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  • Up Hill Hike 45%
  • Downhill 35%
  • Streneous 25%


a) Renjo Pass-5415m (17765.7 feet)
b) Chola Pass – 5368m (17611.55 feet)
c)Khongma -la Pass – 5535 m (18159.45 feet)

Trek through the triple high passes in Everest region,all in one package of Khumbu valley for trekkers without any technical climbing skill.During trek you will encounter with the natural and cultural beauty of the Everest region.This really is breathtaking mountain scenery and is well worth of the traditional Sherpa’s villages, magnificent view of the Himalayas, rhododendron forests, terraced fields and make your endless journey possible and memorable.

Trekking duration22 Days
GradeModerate to Strenuous
Highest access of the trekKalapatthar 5545m (18192.26 feet)

  • Day 01: Welcome to Nepal. On arrival at Nepal our representative will welcome you and assists you to transfer in your consecutive hotel. Overnight at hotel in Kathmandu (1,350m).
  • Day 2: Sightseeing in world heritage sites such as Bauddhanath, Pasupatinath, Swayambhunath etc.
  • Day 3: Fly from Kathmandu to Lukla 2840m & trek to Phakding 2610m/3-4 hours. After 45 minutes fly from Kathmandu to Lukla we will continue our short ascents and descents trail passing many buddhist monuments during the trail. We will have our lunch at Ghat and continue to our destination for the day to Phakding.
  • Day 4: Trek from Phakding to Namche Bazaar 3440m/5-6 hours. After breakfast we start our trek from Phakding passing through rivers with suspension bridges, forests and culturally rich sherpa villages and we will reach in Monjo in about 3 hours where we will have our lunch.  After our lunch we will proceed entering through the Sagaramatha national park  entry post in Monjo and follow through gradual trail beside the Dudh Koshi river untill  Larcha Dobhan where the suspension bridge over the two rivers Bhote Koshi and Dudh Koshi river meet, then we begin to  climb steep up slowly to our destination for the day  Namche Bazar which takes about 2 and half hour.
  • Day 05 : Acclimatization day in Namche. Acclimatization is  important before proceeding to a higher elevation and prevent from AMS (Acute Mountain Sickness). Check our FAQ for more details on AMS. During our acclimatization day we will hike up to Everest view hotel where you get a glance of Everest and other surrounding peaks. We will make a visit to Khumjung Village where we will go arround Khumjung school built by sir Ed. we will have our lunch in Khumjung and then visit around  Khunde village where the oldest medical facility (Khunde hospital) in Khumbu village is located  which is also built by sir Ed. We will then gradually decline down to Namche bazar to conclude our day.
  • Day 06 : Namche Bazzar to Thame (3820m). 4-5 hours. Todays  trek which will be about 4-5 hours will begin after our breakfast in Namche Bazar. Passing through rodhedendron forest, Chorten, carved mani stone and gradual trail we will reach Thamo in about 2 hours. We will have our lunch in Thamo. After our lunch in Thamo gradual uphill and downhill trail we will reach our destination for the day in Thame.
  • Day 7: Acclimatization day. Today we will be a  rest day to heal and get feel of the altitude. We will make a visit to the Thame monastery and Thame school.
  • Day 08 :Thame to Lungden (4500m). 5-6 hours.Today we will walk about 5 -6 hours to Lungden, mostly up hill, the trail passes by many old walled Sherpa villages. We will have our Lunch at Marulung after hiking about 3 and half hours. After our lunch we start our hike with gradual uphill for about 1 and half hour to Lungden.
  • Day 09 : Lungden – Renjola Pass (5415m)  Gokyo (4790m.) 6-7hours. Today will be an  important day as we head towards our first pass of the Everest traverse trek. The lunch for today will be a pack lunch where you can eat it somewhere along the route as there are no lodges en route. We will start our hike early in the morning in about 6 am in the morning right after AM breakfast. The early part of the trail  for today follows  gradual up hill until we reach Renjola Pass. The view from the top of the Renjo Pass is truly spiritual and  spectacular as we can see the ranges of panoramic mountains  from Mt. Everest, Lhotse, Nuptse, Makalu, Taboche, Cholatse,Gyachung Kang etc. rising above the mystical Gokyo lake and Ngozumpa glacier. The second part of the trail will be gradual downhill from Renjola pass towards the beautiful Gokyo Village.
  • Day 10 : Gokyo-Gokyori- Gokyo. Today will be a short excursion day hike up the  Gokyo Ri uphill which usually starts early in the morning before the sunrise. It will take about two hours to reach the top of the hill surrounded by symbolic traditional prayer flags. After descending from the peak the rest of the day will be a relaxing day by the beautiful Gokyo lake.
