Renjo La Pass Trek

Renjo La Pass Trek

Everest Renjo Pass Trekking in NepalRenjo La Pass Trek is an awe inspiring trek that lets you explore and discover the absorbing Everest Region. The Renjo Pass trail moves through the peaceful environment of Khumbu region allowing you to experience various sceneries changing into pastures, ridges, narrow clefts and steep climbing trail. The most desirable time for this unforgettable trek is at the tail end of the monsoon season, when flowers blooming throughout Nagpala give trekkers the illusion of walking across a textured, riotously colorful carpet. We go off the beaten path for 3 days, and it is worth every minute, where you experience authentic Sherpa Culture, relatively untouched by the hustle of tourism in the main circuit. The highlight of the trek is crossing the Renjo La Pass (5,360m) from where we witness the best view of Mt. Everest (8,848m), Mt. Lhotse (8,516m), Mt. Makalu (8,463m), Mt. Cho Oyu (8,201m), Nuptse (7,855m), Mt. Pumori (7,145m), Mt. Amadablam (6,856m), Mt. Thamserku and many other dazzling mountain peaks.

Note: Lukla flight

In October, November, March, April, and May, the Lukla flights are operated from Ramechhap Airport instead of Kathmandu Airport because of heavy air traffic.

You will leave your hotel around 1:00 AM and drive 4 to 5 hours to reach Ramechhap Airport to catch a morning flight to Lukla.

Likewise, in December, January, February, June, July, August, and September, the Lukla flights are operated from Kathmandu Airport.

Trip Details

  • Itinerary
  • Details Itinerary
  • Cost details
  • Equipment

Itinerary:

Day 01: Arrival in Kathmandu Transfer to the Hotel [1,338m]. 
Day 02: Mountain Flight To Lukla [2,810 m], Trek to Phakdaing [2,640 m]. "B,L,D". Trek (40 m fly and 03-04 Hrs).
Day 03: Trek to Namche Bazaar [3,440 m]. "B,L,D". Trek (06-07 Hrs).
Day 04: Rest day at Namche [3,440 m] side trip to Everest view point. "B,L,D". Trek (04-05 Hrs).
Day 05: Trek to Dole [3,620 m]. "B,L,D". Trek (07-08 Hrs).
Day 06: Trek to Macchermo [4,440 m]. "B,L,D". Trek (04-05 Hrs).
Day 07: Trek to Gokyo [4,750 m]. "B,L,D". Trek (04-05 Hrs).
Day 08: Trek to Ascent of Gokyo- Ri [5,357 m] and back to Gokyo [4,750 m]. "B,L,D". Trek (04-05 Hrs).
Day 09: Trek to Lungdung [4,500 m] via Renjo Pass [5,417 m].  "B,L,D". Trek (07-08 Hrs).
Day 10: Trek to Namche [3,440 m]. "B,L,D". Trek (06-07 Hrs).
Day 11: Trek to Lukla [2,810 m]. "B,L,D". Trek (06-07 Hrs).
Day 12: Fly back to Kathmandu [1,338m]. "B".
Day 13: In Kathmandu free day [1,338m]. "B".
Day 14: Trip ends ! fly back home, taking with you the memory of a life time. "B".

Detail itinerary for Renjo Pass Trekking

Day 01: Namaste Nepal [1330 m]: Once you land in Tribhuwan International Airport in Kathmandu you will find a representative from Adventure Treks Nepal waiting outside the airport gate who will transfer you to the Hotel. A short briefing session will be conducted about the trek and if you have any queries or special plans please do let us know, we can help you to arrange that.

Day 02: Flight to Lukla [2,810 m] (2,652m), Trek to Phakding [2,652 m] - (B/L/D): We take an early morning flight into the Himalayas up to Lukla where we will meet our supporting crew members. The trail descends down to the suspension bridge over Dudh Koshi River followed by a gradual ascend around the terraced wheat and potatoes field and into the village of Phakding. Overnight stay in Phakding. Average trekking time is 03 to 04 hours.

Day 03: Trek to Namche Bazaar [3,440 m] - (B/L/D): After breakfast we begin our trek deep into the Rhododendron and Pine forests and along the cultivated land. We cross the raging Dudh Kosh River twice on this day to enter the Sagarmatha National Park which is also listed in UNESCO world heritage site. We walk in the trail with mountain peaks like Nupla (5,885m), Kongde Ri (6,093m) and Thameserku (6,808m) majestically rising in the background. Namchhe Bazzar is the main trading point so you will see many yaks on your way carrying goods that will be transported to every part of Everest region.Overnight stay in Namchhe Bazzar. Average trekking time is 06 to 07 hours.

