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Altitude sickness

Replies: 17 - Last Post: 30-May-2007 03:20 Last Post By: vistet

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nick1001

nick1001 avatar

23-May-2007 18:39
Posts:  18

Altitude sickness

Hi all,

I'm planning on traveling from Nepal (Kathmandu) to Tibet (Lhasa) around August this year, and i plan to organise an overland tour from Kathmandu to Lhasa. However, I'm concerned about the risk of altitude sickness
- I was wondering if anyone could give me any information about this

thanks heaps

westwood

westwood avatar

23-May-2007 19:03
Posts:  10,544

1

If you PM your email address, I'll forward a letter I recieved from Trekkers Society in Kathmandu.

We never really grow up, we only learn how to act in public.

nick1001

nick1001 avatar

23-May-2007 21:15
Posts:  18

2

hi my email is ngrinpukel@gmail.com - i've also changed my preferences so it's displayed
thanks

vistet

vistet avatar

24-May-2007 05:26
Posts:  2,282

3

Quote

[if there are certain tour companies which don't allow enough time for acclimatisation..


Not allowing time for acclimatisation is more a rule than exception. The basic problem is that Ktm is too low to start any acclimatisation , and the first two nights are at 3900-4300. The best advice I can give is to spend some time high before setting out, and discuss Diamox with a knwowledgeable travel doc. The ISMMED site is a good preparation fot that talk.
In our group we had no problems , but all had done high altitude trekking before setting out.

high road to ..

WeiLong

WeiLong avatar

24-May-2007 17:27
Posts:  1,735

4

It's a serious concern, people die from this. I would consult with a physician rather than backpackers and tourists.

WeiLong - Travels in Asia

http://thewanderingant.com/travels/betel-nut.html

skelch

skelch avatar

24-May-2007 21:53
Posts:  39

5

Get Diamox and dexamethasone from your doctor, and diarrhea treatment, and a couple of new needles/syringes, these are all typical, easy to get items..
Paul

cherylyeo25

cherylyeo25 avatar

24-May-2007 22:02
Posts:  9

6

does anyone know if you could get either diamox and/or dexamathasone in lhasa???? pls kindly advise. my email is cherylyeo25@hotmail.com
i am planning a trek tip in everest base camp and mt kailash in july. thanks!

vistet

vistet avatar

24-May-2007 23:25
Posts:  2,282

7

If everything else fails, try an eye clinic since the original use is for glaucoma. There s an earlier posting here with the Chinese translation for Diamox.

high road to ..

skelch

skelch avatar

25-May-2007 21:30
Posts:  39

8

All well and good unless you read the article somewhere, or google it, about the incredible percentage of Chinese meds that are fake. Bring it if you can.
Paul

chinesejenny

chinesejenny avatar

26-May-2007 03:55
Posts:  11

9

Before heading to Lhasa I was freaked out about all the advise about altitude problems. I took the train so that was a good way of aclimatizing slowly but staying put for a few days is good advise, 4/7 days. I am 50years old and experienced only headaches and insomnia for 3 or 4 days in Lhasa, no other problems except huffing and puffing up endless stairs. Have a great time!

Ruth_in_Canada

Ruth_in_Canada avatar

26-May-2007 18:01
Posts:  7,207

10

Of a group of 16 of teacher friends who went to Tibet, half got sick and half of them needed to go to hospital.
You'll never know if you'll be one of those affected or not. Might be okay one trip, then get affected the next one.
Keep your fluid intake high on your way and after you arrive.

cheers from Ruth

vistet

vistet avatar

27-May-2007 02:38
Posts:  2,282

11

The train is a poor way to acclimatise to Lhasa´s altitude. The first twenty hours or so are a dead loss : there is literally no acclimatisation taking place below 1500 meters , and very little before Xining´s altitude. Acclimatisation start is basically about time spent at 2000+. You´´ll profit a lot more by using the same time span to fly in to Xining , and a spend a night there before going on, more so with a tightly fitted intercontinental flight just before.

After Golmud the train makes a mad dash to 5000, and spend the major part between 4000 and 4500 - hardly a slow accclimatisation process. With the onboard oxygen the best case scenario this works out the same as somewhat over Lhasa´s altitude - but I´d expect the O2 to drop down to 21 % every time the doors open at stations , for one thing. Without the oxygen it would be ..(shudder)

high road to ..

westwood

westwood avatar

27-May-2007 13:12
Posts:  10,544

12

vistet, I didnt use the oxygen on the train- didnt like the prongs up the nose nor could I breathe properly with it stuck in my mouth. We werent doing a lot of exercise so didnt get short of breath. That hit once at Lhasa.

We never really grow up, we only learn how to act in public.

ozlisi

ozlisi avatar

28-May-2007 00:35
Posts:  25

13

as everyone has said it is very personal no way to know how you will be affected until you get there. you will hear stories both ways. one suggestion could be if you are able to fly to lhasa and go lhasa nepal rather than the other way, because the altitude gain going that way is much more gradual, just a suggestion. i just returned and had a few headaches and could not sleep much but was fine.

vistet

vistet avatar

28-May-2007 01:45
Posts:  2,282

14

Quote

vistet, I didnt use the oxygen on the train..


Unless you stuck your head out of the window, you did. Threre are two separate systems :oxygen enrichment of the air , and the mentioned nasal canulas . High Altitude Medicine & Bilogy has a description.

high road to ..

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