  • Day 11 : Gokyo to Thangnak(4700m.) 3-4 hours. Today as usual we will start our trek right after breakfast. The trail will  be a gradual hike crossing the Ngozumpa glacier (the longest glacier in the Himalayas), we will arrive our destination in an about 3 hour to Thangnak. (4700m).We will have our lunch and stay overnight at Thangnak and get ready for the long day tomorrow.
  • Day 12 : Thangnak to  Dzongla (4830m.) 6-7 hours. Via Cho-La pass (5368m.). Today is another important day where we will be crossing the Chola pass the second pass for our Everest traverse pass. We will start early in the morning right after our AM breakfast. the beginning of the trail will be gradual ascend and in an about 2 hour we will arrive at Chugyuma where we can have hour pack lunch and start our steep rocky ascent towards Cho-La Pass which takes about an hour. Chola pass has a spectacular view of Mt. Amadablam (the most beautiful mountain in the khumbu region) along the horizon. The second half of the trail is a descend until we reach our destination for the day Dzongla.
  • Day 13: Trek from Dzongla to Gorak Shep (5140m.) 5-6 hours. As usual todays hike will begin after breakfast. First part of the  trek will be gradual up hill to Lobuche which takes about 3hr and we will have our lunch in Lobuche.  This is a junction point for the classic  Everest Base Camp Trek. After lunch  we will continue our trek in the left bank of Khumbu glacier and gradual climb up till Changri glacier and then short descend to our destination  Gorak shep. It takes about 2 and half hour.
  • Day 14:  Gorakhshep to Everest Base Camp and back to Gorakshep 4 hours.  Today we will  make  a visit to Everest base camp which  will take about 4 hours from Gorakshep- Everest base camp- Gorakshep. On the trail we will have a glance of Everest icefall and khumbu glacier as well as a beautiful view of Pumori, Lingtren, Khumbutse, Nuptse.
  • Day 15 : Gorekshep to Lobuche (4910m.) 2-3 hours, Today early in the  morning before the sunrise  we will hike up to Kala Patthar (5545m.) the highest trekking point in Khumbu region. We have an excellent view of Mt. Everest, Nuptse, Lhotse, Khumbutse, Pumori, Amadablam, Thamserku, Lobuche peak and other peaks all around. After descending from Kala Patthar we have our breakfast in Gorakshep and we will descend down to Lobuche for the day.
  • Day 16 : Lobuche to – Kongma La pass (5535m) – Chhukung (4900m)  8-9 hours , Today is the most important and the final pass of our Everest traverse trek. It will be one of the longest hike day of the entire trip. We will start early in the morning after the AM breakfast. lunch for today will be a pack lunch which can be eaten en route. The beginning day of the trail will be gradual uphill hike to steep as we go higher until we reach the Kongma La pass. The panoramic view from the Kongma La pass is  spiritually connecting giving us a beautiful glance of Mt. Lhotse, Lhotse Sar, Makalu, Baruntse and Amadablam etc. from the Kongma La pass will be a gradual downhill to Chhukung.
  • Day 17: Trek from Chhukung to Pangboche (3930m.) 4-5 hours, Todays day will be a gradual descend hike through the passing Yak pasture land until  Dingboche. We will have our lunch in Dingboche. Then  we will  continues to descend till Pangboche village which take us about 2 hours. Pangboche will be our destination for today.
  • Day 18: Trek from Pangboche to Namche (3440m.) 5-6 hours, today we will continue our hike to Tengboche through the deep forests which will take about 2 hours. We will visit the Tengboche monastery which is the biggest monastery in Khumbu region.  From Tengboche we will descend downhill to the Dudhkoshi River side (Phungithanga) which will take about 1 and half hour. We have lunch break here. After lunch, we will climb uphill until reaching Kyangjuma which takes about 1 and half hour. From Kyangjuma to Namche will be gradual hike. It will take about 2 hours.
  • Day 19: Trek from Namche to Lukla (2840m.) 6-7 hours, early in the morning we leave the Namche Bazar and trail descents through pine trees and cross the high suspension bridge over the Dudh Kosi River. Then our trail continues River side and we arrive in Jorsalle and it takes about 2 and half hours. We continue again our trek until to reach Phakding with crossing several bridges about 1 and half hours walk. We have our lunch there. After lunch our trail continues until Lukla with passing up and down which takes about 2 hours. Stay overnight at Lukla.
  • Day 20: Fly from Lukla to Kathmandu, we fly back from Lukla to Kathmandu early in the morning which takes about 45 minutes. Then transfer to Hotel .
  • Day 21: Free day for Shopping.
  • Day 22: Departure.