Day 04: Acclimatization day, day hike to Shyangboche [3,833 m] - (B/L/D): This is a rest day in Namchhe Bazzar for acclimatization. It is extremely important to have a extra day in Namchhe bazzar to adapt the changed climatic condition as the air pressure will be decreasing and you might find difficult to breathe. We will hike upto the Everest View Hotel in Shyangboche to catch the marvellous himalayan view of Mount Everest and Amadablam.Overnight stay in Namchhe Bazzar. Average trekking time is 02-03 hours.

Day 05: Trek to Dole [4,090 m] - (B/L/D):Once your body is familiar with the thinning air we continue ahead with our trek. We climb upwards the hill to Khumjung followed by a descend to the east of the sherpa settlement below the board valley heading to the Dudh Koshi River. The trail then seperates from the Everest Base Camp trail and heads towards Phortse Tenga where we will have our lunch. On our way we will walk pass a large chorten on the ridge top at 3,973m. From Phortse Tenga we will proceed towards Dole climbing steeply out of the valley. The route passing through a herders’ hut at Tongba climbs gently to Dole (4090m). Overnight stay at Dole. Average trekking time is 06-07 hours.

Day 06: Trek to Macchermo [4,410 m] - (B/L/D):
After your breakfast, we begin our trek with a steep climb up to Lhabarma (4,330m) through Gyele. The trail then moves along the banks of a large stream at Luza (4,340m) and up to Machhermo while you walk high above the river and along the side of the valley.Average trekking time is 03-04 hours.

Day 07: Trek to Gokyo [4,750 m] - (B/L/D):
After a good sleep in Macchermo we begin our trek. We reach Pangka, from where we descend slightly to a large cave area, Nilibuk. We again then ascend on a steep rocky path that heading inside the valley along the side of the glacier. The trek continues ahead passing 3 holy lakes and across the glacier to Cho - La. The major and third lake is known as Dudh Pokhari and are located on eastern shore in the settlement of Gokyo. The reflection of Cho Oyu and Gyachung Kang in Dudh Koshi's emerald green water is just stunning. Overnight stay at Gokyo. Average trekking time is 05-06 hours.

Day 08: Trek to Gokyo - Ri and back to Gokyo [4,750 m] - (B/L/D):
This is the higlight of the trek. On this day we will trek up to Gokyo Ri and then again return back to Gokyo. You will see splendid view of Cho-Oyu, Gyachung Kang, Everest, Lhotse, Makalu, Cholatse and Tawachhe from above the Gokyo Ri. Overnight stay in Gokyo. Average trekking time is 06-07 hours.

Day 09: Trek to Lungdung [4,500 m] via Renjo Pass [5,417 m] - (B/L/D): Since you have to today traverse the Renjo La Pass, the trip to Lungden is a long one. The walk has many ups and downs and is both exciting and difficult. Next you take a zigzag path across the grassy area and boulders as you slowly ascend the hill. Up until Renjo La Pass, the routes get steeper as you continue to ascend. You are greeted with a breathtaking vista of Cho Oyu, Nuptse, Everest, Cholatse, Makalu, and more as soon as you reach the peak. Afterwards, you make a steep descent through the west side of the pass into a remote valley with breathtaking scenery. Tibetan traders used the path as a historic trade route. You continue to descend through the gorgeous meadow in this direction till you reach the Bhote Koshi Valley. After that, you keep moving along the river as you move in the direction of Lungden. There are a few teahouses in Lungden that offer simple amenities. You can talk to the hospitable villages and learn about their history. Overnight in Lungdung. Average trekking time is 07-08 hours.

