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"Would you Like to Post any thing related to This blog you can send E-mail to me guidedinesh@gmail.com or dinesh_tamang33@yahoo.com"तपाईंहरु पनि यो साईटमा भएका बिषयहरु सँग सम्बन्धित आफ्ना लेखहरु पोस्ट गर्न चाहनु भने तल दिईएको ठेगानामा पठाउनु हुन अनुरोध गर्दछु साथै विज्ञापन तथा अन्यको लागि सम्पर्क ठेगानाः guidedinesh@gmail.com or dinesh_tamang33@yahoo.comतपाईंहरुबाट प्राप्त भएका आर्टिकलहरुलाई सकेसम्म चाडै तपाईंहरुकै नाम दिएर प्रकाशित गरिनेछ ।

Trekking Peaks Fees (Climbing Permit Charge)

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Royalty for Nepali climber (per person in Nepali Rupees)

Group 'A' Peaks

S.NName of the peakRegionHeightPermit Fee (In Nepali Rupees)
Spring Autumn WinterSummer 
(March-April-May)(Sept-Oct-Nov)(Dec-Jan-Feb)(June-July-Aug)
1CholatseKhumbu6423m400020001,0001,000
2Kyazo RiMahalangur6151m400020001,0001,000
3Phari LapchaMahalangur6159m400020001,0001,000
4NirekhaMahalangur6169m400020001,0001,000
5Langsisa RiJugal6412m400020001,0001,000
6ObmigaichenMahalangur6340m400020001,0001,000
7BoktaKanchenjunga6114m400020001,0001,000
8ChekigoGaurishankar6121m400020001,0001,000
9Lobuje WestKhumbu6135m400020001,0001,000
10Larkya PeakManaslu6416m400020001,0001,000
11ABIMahalangur6043m400020001,0001,000
12Yubra HimalLangtang Himal6048m400020001,0001,000

Group 'B' Peaks

S.NName of the peakRegionHeight (In Meters)Permit Fee (In Nepali Rupees)
Spring Autumn WinterSummer 
(March-April-May)(Sept-Oct-Nov)(Dec-Jan-Feb)(June-July-Aug)
1HiunchuliAnnapurna Himal6423400020001,0001,000
2Singhu Chuli (Fluted Peak)Annapurna Himal6501500025001,2501,250
3Mera PeakKhumbu Himal6470400020001,0001,000
4Kusum KangruKhumbu Himal6360400020001,0001,000
5KwangdeKhumbu Himal6011400020001,0001,000
6Chulu WestManang6419400020001,0001,000
7Chulu EastManang6584500025001,2501,250
8Imja Tse(Island Peak)Khumbu Himal6160400020001,0001,000
9PharchamoRolwaling Himal6187400020001,0001,000
10LobujeKhumbu Himal6119400020001,0001,000
11RamdungRolwaling Himal5925400020001,0001,000
12Pisang PeakManang6091400020001,0001,000
13Khongma TseKhumbu Himal5849400020001,0001,000
14Ganja-la ChuliLangtang Himal5844400020001,0001,000
15Paldor PeakLangtang Himal5896400020001,0001,000

 Royalty for Foreign climbers (per person in US dollar)

Group 'A' Peaks

S.NName of the peakRegionHeightPermit Fee (In US dollars)
Spring Autumn WinterSummer 
(March-April-May)(Sept-Oct-Nov)(Dec-Jan-Feb)(June-July-Aug)
1CholatseKhumbu6423m2501257070
2Kyazo RiMahalangur6151m2501257070
3Phari LapchaMahalangur6159m2501257070
4NirekhaMahalangur6169m2501257070
5Langsisa RiJugal6412m2501257070
6ObmigaichenMahalangur6340m2501257070
7BoktaKanchenjunga6114m2501257070
8ChekigoGaurishankar6121m2501257070
9Lobuje WestKhumbu6135m2501257070
10Larkya PeakManaslu6416m2501257070
11ABIMahalangur6043m2501257070
12Yubra HimalLangtang Himal6048m2501257070