Service includes:

  • Airport pick up and drop.
  • Accommodation in Kathmandu Hotel.
  • Accommodation and meals during the trek.
  • Domestic air fare Kathmandu- Lukla – Kathmandu.
  • Wages of guide and porter.
  • Insurance of guide and porter.
  • National park fee and TIMS fee.
  • Domestic airport taxes.

Service Excludes :

  • International flight fare.
  • Tourist visa fee for Nepal.
  • Meals in Kathmandu.
  • Travel insurance,personal medical expenses and rescue evacuation.
  • Any costs that might arise due to flight cancellation and political disturbance.
  • Personal expenses,tips,alcoholic beverages,soft drinks,mineral water,boiled water and hot shower.


The following basic equipments check lists should help you with your packing. Keeping  weight of your equipment to a minimum to a personal carry on backpack will reduce fatigue and help you walk better. We recommend an avg. weight of not more than 33 pounds or 15 kg. for personal backpack.

Below are the lists of some essential equipment/clothing that will be handy during your trip.

Head wear:

  • Sun hat, scarf, or headband
  • Light balaclava or warm fleece hat
  • Sunglasses with UV protection

Upper Body wear:

  •  T-shirts ( According to the length of your trip, normally 2 or more)
  • Light thermal tops
  • Fleece jacket or pullover
  • Fleece Wind-Stopper jacket
  • Waterproof (preferably breathable fabric) shell jacket
  • Down jacket [you can also rent it in Kathmandu]

Hand wear:

  • Lightweight gloves
  • Heavyweight gloves or mittens with a waterproof shell outer

Lower Body wear:

  • Underwear ( minimum 4 and according to length of your trip)
  • Hiking shorts ( minimum 2 and according to length of your trip)
  • Lightweight cotton long pants
  • Light and expedition weight thermal bottoms
  • Fleece or wool pants
  • Waterproof (preferably breathable fabric) shell pants

Feet wear:

  • Thin, lightweight inner socks (minimum 3 and according to length of your trip)
  • Thick, warm wool hiking socks (minimum 3 and according to length of your trip)
  • Hiking boots with spare laces
  • Camp shoes (sneakers and/or sandals) Gaiters for hiking in winter to the base camp


  • Sleeping bag rated to zero degrees F [Can rent in Kathmandu]
  •  Headlamp (e.g. Petzl Zoom) with spare bulbs and batteries
  • Small pad or combination lock-to-lock Mountain sherpa’s Kid Bag
  • Basic First Aid Kit
  • Large plastic bags – for keeping items dry inside trek bag
  • Daypack (approximately 2500 to 3000 cubic inches)
  • Thermarest sleeping pad
  • Water bottles (2)
  • Toiletries
  • Small wash towel


  • Binoculars
  • Reading books
  •  Trail Map/Guide books
  • Journal & Pen
  • Music Mp3s
  • Pencils and  notebooks
  • Travel game i.e. chess, backgammon, scrabble,cards

Q1. Are you a licensed trekking agency?
Yes, we are a licensed trekking agency. We have been organizing tours, treks and trekking peaks for our valued clients for more than 3 decades.

