Makalu Trekking - 23 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).

This trekking is suitable for keen trekkers/walkers who are able to walk for 5 - 6 hours in a day, with a light weight rucksack.For adventure trek- yes, you need to have experience of walking 5- 6 hours a day in high altitude- somehow about 3000M above sea level.

Sure!!! Once you let us know your flight detail with arrival date and time, our repetitive will receive you and take you to the hotel in Kathmandu.

We provide you 2/3 star hotel accommodation in Kathmandu and 2 men tent with mattress accommodation during the trekking and we recommend you to have sleeping bag or if don’t have your own then we provide you sleeping nag as well.

we provide you hot food prepared by our trained cook, the dinner and breakfast will be in the same campsite and we will stop and cook the lunch along the day. delicious range of mostly vegetarian fare. Pasta, tuna bakes, noodles, potatoes, eggs, dhal bhat, bread, soups, fresh vegetables (variety depends on the season) get hot tea/coffee …as well.

Camping- we provide you hot water bucket then you will take bucket shower.

There will plenty of water available for drinking in this trip however we advise against buying mineral water in plastic bottles, as currently there are no provisions for disposing of these. Instead, we provide you boiled water or bringing chlorine tablets to purify the normal water as the normal water is available in camp site/along the way in the camping trekking.

We provide porters to carry your luggage; you will trek with your light day backpack.

Yes, you can leave your stuffs which are not necessary for the trekking in your Kathmandu hotel or in our office which is safe and free of charge. However, we recommend you keep valuables things with you at all times.

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

When walking/trekking in the mountains, the distance you cover each day can vary greatly due to gradient, terrain and altitude. As such it is very hard to give specific distances on each day, however you have to be prepared to walk 5-6 hours each day.

If you are used to walking with trekking poles then take them with you, as you will probably find them useful especially on the way down. They are not essential though and the walk is manageable without them as well.

Camping- there are electricity only in certain places so, you can charge by paying some service charges. Remember to bring your adapters! And we recommend you to take extra batteries.

There are telephones in some villages along the trekking routes from which you can make international calls and there are internet facilities on some of the village as well.

Yes, you can use your credit cards in most of the cities to some extent, however once you leave those cities behind, all you need is cash, so, you have to take cash from the city and bring along the trekking.

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.

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

You can allocate US$ 08 - 10 for a lunch / dinner in kathamndu and it depends on your spending habits. US$7 to 10 US$ a day will be enough to buy bottles of water, chocolates, tea coffee and some drinks in trekking.

This is very difficult thing to determine. We have seen everything from 10USD to 500 USD per person for guides and porters. Tipping is not required, but a small way to show your guides and local porters thanks for their help. The level of the tip should reflect the level of personal involvement with your guide.

Yes, we have insured all our trekking staff including including guide, cook, sherpas and porters, please see our legal documents for the detail.

Sure!!! We can add days at your request with additional costs to cover guides, porters, accommodation and food along trekking.

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.

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.

Yes, if you have time and interest then we many things to do such as- Everest Mountain Flight, Bunjy Jumping, Trisuli Rafting, Ultra flight and Paragliding and some places to visit Chitwan Jungle Safari, Pokhara city and Lumbini as well. If you have any other queries about the trip for the further clearance then please write us.