Group 'B' Peaks

S.NName of the peakRegionHeight (In Meters)Permit Fee (In Nepali Rupees)
Spring Autumn WinterSummer 
(March-April-May)(Sept-Oct-Nov)(Dec-Jan-Feb)(June-July-Aug)
1HiunchuliAnnapurna Himal64232501257070
2Singhu Chuli (Fluted Peak)Annapurna Himal6501400200100100
3Mera PeakKhumbu Himal64702501257070
4Kusum KangruKhumbu Himal63602501257070
5KwangdeKhumbu Himal60112501257070
6Chulu WestManang64192501257070
7Chulu EastManang6584400200100100
8Imja Tse(Island Peak)Khumbu Himal61602501257070
9PharchamoRolwaling Himal61872501257070
10LobujeKhumbu Himal61192501257070
11RamdungRolwaling Himal59252501257070
12Pisang PeakManang60912501257070
13Khongma TseKhumbu Himal58492501257070
14Ganja-la ChuliLangtang Himal58442501257070
15Paldor PeakLangtang Himal58962501257070

As per the decision of secretary-level dated 2014/4/29, the insurance amount for sardar, mountain guide and high altitude worker fund is fixed at Rs 15 lakhs. Similarly, medical insurance has been fixed at Rs 4 lakhs. Mountain heli-rescue of 10,000 USD is also required.      
Note: Maximum number of members in a team is 15.      
Garbage deposit to acquire climbing permit will be same i.e. USD 250. The refund shall be made as per the provisions of NMA. 

Climbers will not have to pay any permit fee for following NMA peaks

S.NName of the PeakHeightRegion
1Tharpu Chuli (Tent Peak)5695mAnnapurna Himal
2Mardi Himal5553mAnnapurna Himal
3Yala Peak5732mLangtang Himal
4Chhukung Ri5833mMahalangur
5Machhermo5559mMahalangur
6Pokhalde5780mKhumbu Himal
    

Trekking Permit fees

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Trekking Permit
The Department of Immigration located at Kalikasthan, Dillibazar, Kathmandu (Tel : 977 – 1 – 4429659 / 4429660 / 4438862 / 4438868 Fax : 977 – 1 – 4433934 /4433935 Email : mail@nepalimmigration.gov.np Web : http://www.nepalimmigration.gov.np) issues permit for foreign tourists who intend to trek in controlled areas of Nepal.
A trekking permit is a must to travel to controlled areas mentioned below. Permit, however, is issued only to groups. Individual trekkers will not be issued trekking permit.
The areas and required fees are as follows:
S.NTrekking AreaPermit Fee
1DOLPA DISTRICT
a. Areas of Upper DolpaFor the first 10 days US$ 500 per person and after 10 days US$ 50 per day person or equivalent foreign currency
b. Areas of Lower DolpoPer week per person US$ 10 or equivalent convertible foreign currency.
2MUSTANG DISTRICT
Areas of Upper MustangFor the first 10 days US$ 500 per person and after 10 days US$ 50 per day per person, or equivalent convertible foreign currency.
3GORKHA DISTRICT
a. Manaslu RegionFrom September to November US$ 70 per week per person and after 7 days US$ 10 per day per person or equivalent convertible foreign currency. From December to August US$ 50 per week per person and after 7 days US$ 7 per day per person or equivalent convertible foreign currency.
b. Areas of Chhekampar and Chunchet VDC (Sirdibas-Lokpa-Chumling-Chhekampar -Nile-Chhule Area)From September to November, per person US$ 35 for first 8 days and from December to August per person US$ 25 for first 8 days or equivalent convertible foreign currency
4MUGU DISTRICT
Areas of Mugu, Dolpu, Pulu and Bhangri
For the first 7 days US$90 per person and after 7 days US$ 15 per day per person or equivalent convertible foreign currency.
5MANANG DISTRICT
Areas of Nar and PhuFrom September to November, US$ 90 per week per person and December to August US$ 75 per week per person or equivalent convertible foreign currency.
6DOLAKHA DISTRICT
Gaurishankar and Lamabagar Per week per person US$ 10 Or equivalent convertible foreign currency.
7RASUWA DISTRICT