Q2. How do I book a trek with you?
After choosing the trip you wish to join, the first step is to fill up the form available here (http://www.endlessoutdooradventure.com/contact.html). A deposit has to be made in order to confirm the reservation. All details will be emailed to you to make it easy for you to book. The next step is to book a plane ticket to Asia and then get ready for an adventure of a lifetime.

Q3. Can your guides speak English?
The cultural tour guides are quite proficient. The trekking guide (Sirdar) and his assistants speak reasonable amount of English, good enough to explain you about the places, local culture or any sight that catches your eyes.

Q4. How big are the groups?
We try to bring together a small group of like-minded people to give them a memorable and insightful travel experience, coupled with an invaluable opportunity to interact with each other in a fun-filled environment. Our travel group generally comprises of maximum 12 members.

Q5. Do you arrange private treks?
Yes, we do. If you would like to travel independently, or with your friends, families & colleagues you are invited to choose any of the trips at your convenient timeframe for any number of people (minimum 2 & maximum 20 at a time). Cost for private trip is fixed on the basis of group size, trek area, duration and trek style, and is negotiable.

Q6. How long do we walk each day?
All our trekking programs are classified into THREE different categories according to the level of difficulty. Soft Adventure treks are only about a week to 10 days in duration. They generally don’t go above 4000 meter and each day, you can expect to be walking for around 4 – 5 hours. While moderate to fairly challenging treks are longer treks that go right into high mountain country. Physically quite tiring, these involve approx 6-8 hours trekking along rocky ridges of high Himalayan peaks. Strenuous treks are longer treks that go far beyond the normal haunts of trekkers and tourists. Physically challenging, these may involve 7-9 hours trekking and likely to include unfavorable weather conditions and strenuous activities. It’s definitely not for beginners.

Q7. What is Tea house (LODGE) trek?
Some of the popular trekking routes are served by lodges making it possible for you to stay at local Tea house (mountain hut) during your trek. Tea house treks are less expensive then Camping trek and are largely suitable for small group. Usually during busy seasons if private rooms in smaller villages are fully occupied you might have to sleep in dormitory. Price includes accommodation in lodges, guide, porters and all meals.

Q8. What is Full Organized Trek?
On FOT or Fully Organized Trek your eating and sleeping arrangements will be fully organized by the support crew. FOTs are also known as CAMPING TREKS. On camping trek you will be sleeping in tents. A trekking crewconsists of one sirdar (guide), one cook and kitchen crew, Sherpa assistants and porters depending on the size of the group. Under the leadership of the sirdar (the local trek leader), the crew consists of several Sherpa assistants who will ensure you don’t take the wrong path, a cook and kitchen crew to keep you well fed with delicious and nutritious meals and the porters to transport all the gear from camp to camp. Our main aim is to make the trek as hassle-free and enjoyable as possible. The ratio of both Sherpa guides and kitchen crew to group members is generally 1:4 and the ratio of porters to group members is around 3:1 at the beginning of the trek, but this decreases as food is eaten and loads become smaller. For bathroom facilities we carry a toilet tent. Your camping staffs dig a deep hole in the ground for excrement and cover the hole with soil after the business is done.

Q9. What about security during trekking?
Security of our clients is the foremost important for us. All our guides and other support crew are carefully chosen for your trips. Our guides hold licenses issued by the Nepal Government. They are very honest and reliable. But we would also advise you to take care of your own personal belongings. If you are on ‘camping trek’ please do not leave your bags unattended at any time for your own safety. Take your main bag inside the tent once you reach campsite. At night, put all bags and belongings in the middle of the tent. Your guide assigns a Sherpa on turn wise basis to guard the campsite throughout the night. If you are on ‘Lodge trek’ arrangement, you will be sleeping in local lodge. You have to take sensible precautions yourself at all times. Never leave your baggage unattended and keep your lodge room locked when you go out.

