While travelling to Nepal, you are requested to have a travel insurance that should cover any comprehensive expenses possible to acquire due to medical issues or accidents. Especially, your travel insurance must protect air ambulance, treatment charges, rescue and evacuation, product cancellation and refundable charges, flight delay and cancellations. We suggest you to bring you travel insurance certificate or send us scan copy and required to issue from your home land and we do not arrange or sell insurance. Travelling in the Himalayas is full of adventurous; hence it is wise to choose a proper insurance policy. While choosing your insurance policy, make sure that it will protect all such unforeseen expenses. Your insurer should be well familiar with our itinerary that you have booked and must have agreed to cover all activities being undertaken during trip. Meantime, it is not compulsory that our all the assigned trip are facilities with Heli-rescue. You will not require heli rescue insurance for Tibet Tour as it is not possible to provide such facility.
It is better to follow the precaution given by World Health Organization and other international health related institutions that recommend having vaccines before travelling Nepal to prevent from certain fatal illness. If possible, we suggest you to bring your medical certificate however, it is not required to show but for safety. The recommended vaccines are polio, Diphtheria, Tetanus, typhoid, yellow fever, hepatitis A/B, Influenza (Flu), Japanese encephalitis, and Tuberculosis. Meantime, it is better to consult your professional doctor about your travel and he might recommend you properly. You can also take suggestion of local travelers who have travelled Nepal before and know more about the required precautions. Please note that the protection that can be gained from vaccines varies from 50% to almost 100%. So remember that even if you have taken a vaccine you might still get the disease, although you will have greatly reduced your chances of getting ill.
Health and Fitness
While Trekking in the Himalayas of Nepal, you will be hiking up in high altitude, hence slow and steady is main concern which helps you to acclimatize properly with the altitude. During trekking, you will required to walk for 5-6 hours in average. If you are planning to trek in Nepal, make sure that you are in good shape and fitness, and consult your doctor or general physicians about your health. You should be physically and mentally prepared. Before commencing a trek, we recommend you to do some regular exercises, make habits to use stairs than elevator that makes your knees strong, and, if possible, join some aerobics, gyms and make sure about your good health. If you are used to with these habits, you will definitely walk in the Himalayas of Nepal. Sincere preparation and strong determination for the trip is very important making your trip a wonderful memory of your life. It is not compulsory to have any previous experience. Follow the guidance and enjoy the trip.
High Altitude Sickness
At the higher altitude, you will feel a decrease in availability of oxygen and shorten in oxygen cause an altitude sickness. If a person walk in the high altitude particularly climbs up too quickly, he might suffer from High altitude sickness. Hence, proper rest is required at that altitude. You can cure at right time knowing certain symptoms of Altitude Sickness. Common symptoms are headache, loss of appetite, tiredness and nausea, vomiting, dizziness and difficulty in sleeping. The best remedies that local belief and take is taking garlic, or ginger in mouth. Eat dry food and take liquid as much as possible. We recommend Diamox if there is no any options. Also, we provide experienced guide and staffs 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
While, trekking in the Himalayas, you will walk in the Ups down trail taking you to the elevation over 2500 m. Hence, you might feel difficult to breathe or your breathe speed up. Hence, it is most important to familiarize with the altitude and let you adjust with the decreased availability of oxygen at high altitude. Our itinerary is designed with sufficient days to acclimatize. In case of gaining certain height, there is a rest day when you can explore the area as well as walk to high altitude and sleep at low land. Likewise, you are suggested to walk slowly and carefully without getting any stresses. Also, for proper acclimatization, you should care about your eating habits. Don’t focus on Junk food and eat as much liquid as possible. Hard drinks are not recommended. The right way to acclimatize properly is walk high, sleep low.
Diamox, a mostly recognized drugs for altitude sickness prevention and treatment. It allows you to breathe faster so that you metabolize more oxygen, thereby minimizing the symptoms caused by poor oxygenation. This is especially helpful at night when respiratory drive is decreased. While using a Diamox, it is advisable to start taking it 24 hours before you go to altitude and continue for at least five days at higher altitude. The recommendation of the Himalayan Rescue Association Medical Clinic is 125 mg. twice a day (morning and night). (The standard dose was 250 mg. but their research showed no difference for most people with the lower dose, although some individuals may need 250 mg.) Possible side effects include tingling of the lips and finger tips, blurring of vision, and alteration of taste. These side effects may be reduced with the 125 mg. dose. Side effects subside when the drug is stopped. It is more appropriate to contact your physician for a prescription. Since Diamox is a sulfonamide drug, people who are allergic to sulfa drugs should not take Diamox. Diamox has also been known to cause severe allergic reactions to people with no previous history of Diamox or sulfa allergies. Frank Hubbell of SOLO recommends a trial course of the drug before going to a remote location where a severe allergic reaction could prove difficult to treat.
Highly recommended to take a trial course before going to a remote location where a severe allergic reaction could prove difficult to treat if it occurred.
Dexamethasone (a steroid) is also a prescribed drug that decreases brain and other swelling reversing the effects of AMS. The dose is typically 4 mg twice a day for a few days starting with the ascent. This prevents most of the symptoms of altitude illness from developing.
ADVICE: Dexamethasone is a powerful drug and should be used with caution and only on the advice of a physician and should only be used to aid acclimatization by sufficiently qualified persons or those with the necessary experience of its use.
NOTE: It is more advisable to take drugs taking proper suggestions from Personal Physicians and in case if there is no any options. In the Himalayas of Nepal, the mountain dwellers believe in taking some garlic or ginger along with Red Pepper to produce heat for fast breathings.