Thuman and Timure 
Per week per person US$ 10 Or equivalent convertible foreign currency.
8HUMLA DISTRICT

Simikot and Yari (Areas of Limi and Muchu village Development Committee, and area way to Tibet via Tangekhola of Darma Village Development committee)
For the first 7 days US$ 50 per person and after 7 days US$7 per day per person or equivalent convertible foreign currency.
9SANKHUWASABHA

Areas of Kimathanka, Chepuwa,Hatiya and Pawakhola VDCs)
For the first four weeks, US$ 10 per person per week and After four weeks, US$20 per person per week or equivalent convertible foreign currency.
10
TAPLEJUNG DISTRICT

Kanchanjanga Region (Areas of Olangchung Gola, Lelep, Papung and Yamphudin VDCs)
Per week per person US$ 10 or equivalent convertible foreign currency.
11BAJHANG DISTRICT

(Areas of Kanda, Saipal and Dhuli)
For the first 7 days, US$ 90 per person and After seven days US$ 15 per day per person or equivalent convertible foreign currency. 
12DARCHULA DISTRICT

(Areas of Byas VDC)
For the first 7 days, US$ 90 per person and after 7 days US$ 15 per day per person or equivalent convertible foreign currency. 
Note:
a. To get a group trekking permit an application form with other relevant documents should be submitted through any registered trekking agency of Nepal.
b. Trekking fee can be paid in Nepalese currency: Notwithstanding anything written in above, the Indian citizen can pay in Nepalese currency equivalent to US Dollars.

Peaks of Nepal

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8 of the highest peaks in the world is in Nepal, Including the Mount Everest Highest of all peaks.

1) The Everest or Sagarmatha Region (8,848 metres)
The world’s highest mountain above the mean sea level at 8,848 metres (29,029 ft). It is located in the Himalayas on the Nepal (Sagarmatha Zone)-China (Tibet) border.One of the most popular area for trekking in Nepal. Trek to Everest base camp is mystique derived from its soaring giant, ever panoramic peaks and the extreme adventures of legendary mountaineers. The Everest,situated in the Solu and Khumbu diversified district is justifiably renowned, not only because it encompasses Mount Everest, the world’s highest mountain (8850m), but also because of its exotic Sherpa villages and monasteries, flora and fauna. The main goal of many Everest trekking is to trek to Everest Base Camp at an elevation of about 5430m.
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2)Kanchenjunga Region( 8598 metres)
Kanchenjunga Region( 8598m)Trekking is the trek to the Base Camp of the world’s third highest  Mountain of the  World in Nepal. The trek takes us soak up spectacular views of the Jannu Himalayas  range from the Mirgin La. To Visit  serene villages on the boarders of Sikkim and Tibet are the stunning landscape of the trek. Kanchenjunga, “Treasure of Snow” (28,198ft). Kanchanjungha was first climbed by a British team in 1956 AD. Here you can advent awe inspiring Himalayan Trekking, and reap the rewards!
Kanchenjunga, although a limited trekking area as per the Nepal Government permit policy, one of the most remote trekking regions which is situated in Eastern Nepal bordering the Indian state of Sikkim. This area houses Snow Leopard, National bird of Nepal,Musk Deer, Blue Sheep and maybe legendary Yeti. This is less travelled remote area comparing the popular Everest and Annapurna Trekking regions of Nepal.