Q10. What type of food is served during a trek?
On a CAMPING TREK we provide three tasty, plentiful and nutritious meals daily with a variety of local and western dishes. To start the day, breakfast consists of a choice of porridge, muesli and cereal followed by omelet, fried or scrambled eggs with chapattis or bread. Lunch is generally a selection of salad, cooked vegetable dishes, pasta and traditional breads. Dinner is a hearty 3 course meal – soup, followed by a variety of vegetable, meat, rice and pasta dishes and completed with a simple dessert. Tea, coffee and hot chocolate are also provided at all meals. We use as much fresh produce as possible and special diets are regularly catered for. The leaders are able to maintain very tight controls on health and hygiene in the kitchen with respect to general cleanliness and food preparation and also within the group with respect to personal hygiene. All foods are well cooked and vegetables are treated by potassium permanganate or iodine. Boiled water is served for drinking. Antiseptic soaps and potassium or iodine treated water are provided for washing. Special dietary requirements can always be catered for.
On the Lodge treks we provide standard breakfast, lunch and three course dinner, tea or coffee will also be included with each meal. Your guide will help with menu selection and ensure that you get the best value meals possible. Although the food is usually plentiful and delicious, you should be aware that the menu is not normally extensive. Most lodges offer a variety of rice and noodle dishes, as well as soup and seasonal vegetables. A variety of cereals, bread and egg dishes are generally available for breakfast. There will also be plenty of snacks available such as biscuits, chocolate and soft drinks and in some areas you will find fresh fruit in season. You can buy packaged water (bottled mineral water) from local lodge and shop en route but we strongly advise you to ask your guide to fill your water bottle with boiled water and treat with water purification pills. This helps to reduce the plastic pollution.

Q11. How to get safe drinking water on the trek?
On camping trek, our staff will boil and cook meals treated by potassium permanganate or iodine. On Lodge trek, you will be able to buy safe hot drinks in the tea house. We recommend you to bring water purification pills. On the trail, water from the streams is safe if away from settlements.

Q12.What is the overnight accommodation like?
In cities like Kathmandu or Lhasa, accommodation will be in hotels of your preference. We have a pool of hotels that ranges from luxury deluxe to budget hotels. While on a trek accommodation will depend on the trek style. If you are taking a camping then you will be sleeping in tents.
Whilst we endeavor to stay in the best possible accommodation along the way, you should be aware that most lodges, particularly in the smaller villages, are quite basic. The bedrooms are usually very small, the shared bathroom facilities are often outside and meals are served in a communal dining hall. Although simple, the lodges do provide shelter and warmth and are normally run by friendly local families. Lodge treks are less expensive thanCamping trek and are largely suitable for small group. Usually during busy seasons if private rooms in smaller villages are fully occupied you might have to sleep in dormitory, mainly in high altitude destinations.

Q13. How fit I need to be to trek in the Himalayas?
You should be moderately fit, used to some regular exercise and enjoy walking in the high altitude conditions.

Q14. Do you provide any equipment while trekking?
On all our Camping treks we provide all the tents, sometimes dome tents, sometimes sturdy A frames and normally people share one tent between two; a foam mattress each; all the cutlery and utensils, cooking pots, stoves; candles/kerosene lantern, tables and stools, kitchen tent, dining tent and toilet tent; all the main meals while trekking but not snacks. On lodge trek there is no necessity to provide any equipment.

Q15. Do you arrange domestic and international flights?
In the domestic front we work with all domestic airlines operating in Nepal. We do not book international flights.

Q16. What type of ground transportation is used on your tours?
We have a fleet of mostly Japanese made Toyota vehicles of all types and sizes, from small two-seater luxury cars to large capacity luxury tourist coaches.4WD Land cruisers are used in difficult and muddy road trips. Size and type of vehicle depend on size of your group. We use two-seater car for 1-2 persons, micro luxury 6-seater van for 3-5 persons, 10-seater van for 6-9 persons and tourist coach or coaster for group size above 10 persons. Our drivers are specially trained to serve in the hospitality industry. The vehicles are checked carefully before assigning them to your service.

Q17.Is tipping included and if not, how much should I budget?
Tips are appreciated by your support team after the trip. The amount depends on your budget and appreciation of their work. Some trekkers give 10% of the total tour cost as tips.