Day 10: Trek to Namche [3,440 m] - (B/L/D): From Lungden, we now make our way south and down to Thame. Between these points, the trek is straightforward with primarily mild descents. As you continue along the river's east side, you pass through a number of peaceful settlements. After a short distance, you gradually descend to Marulung and cross the bridge over the Bhotekoshi River. When you go through a stunning, deep forest, you spot various creatures and vegetation. Afterwards you travel by numerous historic Sherpa villages with walls to display their distinctive culture. As you continue your descent, you reach Thame. You move away from Thame Village and toward Namche Bazaar, the Sherpa Town. You start out by strolling alongside the glacier stream and gradually lower yourself to the Bhotekoshi Valley. From here, a suspension bridge allows you to cross the river gorge and explore the enigmatic forest of birch, rhododendrons, and pines. After that, you gradually ascend past magnificent Sherpa settlements to a height above the Bhote Koshi. Overnight in Namche Bazzar. Average trekking time is 06-07 hours.

Day 11: Trek to Lukla (2,652m) - (B/L/D): We begin our last day in the mountain on the same track to Lukla we trekked on earlier. We walk on a smooth trail to cross the Dudh Koshi River few times on this day and exit out of the Sagarmatha National Park. We climb out of the river valley to enter the village of Lukla for our last night in the Himalayas. Average trekking time is 06 -07 hours.

Day 12: Fly Back to Kathmandu - (B):
Our supporting crew member will be staying in Lukla so we fly back to Kathmandu as we say final Goodbye to our excellent team. After a 45 min picturesque flight you will be tranferred to the Hotel. This day can also be an additional day in mountain in case of any flight cancellation due to unfavourable weather conditions. The rest of the day is at Leisure.

Day 13: Free day in Kathmandu (1,330m) - (B): This is your last day in Kathmandu. This is a free day however you can visit different world heritage sites in Kathmandu such as ancient palaces of Kathmandu, Bhaktapur and Patan, Swyambhunath , Bouddhanath amd many other tourist attractions. Or you can walk down the streeths of Thamel for last minute shopping and good food. We are always ready to offer you some suggestions.

Day 14: Fly back home (1,330m) - (B): According to your flight, you will be dropped at the Tribhuwan International Airport by a representative from Adventure Treks Nepal.

Note: If the above itinerary does not meet your needs, we can design individualized travel plans based on your preferences.

Detail itinerary for Renjo Pass Trekking

Day 01: Namaste Nepal [1330 m]: Once you land in Tribhuwan International Airport in Kathmandu you will find a representative from Adventure Treks Nepal waiting outside the airport gate who will transfer you to the Hotel. A short briefing session will be conducted about the trek and if you have any queries or special plans please do let us know, we can help you to arrange that.

Day 02: Flight to Lukla [2,810 m] (2,652m), Trek to Phakding [2,652 m] - (B/L/D): We take an early morning flight into the Himalayas up to Lukla where we will meet our supporting crew members. The trail descends down to the suspension bridge over Dudh Koshi River followed by a gradual ascend around the terraced wheat and potatoes field and into the village of Phakding. Overnight stay in Phakding. Average trekking time is 03 to 04 hours.

Day 03: Trek to Namche Bazaar [3,440 m] - (B/L/D): After breakfast we begin our trek deep into the Rhododendron and Pine forests and along the cultivated land. We cross the raging Dudh Kosh River twice on this day to enter the Sagarmatha National Park which is also listed in UNESCO world heritage site. We walk in the trail with mountain peaks like Nupla (5,885m), Kongde Ri (6,093m) and Thameserku (6,808m) majestically rising in the background. Namchhe Bazzar is the main trading point so you will see many yaks on your way carrying goods that will be transported to every part of Everest region.Overnight stay in Namchhe Bazzar. Average trekking time is 06 to 07 hours.

Day 04: Acclimatization day, day hike to Shyangboche [3,833 m] - (B/L/D): This is a rest day in Namchhe Bazzar for acclimatization. It is extremely important to have a extra day in Namchhe bazzar to adapt the changed climatic condition as the air pressure will be decreasing and you might find difficult to breathe. We will hike upto the Everest View Hotel in Shyangboche to catch the marvellous himalayan view of Mount Everest and Amadablam.Overnight stay in Namchhe Bazzar. Average trekking time is 02-03 hours.

Day 05: Trek to Dole [4,090 m] - (B/L/D):Once your body is familiar with the thinning air we continue ahead with our trek. We climb upwards the hill to Khumjung followed by a descend to the east of the sherpa settlement below the board valley heading to the Dudh Koshi River. The trail then seperates from the Everest Base Camp trail and heads towards Phortse Tenga where we will have our lunch. On our way we will walk pass a large chorten on the ridge top at 3,973m. From Phortse Tenga we will proceed towards Dole climbing steeply out of the valley. The route passing through a herders’ hut at Tongba climbs gently to Dole (4090m). Overnight stay at Dole. Average trekking time is 06-07 hours.