3)Lhotse(8,516 metres)
Lhotse (8,516) is the fourth highest mountain in the world. Its long east-west crest is located immediately south of Mount Everest and the summits of the two mountains are connected by the South Col, a vertical ridge that never drops below 8,000 meters. Lhotse is sometimes mistakenly identified as the south peak of the Everest massif. No serious attention was turned to climbing Lhotse until after Everest had finally been ascended. Lhotse was first climbed in 1956 by two Swiss, fritz Luchsinger and Ernest Reiss.
In addition to the main summit, there are two subsidiary peaks, Lhotse Shar, which is immediately east of the main summit, and Nuptse, a high peak on the mountain’s west ridge.
4)Makalu(8,463 metres)
Makalu (8,463) is the fifth highest mountain in the world. It is an isolated peak, located just 14 miles east of Mount Everest. Its size alone is impressive, but its structure, that of a perfect pyramid with four sharp ridges, make this mountain all the more spectacular.
It has proved to be a challenging climb, as only five of its first sixteen attempts were successful. Previously, it had been admired and studied by several Everest parties, but like so many other giants in Khumbu region, it was not attempted until the summit of Everest had been attained in 1954. A French group first climbed Makalu in year 1955.
Chomo Lonzo (25,650 ft.) is a subsidiary peak of Makalu, rising just north of the higher summit, separated by a narrow saddle.
5)Cho oyu(8,201 metres)
Cho Oyu (8,201) is the sixth highest mountain in the world, located a short distance to the west from Everest and Lhotse (the fourth highest) in the Khumbu region of Eastern Nepal along the Tibetan border. Its towering peak stands with Everest well above the surrounding mountains. It became a familiar landmark to climbers ascending Everest’s north face. Just west of Cho Oyu is the Nangpa La, a 19,000-foot glacier pass, and the main trade route between the khumbu Sherpas and Tibet. Cho Oyu’s proximity to the Nangpa la has earned it the distinction among some climbers as being the easiest 8,000 meter peak. It was the third such peak climbed, and the first climbed in autumn by two Australian.
6)Dhaulagiri(8,167 metres)
Dhaulagiri (8,167), whose name means White Mountain, is the seventh highest mountain in the world. It is an enormous Himalayan massif, located in north central Nepal. After its discovery by the western world in 1808, it replaced Ecuador’s Chimborazo (20,561 ft.) as the postulated highest mountain in the world. It maintained this standing for nearly 30 years, until the discovery of Kanchenjunga, which was then falsely believed to be the world’s highest mountain.
Dhaulagiri’s crest stretches for thirty miles, lending structure to an otherwise tangled topography of twisting ridges, glaciers, and ice falls. Along the main crest, several pyramid-shaped peaks rise. Four of these summits, numbered form east to west, rise above 25,000 feet.
7)Manaslu(8, 163 metres)
Manaslu (8, 163) is the high peak of the Gorkha massif, and is the eight highest mountains in the world. It is located about 40 miles east of Annapurna, the tenth highest mountain. The mountains long ridges and valley glaciers offer feasible approaches from all directions, and it culminates in a peak that towers steeply above its surroundings landscape, and is dominant features when seen from afar. The name Manaslu is derived from the Sanskrit word Manasa and can be roughly translated as mountain of the spirit. An all-female Japanese expedition successfully ascended to the summit, thereby becoming the first women to climb an 8,000-meter peak.
8)Annapurna(8,091 metres)
Annapurna (8,091) is an enormous Himalayan massif, the tenth highest mountain in the world. In 1950, it became the first 8,000 meter mountain to be successfully climbed. It is located east of great gorge cut through the Himalaya by the Kali Gandaki River. The mountain has the glaciers on its western and north western slopes, which drain into this gorge.
Annapurna is a Sanskrit name that can be translated as goddess of harvests or more simply the provider. Of Annapurna’s many highs peaks, five are labeled using some variations of the name Annapurna. Of these, the two highest (Annapurna I and II), stand like bookends at the western and eastern ends of the massif.

Festivals Of Nepal

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Mata Tirtha Snan or Mother’s Day

On this day, each house bustles with activities and everyone, regardless of age, participates. There aren’t much religious ceremonies but the fact that it is a day for mothers, calls for celebrations for she is the one who keeps the family together through ups and downs in life.

