Frequently asked questions (FAQ)

Altitude sickness and acclimatisation

A general mountain rule is that you should not generally ascend more than 300 metres per day and for each 1000 metres that you do ascend you should take a rest day. In climbing terminology, mountain altitudes are divided into three zones ... high, very high and extreme.
As you can see below, this climb involves extreme altitudes and is therefore a serious and potentially dangerous undertaking ...
High altitude 2400m to 4200m 2400m to 4200m
Very high altitude 4200m to 5400m
Extreme altitude above 5400m AMS
Acute Mountain Sickness : During the trek it is likely that more than 75% of climbers will experience at least some form of mild altitude sickness. This is caused by the failure of the body to adapt quickly enough to the reduced level of oxygen in the air at an increased altitude. There are many different symptoms but the most common are headaches, light headedness, nausea, loss of appetite, tingling in the extremities (toes, fingers) and a mild swelling of the face, ankles and fingers. These symptoms in a mild form are not serious and will normally disappear within 48 hours, the result of poor circulation or a small leakages of fluids within the body. HAPE :
High Altitude Pulmonary Oedema : "water in the lungs" : This more serious sickness has very clear symptoms ... breathlessness at rest, very high pulse, crackling sound in the chest leading to coughing of fluid (sputum). This condition is rapidly fatal unless the casualty experiences immediate descent. There are no drugs to cure and no possibility of re-ascent on this trip.
HACE : High Altitude Cerebral Oedema : "swelling in the brain" : Again there are clear symptoms ... a COMBINATION of two or more of the following : Very severe headache, severe loss of balance, mental confusion, repeated nausea. This condition is rapidly fatal unless the casualty experiences immediate descent.

There are no drugs to cure and no possibility of re-ascent on this trip. Climbers should not be scared by all this talk, but it is essential that they understand that if they push on or stay at same altitude with HAPE or HACE they will die. People do. Even serious cases of altitude sickness can only be treated by immediate descent. Our Western leaders and local guides are all experienced in dealing with the problems of altitude. It may be neccessary for you to descend to a lower altitude until you recover or even to abandon the climb in the interests of safety.

There are six main factors that affect the incidence and severity of altitude illness ...
1 Rate of ascent
2 Altitude attained
3 Length of exposure
4 Level of exertion
5 Hydration and diet
6 Inherent physiological susceptibility
The following three steps are a guide to achieving acclimatisation:
Water : A fluid intake of 4 - 5 litres per day is recommended. Fluid intake improves circulation and most other bodily functions, but does not increase fluid leakage from the body. Thirst should not be an indicator of proper fluid intake, if your urine is clear then you are drinking enough.
Slow Walk : Pace is a critical factor on all routes. Unless there is a very steep uphill section your breathing rate should be the same as if you were walking down the street. If you cannot hold a conversation you are walking too fast. Breathing through the nose for the first 2 days of the climb will limit the pace. Walk "softly" allowing your knees to gently cushion each pace. "
Walk high sleep low : If you have enough energy and are not feeling the affects of altitude, then you mights take an afternoon stroll further up the mountain before descending to sleep. Almost all routes offer an extra day for acclimatisation. Taking this day increases your chances of getting to the top by 30% and increases you chances of actually getting some enjoyment out of the experience by much more than that. We do not offer climbs which do not include this extra day.

Acclimatisation Cheat Sheet

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Medicine /Dosage


AMS Prevention

Increase O2 in blood. Buy Fingertip Pulse Oxymeter to check resting pulse (110 normal) and blood O2 level (should not go less than 60)

Acetazolamide (Brand Name: Diamox) : Drink 3-4L water daily if taking it.


AMS Nausea

antiemetic (anti-nausea medicine)

Metroclopramide/Prochlorperazine /Ondem 4mg tablet


AMS Headache

Don’t take pain suppresser because water is going into brain. Reduce the height. Take rest and move up again. If sever than take O2. Sleep in sitting position with head straight on wall.


Descent to last place where felt comfortable.


High Altitude Cerebral Oedema (HACE) : Related to Brain

Watch out if your friend has hallucinations, Confused, Losing balance.