Day 06: Trek to Macchermo [4,410 m] - (B/L/D):
After your breakfast, we begin our trek with a steep climb up to Lhabarma (4,330m) through Gyele. The trail then moves along the banks of a large stream at Luza (4,340m) and up to Machhermo while you walk high above the river and along the side of the valley.Average trekking time is 03-04 hours.

Day 07: Trek to Gokyo [4,750 m] - (B/L/D):
After a good sleep in Macchermo we begin our trek. We reach Pangka, from where we descend slightly to a large cave area, Nilibuk. We again then ascend on a steep rocky path that heading inside the valley along the side of the glacier. The trek continues ahead passing 3 holy lakes and across the glacier to Cho - La. The major and third lake is known as Dudh Pokhari and are located on eastern shore in the settlement of Gokyo. The reflection of Cho Oyu and Gyachung Kang in Dudh Koshi's emerald green water is just stunning. Overnight stay at Gokyo. Average trekking time is 05-06 hours.

Day 08: Trek to Gokyo - Ri and back to Gokyo [4,750 m] - (B/L/D):
This is the higlight of the trek. On this day we will trek up to Gokyo Ri and then again return back to Gokyo. You will see splendid view of Cho-Oyu, Gyachung Kang, Everest, Lhotse, Makalu, Cholatse and Tawachhe from above the Gokyo Ri. Overnight stay in Gokyo. Average trekking time is 06-07 hours.

Day 09: Trek to Lungdung [4,500 m] via Renjo Pass [5,417 m] - (B/L/D): Since you have to today traverse the Renjo La Pass, the trip to Lungden is a long one. The walk has many ups and downs and is both exciting and difficult. Next you take a zigzag path across the grassy area and boulders as you slowly ascend the hill. Up until Renjo La Pass, the routes get steeper as you continue to ascend. You are greeted with a breathtaking vista of Cho Oyu, Nuptse, Everest, Cholatse, Makalu, and more as soon as you reach the peak. Afterwards, you make a steep descent through the west side of the pass into a remote valley with breathtaking scenery. Tibetan traders used the path as a historic trade route. You continue to descend through the gorgeous meadow in this direction till you reach the Bhote Koshi Valley. After that, you keep moving along the river as you move in the direction of Lungden. There are a few teahouses in Lungden that offer simple amenities. You can talk to the hospitable villages and learn about their history. Overnight in Lungdung. Average trekking time is 07-08 hours.

Day 10: Trek to Namche [3,440 m] - (B/L/D): From Lungden, we now make our way south and down to Thame. Between these points, the trek is straightforward with primarily mild descents. As you continue along the river's east side, you pass through a number of peaceful settlements. After a short distance, you gradually descend to Marulung and cross the bridge over the Bhotekoshi River. When you go through a stunning, deep forest, you spot various creatures and vegetation. Afterwards you travel by numerous historic Sherpa villages with walls to display their distinctive culture. As you continue your descent, you reach Thame. You move away from Thame Village and toward Namche Bazaar, the Sherpa Town. You start out by strolling alongside the glacier stream and gradually lower yourself to the Bhotekoshi Valley. From here, a suspension bridge allows you to cross the river gorge and explore the enigmatic forest of birch, rhododendrons, and pines. After that, you gradually ascend past magnificent Sherpa settlements to a height above the Bhote Koshi. Overnight in Namche Bazzar. Average trekking time is 06-07 hours.

Day 11: Trek to Lukla (2,652m) - (B/L/D): We begin our last day in the mountain on the same track to Lukla we trekked on earlier. We walk on a smooth trail to cross the Dudh Koshi River few times on this day and exit out of the Sagarmatha National Park. We climb out of the river valley to enter the village of Lukla for our last night in the Himalayas. Average trekking time is 06 -07 hours.

Day 12: Fly Back to Kathmandu - (B):
Our supporting crew member will be staying in Lukla so we fly back to Kathmandu as we say final Goodbye to our excellent team. After a 45 min picturesque flight you will be tranferred to the Hotel. This day can also be an additional day in mountain in case of any flight cancellation due to unfavourable weather conditions. The rest of the day is at Leisure.