Budha Jayanti

Lord Buddha’s birthday is celebrated at all Buddhist shrines, particularly Boudhnath & Swayambhunath

Bisket Jatra

Bhaktapur is the place to be for this exciting & rousing festival which lasts for a week & celebrates the slaying of two demon serpents. A frenetic tug of war at dusk determines who shall have the honors of dragging a huge chariot conveying Bhadrakali & Bhairav through the streets of the city. Spectacular masked dancing & the felling of a long pole, commemorating victory during the great battle of Mahabharata mark the beginning of the Nepalese New year.

Sithinakha or Kumar Khasthi

Jaisedewal, south of kathmandu Durbar square, will be thronged with people celebrating the birthday of kumar.Kumara has six heads because he was nursed by the karttikas—six women who, as stars, comprise the Pleiades. For this reason he is also called Karttikeya, “son of Karttikas.”

Ropain

Ropain (the 15th day of the third month of Nepali year) is also known as Asar Pandhra. This festival is related to the planting of rice paddy fields, and is celebrated all around Nepal by eating rice flakes and curd. The best spot to see and enjoy the farmers playing with water and mud within the Kathmandu Valley are in Harrisiddhi, Kirtipur, Chapagaon, Bungmati, Sanogaon and Bhaktapur. Farmers will be playing holi (festival of colours) but instead of using coloured powders they will be using mud or water mixed with mud. It will be nice to see them throwing mud at each other.
Asar Pandhra actually indicates the beginning of the monsoon in Nepal. Yes, it is certainly the best day for paddy planting and also known as national paddy day.
Ashare bhaka, a special traditional Nepali song sung on this day or while planting,

Gokarna Aunshi or Father’s Day

Celebrated by ritual bathing at the Gokarna Mahadev for those whose fathers have died in the past year. Living fathers are honored with gifts.

Tulsi Bijaropan

This women’s festival of fasting & purification involves planting the sacred tulsi plant, a close relatives of common basil.

Gai Jatra

An epic love of a king & queen is celebrated in this festival, which is more like a carnival. Families in which deaths have occurred in the previous year will send cows or children dressed as cows to frolic & sing in the Durbar squares of Kathmandu, Patan & Bhaktapur to assist their deceased’s entry into heaven.

Bhoto Jatra

Astrologers fix the exact time. The culmination of the several month long procession of the Rato(red) Machhendranath chariot since it set off from Pulchowk in April, this important Patan festival is designed to ensure a good monsoon for crops. The bejeweled waist coast or Bhoto, supposedly belonging to the serpent king, is displayed at Jawalakhel in the presence of the president. Once every 12 years the chariot is dragged painstakingly all the way to Bungmati.

IndraJatra

Probably the most spectacular of all valley festival. Torch-lit processions & dancing to honor Indra, the gods of rain, are held in this eight-day celebration which centers on the Kathmandu, Durbar Square. On the third day of the Kumari, or living Goddess (goddess in Human form) is paraded in a special chariot & worshipped by the king himself. Masks of Bhairav decorate the city & local beer pours from the mouths of these masks to refresh the local revelers.

Teej

This colorful women’s festival has groups of red sari-clad ladies singing in high spirits in the streets on their way to ritually bathe in the Bagmati river at Pashupatinath.

Dashain or Durga Puja

This 10-days festival is celebrated all over Nepal, honoring bountiful fertility & the conquest of evil. Normal life comes to a standstill as everyone attends to his religious & family duties. On Phulpati, the day of flowers, there is a procession to Hanuman Dhoka, on the eighth & ninth days there are massive numbers of ritual animal sacrifices, for every tool that is used during the year must be blessed. Shrines all over the country literally run with blood. On the final day the palace is opened for all who wish to line up to receive a Tika from the hands of the king or queen.

