Chulu West Peak Climbing

Guess! It may occur to you as well but do not worry.

Following are the symptoms of AMS and some precaution steps: No, doubt, ever trekker will experience some or all of these, no matter how slowly they ascend up to the high altitude.

1. Running nose.
2. Increasing urination while moving to/at higher altitudes (a good sign).
3. Dizziness.
4. Sleeplessness.
5. Occasional loss of appetite.
6. Periodic breathing.
7. Vivid and wild dreams especially at around 2500-3800 meters in high altitude.

Many trekkers in the high altitude get mild AMS. The following are the symptoms of such sickness.

1. Mild headache
2. Nausea
3. Dizziness.
4. Weakness.
5. Sleeplessness.
6. Dry Raspy cough.
7. Tired.
8. Loss of appetite.
9. Running nose.
10. Hard to breath.
11. Loss of appetite.

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.

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

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 litres/minute oxygen is given and one is taken to down if it is necessary.

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 is give 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 is taken down to the low altitude, it is only the way of life saving. the HAPE can also lead to unconsciousness are 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, hotel, local people, guide book.
8. Descent if mild symptoms rapidly getting worse.
9. Never leave or descent sick person along.
10. Avoid getting cold.
11. Take an easy and comfortable trekking route even if its longer.
12. Sleep more than normal.

This is the basic lists for the climbing groups, expeditions and trekkers who are going to isolated areas alone.

1. Bandage for sprains.
2. Plasters/Band-aids.
3. Iodine or water filter (optional).
4. Moleskin/Second skin - for blisters.
5. Antiseptic ointment for cuts.
6. Anti-bacterial throat lozenges (with antiseptic)
7. Aspirin/Paracetamol - general painkiller.
8. Oral rehydration salts.
9. Broad-spectrum antibiotic (norfloxacin or ciprofloxin).
10. Anti-diarrhoea medication (antibiotic).
11. Diarrhea stopper (Imodium - optional).
12. Antibiotic for Guardia or similar microbe or bacteria.
13. Diamox 250/500mg (for altitude sickness).
14. Sterile Syringe set (anti-AIDS precaution).
15. Gel hand cleaner.

1. 1 large duffel bag: This will carry all your personal gear on the trekkinh. It should be strong and durable. The best size would be around 30" x 14", with a full-length zipper and handles.
2. 1 rucksack or day pack: This should accommodate a sweater, rain gear, water bottle, camera and accessories and any miscellaneous items you need to have during the day. We recommend a pack with at least 1450cu. In capacity, or smaller if you are not carrying a large amount of camera equipment.

1. Sunhat
2. A Bandana
3. Sunglasses
4. Warm hat
5. Sunscreen with a very high SPF factor
6. Lip balm with a high SPF factor

1. Lightweight gloves

1. T-shirts
2. Thermal underwear- Top and bottom. Synthetic is best
3. Underwear
4. 2 Long shorts
5. 2 Trousers- (loose and comfortable) One thin, one thick and warm

1. Down Jacket
2. Fleece Jacket (or a windproof jacket)
3. Waterproof jacket with a hood (or a poncho)
4. Waterproof pants
5. Baggy pants
6. 2 pairs of gloves/mittens (1 thin and 1 thick)
7. 1 sweater to be worn under the fleece jacket

1. Light weight walking boots- (leather is recommended)
2. Spare laces
3. 2 pairs of thick woolen socks.
4. 2 pairs of thin socks to be worn under the woolen socks
5. One pair of sandals or comfortable shoes for camp

1. Water Bottle

Purification equipment- Boiled drinking water will be provided but further purification with iodine or purification tablets is highly recommended.

1. 30-40 liter daypack
2. Water Proof Bag- A water proof bag to cover the rucksack
3. Sleeping Bag- Please brings a bag that can resist temperatures as low as -15 degrees Celsius

1. Bandage for sprains
2. Plasters/Band-aids
3. Iodine or water filter
4. Moleskin/Second skin - for blisters
5. Antiseptic ointment for cuts
6. Anti-bacterial throat lozenges (with antiseptic)
7. Aspirin/paracetamol - general painkiller
8. Oral rehydration salts
9. Broad-spectrum antibiotic (norfloxacin or ciprofloxin)
10. Anti-diarrhea medication (antibiotic)
11. Diarrhea stopper (Imodium - optional)
12. Diamox (altitude sickness - can be bought in Kathmandu)
13. Sterile Syringe set (anti-AIDS precaution)

1. Binoculars
2. Reading book
3. Trail Map/Guide book
4. Journal & Pen
5. Travel game i.e. chess, backgammon, scrabble

1. 1 medium sized quick drying towel
2. Toothbrush/paste (preferably biodegradable)
3. Multipurpose soap (preferably biodegradable)
4. Deodorant
5. Nail clippers
6. Face and body moisturize
7. Feminine hygiene products
8. Small mirror

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.