Day 13: Free day in Kathmandu (1,330m) - (B): This is your last day in Kathmandu. This is a free day however you can visit different world heritage sites in Kathmandu such as ancient palaces of Kathmandu, Bhaktapur and Patan, Swyambhunath , Bouddhanath amd many other tourist attractions. Or you can walk down the streeths of Thamel for last minute shopping and good food. We are always ready to offer you some suggestions.

Day 14: Fly back home (1,330m) - (B): According to your flight, you will be dropped at the Tribhuwan International Airport by a representative from Adventure Treks Nepal.

Note: If the above itinerary does not meet your needs, we can design individualized travel plans based on your preferences.

Trip Cost Includes:

  • All Local Transport.
  • Accommodation in Kathmandu with breakfast.
  • Sightseeing tour in Kathmandu with an entrance fee.
  • Duffle Bag using for Trekking.
  • Breakfast, Lunch and Dinner during the Trekking.
  • Accommodation in Tea house (mountain lodge) while trekking.
  • Domestic Flight with Airport Tax.
  • Trekking Porter with Insurance. (We Provide 01 Porter to each trekkers)
  • Trekking Guide with insurance.
  • Trekking Guide and Porters food and accommodation, wages etc.
  • Everest Renjo-La Pass Trekking Region map.
  • Sagarmatha (Everest) National park permits fee.
  • Khumbu pasang lhamu rural municipality entry permit fee.
  • Trekker’s Information Management system (TIMS).
  • All Government taxes Income tax plus VAT 13%.
  • Office services charge.
  • Farewell dinner with cultural program.
  • Water purification tablets.

Trip Cost Excludes:

  • International Airfare.
  • Your travel insurance of any kind
  • Nepal entry Visa fee (US$ 30 for 15 days) you should get visa open your arrival)
  • Drinks, Dessert, Juice, Mineral Water, Heater charge, Hot Shower, Wifi etc during the Trekking and main meals in cities.
  • Tips for Guide, Porter and driver.

 

Note: Nationals of following countries are requested to acquire Visa prior their arrival from their nearby Diplomatic missions (Embassies/consulates) of Nepal Government. In other words these nationals won't get on arrival visa until and unless they have official letter issued from Ministry of Home Affiars Nepal.

Nigeria, Ghana, Zimbabwe, Swaziland, Cameroon, Somalia, Liberia, Ethiopia, Iraq, Palestine, Afghanistan, Syria, Refugees with travel document.

Weather information

We offer trekking in Nepal from mid-September to May. However within this period there are clear seasons in the weather. From early September the monsoon rains decrease. By mid-October through to December the weather is usually stable with mild to warm days, cold nights and clear views. Daytime temperatures can reach 25-30 deg C at low altitude in October and nights can drop to below 0 deg C at higher altitudes.

Winter trekking, from December to February, offers cool to mild and clear days with often very cold nights. Daytime temperatures at low altitudes will be mild, around 20 deg C and at night may drop to 0 or as low as -10 deg C at the higher points. Occasionally winter storms can bring snow as low as 2500m.

In March the cold, dry winter season begins to give way to warmer, wetter spring conditions. Mornings are usually clear with cloud build-up occasionally bringing afternoon rainstorms. Daytime temperatures increase quickly in March, with temperatures of up to 30 deg C and mild nights at low altitudes. The increase in rainfall in the hills is more than compensated for by the spectacular displays of rhododendrons and other wildflowers at this time of year. Late spring conditions, as in April and May, are generally hot at low elevations and as the clouds build up to the next monsoon, daily afternoon rainstorms are common. This is a period that generally has clear weather at the higher altitudes and is traditionally a time when mountaineering expeditions commence their ascents.

The monsoon creates a rainy season in Nepal, which lasts from mid-June to mid-September. During this time the Nepal Himalaya is unsuitable for trekking, with the exception of a few remote valleys. We offer treks during this period in Low altitude Treks in the Nepal Himalaya, Tibet & India (Kulu, Ladakh).

