Machermo Peak Climbing - 18 Days

Guess! It may occur to you as well but do not worry as this is common to everyone.

Symptoms:- Running nose, Dizziness, Sleeplessness, Occasional loss of appetite and Periodic breathing.

Mild headache, Nausea, Dizziness, Weakness, Sleeplessness, Dry Raspy cough, Tiredness, Loss of appetite, running nose, hard to breath.

What you have to if you get mild symptoms:-

1. If you get mild symptoms, stop and relax (with your head out of sun) and drink some fluids frequently.
2. Stop and have a rest more and take 125-250mg Diamox, it generally takes one to four hours to be cool down.
3. Take 125-250mg Diamox in the evening and drink plenty of fluids.
4. If you feel a bit better, don't leave taking precautions at the point; take another 250mg Diamox 6-8 hours later.
5. If the symptoms continue to get worse, try to descend down, acclimatize and again ascend up.

Symtoms:- Persistent and severe headache, Persistent vomiting, An inability to walk in a straight line and making the sufferer look drunk, Losing consciousness, Mental confusion, Liquid sounds in the lungs, Difficulty breathing, Rapid breathing or feeling breathless at rest, Coughing clear fluid, pink phlegm or blood (a very bad sign), Marked blueness of face and lips, High resting heartbeat (over 130 beats per minute), Mild symptoms rapidly getting worse.

High Altitude Cerebral Edema (HACE):- dangerous cases of AMS- If, the above mention symptoms get worse and s/he could not take any precautions, one can die within the period of 12 hours, but if one takes precautions immediately, it takes one or two days to get well.

Therefore, if one gets such symptoms, it is better one take treatment with medication, oxygen and descent down. Usually 4 to 8mg of dexamethasone is given as a first dose to those who suffer from such sickness and then 4mg Diamox is given an every six hours gap. Similarly, 2-4 liters/minute oxygen is given and one is taken to down.

High Altitude Pulmonary Edema (HAPE):- This is a serious case, if one gets the above mention symptoms worse, furthermore, if one accumulates of fluid in the lungs and mild fever, and then, there is chance of High Altitude Pulmonary Edema (HAPE). The treatment, one should given the oxygen at the rate of 4 liters a minute, using Portable Altitude Chamber (PAC). If there is no PAC bag or oxygen then one should take down to the low altitude, it is only the way of life saving. The HAPE can also lead to unconsciousness and death in short period of time.

1. Make sufficient time for acclimatization (After 3000 meters).
2. Don't ascent up rapidly.
3. Don't' use alcohol, sleeping pills and smoking.
4. Drink more fluid 3-4 liters a day, clean boiled water / tea / coffee / soup / juice etc.
5. Climb high and sleep low.
6. Don't go trekking alone, take guide/porter.
7. Follow the advice from your guide.
8. Descent if mild symptoms are rapidly getting worse.
9. Never leave to descent sick person alone.
10. Avoid getting cold.

Please contact us if you need any further information about the sickness:

1. Lightweight Trekking/walking boots and if you have just bought new one then please wear, “ walk then in” to avoid blister and also bring spare laces.
2. A pair of track shoes/Sandal to wear in the camp/tea house/lodge at night or when the boot is wet.
3. Warm jacket - Fiber fill or down should be enough. This is especially necessary during winter from December to February (we will provide you down jacket if you donot have on your own).
4. A rainproof jacket - Get the one that is guaranteed waterproof (especially for monsoon time).
5. Woolen shirts and thick sweaters. During winter months, December through February these items are essential. Thick sweaters can be purchased in Kathmandu as well.
6. A pair of lightweight/ heavy weight trousers. Jeans are unsuitable to wear on trekking. Cheap loose cotton pants are available in Kathmandu as well.
7. Heavyweight trousers are useful higher up in the mountains in the morning and at night. Windproof/ waterproof trousers are necessary for Adventure trekking (above 4000M)
8. Thermal underwear. These are excellent to sleep in at night in the winter months thermal underwear are quite invaluable.
9. A tracksuit useful for wearing in camp and in the tent (for long adventure trek).
10. 2 pair of loose fitting long shorts/ skirts.
11. 1 lightweight long sleeved –shirt is particularly suitable for avoiding sun burn.
12. A woolen hat to wear in the morning and at night. During winter it is an essential item. A sunhat and ensure it has a wide brim to cover the face and neck (you can buy cheap one in Kathmandu as well).
13. A pair of gloves woolen inside are best.
14. 2 pairs of thin and 2 pair of thick woolen socks.
15. Underwear” normal quantity and swimming costume, hankies.
16. Walking sticks ( recommended for old age people and we provide you here if don’t have on your own)

1. Duffle bag or kit bag to carry to gear while trekking (we provide one- if you donot have on your own).
2. Daypack: This is a small rucksack to carry personal requirement for the day e.g. toilet items, camera, water bottle, film towel, soap, a boot etc.
3. Water bottle.
4. Snow glasses and sunglasses.
5. 2-4 large plastic bags to separate clean clothes from dirty ones and smaller plastic bags to dispose garbage.
6. Wallet and /or money belt.
7. Toiletries with towels, Toilet paper can be by in Kathmandu and some villages in the mountains as well.
8. Small headlamp or torch with spare batteries.