Haribodhani Ekadashi

This most auspicious Ekadashi ( the 11th day of each lunar fortnight, there are 24 in a year) welcomes Vishnu back from his long summer sleep. Join worshippers at Budhanilkantha where festivities culminate as fasting devotees conclude the pilgrimage to his temple of changu Narayan, Bisankhu Narayan, Sekh Narayan & Ichangu Narayan.

Tihar/ Dipawoli & Laxmi puja

The festival of lights is one of the great festival of all Hindu people. In this festival we worship the Goddess of wealth,Laxmi.
The festival of lights starts with honoring the crow, the dog & the cow. The fourth day coincides with Newari New Year. On the fourth & fifth evenings Laxmi, the goddess of wealth & prosperity, is enticed into the home by lights. Thousands of oil lamps & candles adorn doors, windows & balconies. Brothers are feted by their sisters on the last day & honored with elaborate Tikas and garlands.
The last day of tihar is ‘Bhai tika’, putting tika on your brothers by your sisters.  The main theme behind bhai tika is the sisters praying for their brother’s long life from  god of the underworld Yama Raj.

Yomari Punhi

The Newari rice festival is celebrated at panauti, where the family paddy store is blessed & rice cakes called yomari are prepared. Chath parba:- It is the worshipping days of surya (The Sun). It continues for three days in the southern plate of Nepal where crops production is major source.

Magh Shankranti

Marked with ritual bath even though it often falls on the cold day of the year. This festival marks the inauspicious winter month of Poush and rejoices for the approaching spring. 

HOLI or Fagu Purnima

This festival is celebrated all over country with lots of fun and joy with colors and water exchanging greeting and good wishes. Kathmandu Durbar square is where this festival of colour and fertility is celebrated erecting a 7.5m (25ft) chir or bamboo pole, decked with streamers, burned at the end. If you are to observe this festival, expect to get smeared in colors as people in festive procession spray colors or colored water. 

Basant Panchami

The festival is celebrated at the commencement of spring. The festival is marked worshipping Saraswati, goddess of knowledge . Students about to take exams and hundred of devotees flock to the saraswati shrine at swayambhunath. The President attends ceremonies at Hanumandhoka to pray for good harvest. This is also an auspicious day to get married or to introduce children to the alphabets. 

Shiva Ratri

Shiva Ratri is the night of Lord Shiva when He himself was created by His own Divine Grace and Hindus all over the world celebrate this day with a lot of zeal and enthusiasm. Shiva Ratri literally means ‘ the night consecrated to Shiva’. This auspicious festival falls on the fourteenth day of the waning moon in the month of Falgun, (February – March in the Gregorian calendar ). The temple of Pashupatinath in Kathmandu which is considered as one of the holiest shrines of the Hindus, glorifying Lord Shiva, thus receives more than 100,000 worshippers during the festival of Shiva Ratri. These worshippers come from far and wide to pay their respects and homage to Mahadev on his sacred day. 

Chaitra Dashain

an evil King of Lanka (Sri Lanka). It is believed that the Goddess Durga’s power had helped Ram to achieve his victory. So, the Goddess Durga, the source of power, is also worshipped on the occasion.Ritual offerings & sacrifices are made to Durga, exactly six months away from her great festival of Dashain.

GhodheJatra

Celebrated by horse races and gymnastics attended by the prsident, this horse festival has become a military pageant to draw crowds to the Tundhikhel.

Seto Rath

For four days during early evening, the guardian deity of the seto (white) Machhendra pulled in a towering chariot through the streets of kathmandu. The vehicle which stands on wheels 1.8m (6ft) in diameter is finally transported back to the shrine at Asan Tole on a small palanquin. Before this, on each night the chariot stops at specific places where residents attend to pay homage to the image.