Q18. What happens in case of emergency?
In the case of a serious sickness or a casualty, which we believe will not happen; you shall be rescued by a helicopter. Since you are entirely liable for all the expenses incurred in evacuation please make sure that it is covered by your insurance before assigning for it or be prepared to pay on your own after getting back in Kathmandu. Ask your guide to arrange a runner to the nearest communication point and inform office about requirement of a helicopter. While asking for the helicopter, please send name of the sick person and give exact location from where helicopter can airlift you. Do not leave the place although you are getting better once you have ordered Helicopter.

Q19. How Should I dress during a trek?
The clothing you bring will need to allow for both the warmth of the days and the chill of the nights. While trekking during the day at lower altitudes, lightweight trekking trousers and T-shirts are recommended. It’s always a good idea to carry a waterproof jacket and some warmer clothing with you though as mountain weather is notoriously unpredictable. For the cold nights, thermal underwear, a warm fleece jacket and even a down jacket will help to keep you warm. Good shoes are of great importance. They must be sturdy and comfortable. For higher altitude treks where you may have to tread snow for long hours, good boots are available for rent in Kathmandu. In view of local customs, try not to wear too skimpy or revealing clothes. Your reception by locals can vary greatly on the way you dress.

Q20. What is the best time for trekking?
The best time to trek is from October to May. The first two months of the dry season – October and November, when it is still comfortably warm – are ideal for trekking in Nepal.
December, January and February are still good months for trekking, but it can be bitterly cold at high altitudes.

Q21. Is it possible to change the lodge if it is not in order?
Yes, you can definitely change the lodge if you feel it is not in order by talking over with your guide, (provided there are other lodges with good rooms in the vicinity).

Q22. Do you reserve rooms at the lodges before or during the trek?
We accommodate trekking groups in local lodges available on the trail. As it is not possible to book the rooms days in advance, we send a porter few hours ahead of the group each day to book the rooms.

Q23. Is it possible to alternate or change the day trips?
It is possible to change the day trip as per your request by consulting your guide.

Q24. Can we change the itinerary?
Depending on the prevailing situation, you can modify it to some extent after consulting with your guide. However, the date of trek completion should always coincide with the original itinerary. You should keep in mind that this is an adventure trip into the remotest region, where many unforeseen events may contribute to the need for a change in itinerary. In such cases, we or your guide will suggest the best alternative similar to your original itinerary.

Q25. What is AMS (Acute Mountain Sickness)? How many types and how can we prevent it?

Altitude sickness often known as acute mountain sickness (A.M.S.) in general may occur when people ascend too quickly normally in altitudes of over 3000 m. We ensure minimal risk by building in rest days into our trekking itineraries. Most people will feel some affect of altitude, shortness of breath and possibly a light headed, which is fairly common. Acute mountain sickness is very different and normally involves a severe headache, sickness and loss of awareness. In almost every potential case there are enough warning signs to take appropriate action.
Our expert and trained guides will advise you about any health requirements and also altitude sickness while you are trekking, so you should not worry about it, we do however recommend you get advice from your travel doctor or health advisor before you leave. The following information gives you an idea about high altitude sickness and how to minimize the affects.
There are three stages of altitude sickness and symptoms.
1. Normal AMS Symptoms – Should expect but not worry.
Following are the normal altitude symptoms that you should expect but not be worried about. Every trekker will experience some or all of these, no matter how slowly they ascend.

  • Periods of sleeplessness.
  • Need more sleep than normal (often 10 hours or more)
  • Occasional loss of appetite.
  • Vivid, wild dreams especially at around 2500-3800 meters in altitude.
  • Periodic breathing.
  • The need to rest/catch your breath frequently while trekking, especially above 3500 meters.
  • Runny nose.
  • Increasing urination while moving to/at higher altitudes (a good sign)
  • Dizziness.

2. Mild AMS Symptoms – NEVER GO HIGHER
Many trekkers in the high valleys of the Himalaya get mild AMS, admit or acknowledge that you are having symptoms. You need have only one of the following symptoms to be getting altitude sickness.

  • Mild headache.
  •  Nausea
  • Dizziness.
  • Weakness.
  • Sleeplessness.
  • Dry Raspy cough.
  • Fatigue/Tired.
  • Loss of apatite.
  • Runny nose.
  • Hard to breath.

What to do if a mild symptom doesn’t go way?