Checks: Tell to touch nose with index finger with closed eyes. Walk Hill to Toe in straight line. Do simple maths.

Stay with Him. Descend now and not in the morning. Sit them upright with head straight.Give O2 or Pressure Bag



High Altitude Pulmonary Oedema (HAPE) : Related to Lungs

Breathing trouble, Blood in Cough, Tired, Lips, Nails turn blue

Checks: Are they breathless while resting. Can wet / crackling sound be heard in the chest? Put ear to back below shoulder blades.

Stay with Him. Descend now and not in the morning. Sit them upright and keep warm.

Give O2 or Pressure Bag

Nifedipine / Acetazolomide



Don’t eat raw food items like salad, Take hot water always on Ascent

Ciprofloxxacin Or Azithromycin Loperamide



Electrolyte rehydration solution



Bandage/Cotton/Tincture for cuts




Do avoid alcohol/ strong cough syrup before sleep. May reduce O2 supply by changing breathing pattern.

Any light cough syrup.


Sore throat

Hot water gargle with salt



Blocked Nose

Use Petroleum Jelly to apply inside nasal cavity.

Moisturizer cream/ Nasal Spray


Dry chapped lips and skin

Lip balm / Sun screen SPF 40 or Higher



Vitamin-C Tablets / Crocene

Any cold remedies


Nose & Ear

Buy Bandana and every time Cover them



Buy ankle high Trekking Shoe to avoid injury. Boric powder for shock for moisture issues. Use twin sticks to distribute load.

Use knee support for muscle reinforcement. Walk one breath per step even if you can do fast.



Use one layer for each 1000 meter. At 3000 meter wear 3 layers.

Use wind cheaters with multilayer cloths instead of heavy jackets.



Never do this during ascent. Do whatever you wand on descent.

Have a party on End of Trek.

Personal equipment

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Get Later

1. Wind-proof jacket with hood/parka/Windcheaters 1no

2. Knee Support 1 nos.

3. Balaclava/ Bandana (Monkey cap) 1 no.

4. Woollen / leather (water proof) gloves 1 pair each.

 5. Woollen/ cotton long johns / warmers/ mountaineering trousers 2 pairs

 6. Thin Polyester (pp) socks 4 pairs

7. Woollen/Cotton socks 4 pairs

 8. Inner Thermal Wear 1 nos.

 9. Full sleeve Fleece/T-Shirts for layering 4 nos.

10. Trekking stick 2 nos.

 11. Sun glasses/Snow glasses (with UV protection), with chain for hanging around neck 1 no.

12. Trekking shoes ankle high with good grip (light weight) (carry extra shoe laces; normal sports shoes not advised) 1 pairs

13. P-cap or broad brimmed straw hat (for protection against the sun) 1 no.

 14. Head / Torch light (carry one set of extra cells), and whistle 1 no.

15. Poncho /Small Rain suit

16. Sleeping Bag

17. Small Medical Kit with Medicine

18. Hot water thermal flask

19. Finger Pulse Oximeter

20. Backpack for 10kg, 5kg, 3kg Luggage : Use as elevation increases one each

21. Flight Tickets

22. Passport/ID Proof

23. Emergency Fund

24. Insurance for Trip

25. Mini Power Bank/ Mobile-Cam Protection Cover

How to take care Environmental issues

A strict policy of "no trace" camping, as epitomised by the motto of "take nothing but photographs, leave nothing but footprints". Here are some tips to enable you to help us keep the mountain clean ... All rubbish is carried off the mountain, even vegetable peelings When between camps please carry your daily personal rubbish to the next camp Toilets are long drop. Please use toilets wherever possible to avoid spoiling the campsites If no toilet is available during the walk, go "behind a bush" and dig a hole with your heel Bury or burn the paper afterwards using the matches Avoid polluting streams at camps, especially with toilet waste and washing water Big temptation when very tired on the summit day to simply throw away rubbish or plastic waterbottles Please carry down After your climb, spread the word about our ethical approach on the mountain That is the best way you can put something back in

How to Care those who help you achieve Feat

Porters and Guides who have trekking jobs don’t always live at high altitude all the time. They can suffer from altitude illnesses in the same way that visitors do. In the past, ill porters were seen as ’useless‘ and were paid off and sent home. Many died as they went down alone. This is not right. Treat the mountains with respect. Do not attempt to ‘conquer’ them or show off physical fitness and forget. Come with Responsibility and do something for upliftment of the people of region. Be kind and friendly. Respect the traditions and demands of the locals. Don't ever try to be the surfer dude hero, be humble before the mountain, its people, and the world you're disrupting with your Trip.

