altitude  on humans, caused by prolonged and acute exposure to low partial pressure of oxygen at high altitude.  It commonly occurs above 2,400 metres (8,000 feet). It presents as a collection of nonspecific symptoms, acquired at high altitude or in low air pressure, resembling a case of "flu, carbon monoxide poisoning, or a hangover". It is hard to determine who will be affected by altitude sickness, as there are no specific factors that correlate with a susceptibility to altitude sickness. However, most people can ascend to 2,400 meters (8,000 ft) without difficulty.

Ascending  slowly is the  best way to avoid  altitude sickness. Avoiding  strenuous activity such as skiing, hiking, etc. in the first 24 hours at high altitude reduces the symptoms of AMS. As alcohol tends to cause dehydration, which exacerbates AMS, avoiding alcohol consumption in the first 24-hours at a higher altitude is optimal.

Increased water intake also helps in acclimatization to replace the fluids lost through heavier breathing in the  thin, dry air found at higher altitudes. Small nibbles of snacks and chocolates along with increased water intake would help balance the salt percentage in our bodies.

To reduce the incidence of Acute Mountain Sickness, Acetazolamide OR Diamox is sometimes  taken as a precautionary measure, anywhere between 125 milligrams (mg) to 1000 mg per day, starting a few days before going to higher altitudes. Such use is recommended for those ascending from sea level to 3000 meters (9800 feet) in one day, or for those ascending more than 600 meters (2000 feet) per day once above an altitude of 2500 meters (8200 feet). Also, prophylactic use is recommended for those with a significant history of Acute Mountain Sickness. Please do consult your family physician before starting a course of Diamox.

 

Recommended Medicines

We usually recommend a small medical kit to be carried by you in addition to your currently prescribed medicines. Here's a check list to make it easier for you to do so.

1.Non-narcotic pain relievers (acetaminophen or paracetamol, ibuprofen)

2. Anti-inflammatory (ibuprofen)

3. Throat lozenges (Vicks Cough Drops or Strepsils)

4. Sunscreen (SPF 30 or SPF 45) and lip protection

5.Minor wound care supplies:

  5.1.Betadine or iodine type disinfectant solution

  5.2.Bandaids

  5.3.Moleskin or favourite blister remedy

  5.4.Johnson White Tape

  5.5.Nonstick bandages

  5.6.antibiotic ointment

6. Anti-diarrhea medication (Lomotil or other Over the Counter Meds)

7.Antacids (Pudin-Hara or Gelusil or other Over the Counter Meds)

8. Anti-oxidant vitamins

9.10 - 20 bulbs of Raw Garlic

10. A small vial containing Camphor Pellets

11.A Strip of Diamox (Please consult with your Doctor to verify that it does not interfere or react with any other medication you may be already on)

12.ORS (oral rehydration solution) – available in small packets to be reconstituted with water, provides electrolytes for replacing losses from vomiting/diarrhea

13.Personal medications (for pre-existing problem)

14.For women, supplies for menstrual flow

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