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Altitude

Durban, South Africa
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Altitude

Im concerned about the altitude and respiratory difficulties. Could you give me information about that.

Umeå
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for Leh
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1. Re: Altitude

Altitude sickness is fairly common for newly arrived in Leh and for most this is hangover country : being tired ,headaches, nausea , in a few cases vomiting. Easily avoided by either taking the slow run from Kashmir ( http://korta.nu/chilling ) , or by medicating with Diamox on flyins to Leh. Going down to Alchi or Ule Tokpo , four hundred meters lower than Leh the first day makes positive difference. Also take it real slow the first day, at most a short flat walk in the evening. Take Ibuprofen or paracetamol/acetaminophen for headaches , not aspirin.

You'll probably hear people advising you to drink a lot of water : this can actually worsen the condition ( http://korta.nu/myths )

Talk over the medication angle with a travel doc if you fly in or take the Manali-Leh road , very good bakgrund info from CDC at http://korta.nu/cdcalt , International Society for Mountain Medicine at http://korta.nu/prev

New Delhi, India
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2. Re: Altitude

Increase the altitude gradually

here are a few tips that will help:

1. Keep your body properly hydrated

2. Avoid sleeping at high altitudes

3. Avoid tobacco and smoking and alcohol and other depressant drugs

4. Carry preventive medicines for AMS

Of all the medicinal products use to aid altitude acclimatization and treat altitude sickness the most popular is Diamox, whose active substance is Acetazolamide.

Or may check this thread for more information:

tripadvisor.com/ShowTopic-g297624-i10472-k29…

Umeå
Destination Expert
for Leh
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3. Re: Altitude

Hydration : no proven effect against AMS , and proven cases where binging on water has led to exactly the same symptoms as severe AMS - see the myths link.

Diamox has a good preventive effect , and slow and little effect once you already have developed AMS . I wasn't impressed by the result for example when I gave it before reaching Pang , improvement came only after the medic gave oxygen many hours later ( http://vistet.wordpress.com/2009/06/27/pang/ )

Diamox is no longer the recommended first drug of choice for treating AMS - see the guidelines shortlinked at http://korta.nu/cdcalt ( CDC ) , http://korta.nu/wem ( Wilderness Medical Society )

Edited: 05 March 2013, 13:44
Calangute, India
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4. Re: Altitude

Hi Anitha, I am suppose to travel to Ladakh with my wife around last week of May. Let me know if you are willing to share the share the transportation.

Fell free to reach out to me on 9665452990

Thanks, Dattaraj

Umeå
Destination Expert
for Leh
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5. Re: Altitude

# 4: please keep to topic , and stop repeating this message in every thread. I will request it to be removed from now on.

Kullu, India
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6. Re: Altitude

Altitude sickness is some thing which can happen to anybody . Me living most of the time above 10000 feet had been hit twice with AMS .

In both cases i was challenging the rules ..

so as told

1. slow approch to altitudes (if you are driving to leh it is best )

2. Lot of Garlic soup(known as local diamox in mountains )

3. slow walks and do not stress in first 48 hrs .

4. Be wise if still any sympotms occur the only cure in the world is to drop altitude .

There is famous saying in Mountains

''Mountains are all-ways there make sure you are too''

Follow simple rules and enjoy Nature

Umeå
Destination Expert
for Leh
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7. Re: Altitude

"(if you are driving to leh it is best) "

Lowest risk for altitude sickness if drivning in from the Srinagar end , highest on the Manali-Leh route .... esp. when staying in Sarchu , either by being forced by road conditions or ( bad ) planning :

http://korta.nu/sleepless

Flying in is lower risk than Manali-Leh , unless one gives the road a lot of time.

Nelson, New Zealand
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8. Re: Altitude

I think most of the experts have it. There appears to be many myths and local remedies. I have tried diamox in Nepal, and Tibet. In the end I figured I felt better without it (when hiking). In Peru at 4600 m I took nothing and felt better for it. Daimox is a durectic so obviously you need to drink plenty to compensate for taking it. The locals recommend garlic soup. I am not sure it helps but tasts nice so go for it!

In the end of the day if you push yourself too hard (like walking up steep hills the day you arrive) you will not survive. However if you slum out and do no exercise I suspect you will feel worse.

Umeå
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9. Re: Altitude

"Daimox is a durectic so obviously you need to drink plenty to compensate for taking it."

I'd say that is at least heavily exaggerated . The pharmaceutical handbook here in Sweden calls the diuretic effect "weak to moderate" , and mentions that it disappears within a few days - and this is said in the context of it's normal use , glaucoma treatment , where the doses are up to twice as high as in AMS prevention.

Switzerland
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10. Re: Altitude

Hi there

i have been reading this thread with great interest, very informative and well explained, Vistet, my compliments!

Can i also ask for some advice please?

We are flying into Leh (your second worst option) but will have 3 full days to aclimatize.

I am very unsure as to whether i should take Diamox as a preventative measure.

If i do so, can i stop after 3 days, or will i have to take it during the whole stay?

(14 days, motorbike tour, going over mountain passes but never sleeping at higher altitudes

than Leh)

I have a nagging feeling that i might not adapt to high altitude too well as i dont sleep too good

at 1800m and get a bit dizzy and short of breath at 4000m (skiing in the alps).

I was just going to take the medication as a back up and use it, if i would not feel well but

reading thru this topic, does it make more sense to take it beforehand?

Friends who have travelled to Lhasa have advised against taking anything, it would be easier

to aclimatize naturally.

Does Diamox work ok if it's taken only when you are already feel sick?

Edited: 20 May 2013, 13:19