The post-monsoon period: From early September the monsoon rain starts to decrease. By mid-October through to mid-December the weather is usually stable with mild to warm days, cold nights and clear views. Daytime temperatures can reach 25-30 degrees Celsius at lower altitudes and decrease as you gain height. Over 3000 meters the daytime temperatures can vary as much as 10 to 20 degrees Celsius, and may be hotter or colder, depending on whether it is sunny or windy etc. At night at lower altitudes, temperatures do not normally drop much, although as you approach November it does get colder and the days shorter. Up high it can drop sharply at night, from 0 to minus 10 or 15 and more when camped on the ice or snow.

The pre-monsoon period:In March the cold, dry winter season begins to give way to warmer, wetter spring conditions. Mornings are usually clear with cloud build-up bringing occasional afternoon rainstorms. Views of the mountains in the middle of the day and afternoon may often be obscured. Daytime temperatures increase quickly in March with temperatures of up to 30 degrees Celsius and mild nights. At higher altitudes it is similar to the conditions of the post-monsoon period, however there is usually more snow, which has accumulated over the winter period. There are spectacular displays of rhododendrons and wildflowers at this time of year. Late spring conditions ie April and May, are generally hot at low elevations and as the clouds build up to the next monsoon, daily afternoon rainstorms are common.

List of Clothing Equipments & Personal Effects

  • Lightweight Trekking (walking) (Waterproof) boots and spare laces. If new one is being bought, “walk then in” to avoid blisters. Also bring spare laces.
  • A pair of track shoes for evening and walk around campsite.
  • Warm Jackets (Fiber fill or down) down should be adequate.
  • A rainproof jacket with hood or ponchos (Get guaranteed Waterproof)
  • Woolen shirts and thick sweaters.
  • A pair of lightweight/heavyweight trousers. Jeans are unsuitable to wear on treks.
  • Thermal underwear.
  • A tracksuit.
  • 2 pair of loose fitting long shorts/skirts.
  • Few pairs of cotton T-shirts.
  • At least 1 lightweight long sleeved shirt is particularly to avoid sun born.
  • A woolen hat for morning and evening and Sun cap (Hat) during the day and ensure it has a wide brim to cover the face and neck..
  • A pair of gloves.
  • A pair of sandals to shower and campsite.
  • Few pair of thin and thick woolen socks.
  • Underwear: normal quantity and swimming costume.
  • Sleeping bags for night. (At least -20 Celsius)

Equipment and Accessories

  • Duffle bag or kit bag to carry gears while trekking. (We provide)
  • Daypack to carry personal day requirements. (25-30 Ltr) This is a small rucksack to carry personal requirement for the day
  • Water bottle.
  • Snow glasses and sunglasses.
  • 2-5 large plastic bags to separate clean and dirty clothes. Some small plastic bags for garbage.
  • Toiletries with large and small towels. Toilet paper can be by in Kathmandu and some villages in the mountains.
  • Wallet or money belt with compartment for coins.
  • Headlamp or torch light with spare batteries and bulbs.Candles or lighter to burn toilet paper and to lit on.
  • Snow gaiters essential during winter and High Altitude trekking.
  • Walking poles. (If you like to have).
  • Camera with spare batteries and films
  • Reading materials, game items (optional), note book, rubber band, pen and pencil, envelopes, a diary, a calendar, a pocket knife, binoculars (optional), a small pillow or headrest (optional). Thermoses (optional)- an inflatable sleeping mat, trekking map, adequate quantities of
  • passport photograph
  • First aid kit with enough Personal medicine.

Physically prepare yourself: It is important that your body is adequately prepared for the physical challenges of trekking. It is thus important that you assess your own condition and train accordingly. In general, the fitter you are, the easier it will be for you to handle the rigors of the trek. A well-rounded training program would include strength training, aerobic cross training, and hiking (ideally at high altitude but not necessary).

Mentally prepare yourself: Mental preparation is often overlooked. You should always keep a positive state of mind, but not ignore the signals your body sends you. Your mental stamina will, without a doubt, make the most difficult parts of the trekachievable.

We will keep the packing list update asnew equipment becomes available. If you have reviews or suggestions please send us an email.

Trekking in Nepal need not be considered risky affair as far as your health is concerned. Nevertheless, preventive measures such as a through medical checkup and inoculations before you start trekking can save you from unexpected hazards. Since the remote places of Nepal are not supplied with necessities that are essential for modern medical facilities and as the rescue and evacuation are measured in days, it is imperative to make a comprehensive first aid box consisting of basic drugs and accessories as part of the paraphernalia for trekking. Modern dentistry is unknown in the hill of Nepal so it is advised to have a checkup before departure from home. Tooth fillings; sometimes loosen in cold temperatures and high altitudes, so it is recommended to have them checked. Travelers are requested to bring medicine prescribed by their doctor at home. Common medicine for stomach problems, headache, and malaria is available in Kathmandu. Medicine is usually not available in remote areas. So necessary medicine is advisable to carry with you. Before going to Nepal, it is advised to get injections against typhoid, meningitis and hepatitis.