  • If you find mild symptoms developing while walking, stop and relax (with your head out of sun) and drink some fluids. Drink frequently.
  • If mild symptoms developing while walking, stop have rest, drink some fluids and take 125-250mg Diamox. Diamox generally takes one to four hours to begin alleviating symptoms. Drink more water and consider staying close by.
  • If symptoms develop in the evening, take 125-250mg Diamox and drink plenty of fluids again.
  • If symptoms partially go away but are still annoying it is safe to take another 250mg Diamox 6-8 hours later.
  • If mild symptoms continue getting worse try descending for a few hours which may be more beneficial than staying at the same altitude. Going higher will definitely make it worse. You’re here to enjoy trekking not to feel sick.

3. Serious AMS Symptoms – IMMEDIATE DESCENT

  • Persistent, severe headache.
  • Persistent vomiting.
  •  Ataxia (loss of co-ordination, an inability to walk in a straight line, making the sufferer look drunk)
  • Losing consciousness (inability to stay awake or understand instructions)
  • Mental confusion or hallucinations.
  • Liquid sounds in the lungs.
  • Very persistent, sometimes watery, cough.
  • Difficulty breathing.
  • Rapid breathing or feeling breathless at rest.
  • Coughing clear fluid, pink phlegm or blood (a very bad sign).
  • Severe lethargy/fatigue.
  • Marked blueness of face and lips.
  • High resting heartbeat (over 130 beats per minute)
  • Mild symptoms rapidly getting worse.

Dangerous cases of AMS

High Altitude Cerebral Edema (HACE)
This is a build-up of fluid around the brain. It in most cases the first five symptoms on the mild and severe lists previously. Coma from HACE can lead to unconsciousness are death within 12 hours from the onset of symptoms, but normally takes 1-2 days to develop. At the first sign of ataxia begin treatment with medication, oxygen and descent. Usually 4 to 8mg of dexamethasone is given as a first does, then 4mg every six hours, Diamox every 12 hours and 2-4 liters /minute oxygen. Descent is necessary.
High Altitude Pulmonary Edema (HAPE)
This is an accumulation of fluid in the lungs and is very serious. It is responsible for all the other mild and serious symptoms and it is often accompanied by a mild fever. By far the treatment is oxygen at 4 liters a minute but using PAC (portable altitude chamber) bag treatment is a good substitute. Quick descent will be life saving. HAPE can lead to unconsciousness are death very quick.

Prevention of Acute Mountain Sickness (AMS)

  • Allow sufficient time for acclimatization (After 3000 meters).
  • Don’t make rapid Ascent. Don’t go too far too fast.
  • No Alcohol, Sleeping pills and Smoking.
  • Drink more fluid 3-4 Liters a day, clean water-boiled or treated / tea / coffee / soup / juice etc.
  • Climb high and sleep low.
  •  Do not trek/travel alone, take guide/porter.
  • Follow the advice from your guide, hotel, local, guide book.
  • Descent if mild symptoms rapidly getting worse.
  • Never leave or descent sick person along.
  • Avoid getting cold.
  • Take an easy and comfortable trekking route even if it’s longer.

First Aid Kit
this is the basic list to cover the more common ailments that affect trekkers. Climbing groups, expeditions and trekkers going to isolated areas will need a more comprehensive kit.

  • Bandage for sprains
  • Plasters/Band-aids
  • Iodine or water filter (optional)
  • Moleskin/Second skin – for blisters
  • Antiseptic ointment for cuts
  • Anti-bacterial throat lozenges (with antiseptic)
  • Aspirin/Paracetamol – general painkiller
  • Oral rehydration salts
  • Broad-spectrum antibiotic (norfloxacin or ciprofloxin)
  • Anti-diarrhea medication (antibiotic)
  • Diarrhea stopper (Imodium – optional)
  • Antibiotic for Guardia or similar microbe or bacteria
  • Diamox 250/500mg (for altitude sickness)
  • Sterile Syringe set (anti-AIDS precaution)
  • Gel hand cleaner.

Customize Your Own Package

We can design specific packages as per your need. Let us know more details about what adventure and what region you would like your package to be designed through our form list.  We will make sure you will get the best and most reasonable packages that’s out there.

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