Reading materials, camera and film, game items (optional), note book, pen and pencil, a diary, a calendar, a pocket knife, binoculars (optional).

The easiest way to obtain Nepal tourist visa is in the Kathmandu airport. Upon your arrival in the KTM airport fill out the necessary forms and proceed to the visa line. Only USD 25.00 will be charged for 15 days visa, USD 40.00 for 30 Days and USD 100.00 for 90 days tourist visa. Please bring 2 passport photos (one for the visa and 1 extra).

Nepal is a popular tourist destination in south Asia. Several airlines have direct and non-stop flights from Middle east and Asia to Tribhuvan International Airport (TIA), Kathmandu, and the only international airport in Nepal.

Check your insurance whether you have both medical and evacuation insurance. If you need that just for the trip tell us we help you. That mean you can get here as well. Our encouragement to have it before you come and make it in your country.

The Nepal Himalaya is governed by the Southerly Monsoon which brings heavy precipitation between the months of June and August, i.e. it rains a lot. There are great treks available in the rain shadow during these months but if you are planning a more popular trek it is best to avoid the monsoon months. Autumn through to Spring is the best time to fully experience Nepal.

Nepal has modern banking facilities and some international banks even have offices in Kathmandu. Almost all foreign currencies along with credit cards such as American Express, Visa, and Master card are accepted in Nepal. Nepal has also ATM facilities as well.

Because our trips book up months in advance, we recommend booking early to avoid disappointment. We will of course make every effort to accommodate last minute bookings.

Yes, our Airport Representative will come to the airport to pick you up. Outside of Terminal Hall. We will be displaying a play card of Outfitter Nepal company with your name on it.

This will depend on the destination and you're spending habits. However our trip dossiers will give you an idea of how to budget for additional meals, optional excursions, and extra expenses you might incur on any specific trip

We are Nepal based company. So we suggest you to arrange your destination International flight from your hometown. Domestic flight ticket is included in our packages tour.

Additional help will be provided for you different activities like river rafting, city guided tour, Mountain flight, jungle safari etc according to your requirements.

If you are reasonably fit and enjoy walking you will find a trekking in the brochure to suit you. Normally the shorter trekking tend to be easier whilst the longer ones often require a better standard of fitness. All trekking in the brochure have been graded. It is also worth remembering if we are tailoring your tour, you can choose the pace and direction of your experience.

As long as you are in good physical shape, you do not require any hiking experience for short trekking. If you are planning a trekking longer than two weeks, you should work out or do long day hikes at home.

We ensure all safety and security for individual woman traveler while with us, we are more confidence for this issues, believe us. We have train our guides, the way our clients want. We give you personal room on lodge trekking and personal tent for camping (Tented camp) trekking.

The government of Nepal no longer requires a trekking permit for Everest, Annapurna, Langtang, and some other regions. However, conservation permit or National park permits are required for those regions. There are few restricted trekking areas in Nepal, where trekking permits are required.

Hygiene when trekking generally has improved considerably over the last ten years, Our guides have the local knowledge to choose the lodges which maintain a high standard of hygiene. All meals are prepared to high standards, fruit and vegetables are soaked in iodine before preparation. Most lodges serve boiled and filtered water, which is generally safe, we suggest a drop of iodine to be totally sure. And as well as it is possible to buy of bottled.

All of our guides are well-trained in basic first aid and can deal with the basic ailments that may occur on trekking. In the event of an emergency Outfitter Nepal will cover initial expenses of any rescue operation. It is a condition of booking that you are adequately insured for such an event as these expenses will need to be recovered from your insurance company. In the more frequented regions there are health posts, which have been established by foreign doctors and many are staffed by overseas personnel.

We prefer 20 % advance deposit of total price of a tour in order to conform your reservation before you arrive in Nepal. And rest of the payment can be made after your arrival.

You may bring power bars, Power Gel, cereal bars or similar high energy foods, powder Gatorade is also recommended to fight dehydration.

There are telephones in many villages along the popular trekking routes from which you can make international calls.

Our company insures all our trekking staff, including guide, cook, sherpa and porters. We take pride in the fact that every single porter and guide employed by us is not only well paid but also protected by a life insurance policy. They are provided with warm clothing and proper shelter on all high altitude trekking.