OVERCOMING ALTITUDE PROBLEM:
This is often known as Acute Mountain Sickness (AMS), which is particularly a matter of important medical consideration while trekking in the Himalayas. Altitude Sickness means the effect of altitude on those who ascend too rapidly to elevations above 3000 meters. Early mountain sickness will manifest itself in headache, nausea, shortness of breath, fatigue; etc can be encountered as initials of the sickness. The major information source on prevention and treatment of the sickness is Himalayan Rescue Association (HRA) and Adventure Treks Nepal (P). Ltd. is the confide life member of it. We assure every trekker that all our guides have followed the training conducted by HRA with the understated information.

CAUSE/FACTOR OF ALTITUDE SICKNESS
1. Less Oxygen
2. Low Pressure i.e. Barometric Pressure
3. Rapid Ascent
4. Possible Dehydration
5. Hypothermia TYPE OF ALTITUDE SICKNESS

  TYPES ALTITUDE SICKNESS
1. AMS - Acute Mountain Sickness
2. HAPE - High Altitude Pulmonary Edema
3. Hace - High Altitude Cerebral Edema

SYMPTOMS
1. (AMS) ACUTE MOUNTAIN SICKNESS
Mild symptom feels like hangover/not feeling good
a. Headache
b. Fatigue/Tiredness
c. Nausea
d. Shortness of breath
e. Loss of appetite
f. Sleep disturbance
g. Dizziness

2. (HAPE) HIGH ALTITUDE PULMONARY EDEMA (Water in lungs)
a. Increasing shortness of breath even at rest
b. Severe cough-dry/Productive
c. Very tired-Unusual fatigue while walking
d. High Pulse rate i.e. 110
e. Blueness of face, lips, finger nails that means inability to transport Oxygen into the blood

3. (HACE) HIGH ALTITUDE CEREBRAL EDEMA (Water in the head)
Severe symptoms of altitude sickness
a. Severe Headache
b. Vomiting
c. Walking like a drunk (Ataxia)
d. Mental confusion/Altered mental status
e. Irritable-Does not want to be bothered by other people
f. Unconsciousness or Coma
TEST - Tandem walking test, Heel to toe step fall off from the line.

DECISION MAKING
1. Find out the main problem i.e. at altitude. Assume all problems are Altitude Sickness unless proven otherwise.
2. If it is an altitude problem with mild symptoms, stay at the same altitude until the symptoms are completely gone. Take an Aspirin tablet, try to go up but listen to your body. If symptoms are worsening, go down.

PREVENTION
1. Acclimatization: - After a 1000m. Ascent, stay one more night for acclimatization.
2. Do not make RAPID ASCENT; don't go too fast too high.
3. No alcohol, sleeping pills and smoking.
4. Drink more fluid 3-4ltrs a day… clean, boiled or treated water/tea/coffee/soup/juice etc.
5. Do not carry heavy packs.
6. Climb higher sleep lower.
7. Do not travel alone.

TREATMENT
1. DESCENT is the best medicine; do not wait for the Helicopter.
2. Medicine:
a. Oxygen.
b. Diamox…for AMS 125mg. Before dinner, for sleeping problem if feeling suffocated.
c. Nafedipine for HAPE
d. Steroids/Dexamethasone for HACE
3. Hyperbolic Bag - Gammow Bag
4. Golden Rules
a. Awareness of ALTITUDE SICKNESS
b. If you have mild symptoms, do not go higher. Take Aspirin.
c. If you have worsening symptoms, go down.
d. Do not leave your team member behind unattended, either trekker or porter.
5. IMPORTANT
a. Go up slowly.
b. Drink plenty of fluids (at least 3 liters per day)
c. Get all information about Altitude Sickness before your trekking tour that will make you confident to make your tour successful.

Our advice: Drink 3-4ltr of water minimum a day, don't exhaust yourself so much and breathe deep and take rest more than usual.