  • Always help your associates. They can fall ill; they can get injury.
  • Ensure they must have medical insurance and Get proper treatment.
  • Adequate clothing and footwear.
  • Adequate shelter, food and drink.
  • Medical care and life insurance.
  • Care on descent if ill.
  • Appropriate sized load to carry. They are not Animal. Porters can carry luggage up to 20kg. But believe that you can do the trip and help them by reducing the luggage by discarding unnecessary things. Also you can store some of the stuffs in Hotels and collect back on return. It will be very humble of you to limit the luggage in range of 10-14 kgs.

Tips for giving Tip:

Guides should receive a slightly bigger tip than porters. Basic and common rule is to tip for guide and porter is either 10 to 11% of the total trip cost or one day's pay per week spent trekking. So if your trip is for 13 days then you can tip them equivalent of their 2 days salary. first option not less then 10% is highly recommended if you are too generous. You must realize their hard work and this has to be done regularly by them for the livelihood. So don’t fight for the petty things and show some respect and be a Gentleman.

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What are Quick tips for Trip

  • We recommend you to buy online one Fingertip Pulse Oxymeter for your group. It comes around 1200 INR and can help you to keep track of your resting pulse (110 normal) and blood O2 level (should not go less than 60)
  • You people must keep emergency fund of $300 per person and common fund of $500.
  • You can take INR & Dollars from India. You can convert some to NPR in Kathmandu. Indian ATM cards work in Nepal with some charges. Indian rupee is accepted only in Kathmandu. Dollars can be converted to NPR even during the trek till Namche Bazar.
  • Only Trans Himalaya Budget Treks publish the link for your daily trip status for your friends and family asap.
  • If you are short of anything then dont worry. You will have 2 more chance at Kathmandu & Namche Bazar for trekking gears.
  • Remember the Art of Layering rule. 1 layer for each 1k height. If you are at 3k then you must be in 3 layers. Layers save you from sudden change of temperature.
  • Having twin trek stick will be a better idea. Knee straps reinforce your leg muscles.
  • Never drink / smoke during ascent. Do whatever in Descent. Follow and respect the rules of mountain.
  • Walk as slowly even you can do faster. One breath per step. At the end you will realize it helped.
  • Emergency Numbers in Nepal:

    Crises or unexpected happenings can occur at anytime, anywhere during travelling. In case tourists encounter crises or emergency situations, the Nepal Tourism Board will intervene and co-ordinate to advise the tourism industry and other agencies (such as health services, foreign embassies, press, security and rescue associations) to help ensure the safety of tourists and the provision of accurate information to the tourist's kin. Natural calamities as well as man-made disasters could occur while traveling to any place and we suggest that tourists be fully acquainted with the kinds of crises/ emergency situations they might encounter before traveling. Natural calamities can include avalanche, earthquake, fire, flood, mudslide, medical epidemic, snowstorm, frost bite, altitude sickness and snow blindness etc. Similarly, man-made calamities can also create hurdle in regular functioning and movement of tourists. Such situations could include: protests, street blockades, strikes, closures, political and civil unrest, harassment, accident, local conflict and war etc.

    In case of Crisis/Emergency, Tourists can contact:
    Tourist Police, Bhrikutimandap
    Tourist Police, Thamel
    Tourist Police, Basantapur
    Tourist Police, Pokhara
    Tourist Police, Belhiya
    Police Headquarter Operation, Naxal
    Metro Police Control, Ranipokhari
    Tel: 100, 120, 130
    Department of Immigration, Kalikasthan
    Tourism Crisis Unit
    Nepal Tourism Board, Bhrikutimandap
    Nepal Tourism Board, Pokhara
    Tel: +977-61-465292,463029
    Himalayan Rescue Association

    Last updated: 17.10.2017