About Acute Mountain Sickness (AMS)

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Many people are concerned about altitude sickness. This problem, often known as acute mountain sickness (AMS), is a particularly important medical consideration while trekking in Nepal and Tibet.
AMS rarely occurs lower than 2800 meters (9520ft) and only minor symptoms occur below 3000 meters (9,800ft).
AMS occurs when the body does not adapt well to the lack of oxygen present at higher altitudes. At 5490 meters (18,000ft), there is just half the oxygen available as there is at sea level, while there is only a third available at the summit of Mount Everest.
The itineraries of the treks of Himalayan Eco Trek and Expedition-Nepal are designed to reduce the risk of altitude sickness as much as possible, although individual susceptibility to altitude sickness seems to be genetically determined.

Related Oxygen Rate at Different Altitude:
.Altitude Oxygen Rate:
In Meters    In Feet
8.850           29.035         33%
8.000           26.247         36%
7.000           22.966         41%
6.000           19.865         47%
5.500           18.045         50%
5.200           17.061         52%
5.000           16.404         53%
4.500           14.764         57%
4.000           13.123         60%
3.500           11.483         64%
3.000           9.843           68%
2.500           8.202           73%
1.000           3.281           88%

Sea Level                       100%

What happens to the body during altitude illness?
- The body tries to adapt to having less available oxygen by increasing the rate and depth of breathing, as well  as the
   heart rate.
- Fluids accumulate in between the cells in the brain, the lungs or both, creating mild to severe symptoms.
- Mild symptoms include headache, loss of appetite, nausea, fatigue, insomnia and dizziness. These symptoms are usually
   resolved by spending one or two extra nights at the same altitude. If symptoms worsen, descent to lower altitudes is
   warranted.
- If you are resting at the same altitude and your symptoms worsen, then it is also necessary to descend.
- More serious symptoms of AMS include increased tiredness, severe headaches, vomiting, loss of coordination,
   shortness of breath and coughing fits.
- 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. This
  condition can rapidly prove to be fatal if ignored.
- Respiratory depression (the slowing down of breathing) can be caused by various substances, and may be a problem at
   altitude.


The following substances can do this, and should never be used by someone who has symptoms of altitude illness:
- Alcohol
- Sleeping pills (acetazolamide is the sleeping tablet of choice at altitude)
- Narcotic pain medications in more than modest doses
To prevent AMS and respiratory depression, drink at least three liters of liquid a day and avoid getting cold.

Altitude sickness can to a certain extent be prevented by acetazolamide (Diamox SR), 750mg per day.
Some experts suggest a two-day trial of acetazolamide before the trip. Please seek the advice of your personal physician. Please note that taking Diamox SR does not mean that you can ignore advice about proper acclimatization.

To recap, serious symptoms of altitude sickness include:
- A severe, enduring headache, which is not cured by ordinary painkillers
- Nausea and repeated vomiting
- Irritating dizziness or actual difficulty with balance and direction
- Visual disturbances with flickering vision and problems judging distance
- Pressure in the chest, rapid breathing and pulse rate, crackles in breathing and shortness of breath
- Swelling beneath the skin (edema), typically around the eyes
- Swollen ankles and hands
- Confusion
- Convulsions

In the presence of these symptoms, medical attention must be sought immediately in conjunction with descent to the lowest possible height.
We have guides trained at the High Altitude Medical Training Center. Our staff is very experienced in dealing with the effects of higher altitudes. As they are natives of Nepal, they easily acclimatize and therefore can care for their clients.
They are equipped with necessary medical supplies and will assist with basic first aid treatment. We design our tours to ensure clients are ready for high altitude, and arrange alternative itineraries for those at risk.

For more information, please contact your doctor or hospital or contact us arrange High Altitude expert Doctors or visit their clinic in Kathmandu
DineshTamang.com.np भ्रमण गर्नु भएकोमा यहाँहरु लाई मुरी-मुरी धन्यवाद् छ। कृपया फेरिपनी DineshTamang.com.np चियाउदै गर्नुहोला। तपाईंको दिनहरु सधैं शुभ-रहोस्। धन्यवाद् ।

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