Acclimatization And High Altitude Sickness
The acclimatization planned during the trip helps trekkers adapt to the environment with less oxygen. Our body needs time to adjust to higher altitudes. Rushing to the higher elevation without acclimatization may result in acute mountain sickness (AMS), which could be fatal. The trekkers may suffer from AMS above 2,400m/7,875ft as the amount of oxygen becomes less and less with the increase in elevation.
We can categorize AMS into three categories with its symptoms. The trekker suffering from normal AMS feels giddy, gets a headache, has Nausea, is out of breath, and is suggested not to worry as it disappears after the body gets used to less oxygen. Likewise, trekkers suffering from mild AMS show symptoms of dizziness, muscular pain, insomnia, headache, vomiting, loss of appetite, rapid heartbeat, and shortness of breath. Mild AMS can be treated with anti-headache medicines. A person suffering from severe AMS shows heightened symptoms, including shortness of breath, even while resting. The trekker with severe symptoms can barely walk, and fluids may start building up in the lungs. The trekker having severe AMS has to be taken to a lower altitude immediately.
Advanced cases of AMS
If AMS is not treated in time, it can be life-threatening and lead to edema, a condition in which fluid is accumulated in the body's tissues. Following are the two serious altitude sicknesses caused at high altitudes.
High Altitude Cerebral Edema (HACE)
In HACE, the brain gets swollen, which can lead to coma and even death. Its symptoms are paralysis on one side of the body, bladder dysfunction, fatigue, bowel dysfunction, loss of coordination, and confusion. Descend to a lower altitude as soon as possible to prevent the worsening of the condition.
High Altitude Pulmonary Edema (HAPE)
Fluid is accumulated in the lungs, which also increases the capillary pressure. Its symptoms include severe shortness of breath at rest, dry cough that later leads to producing frothy pink sputum, and fatigue. Important Note: Severe cases of AMS are rare. All our Adventure Club Trek guides are aware of the symptoms of AMS and can handle it with care. We prioritize acclimatization, talk about the use of Diamox beforehand, and counsel all our trekkers on the risk and preventive factors before and during the trip. Your safety is our main concern.
First-Aid Kit
Our guides and porters are equipped with a basic first-aid kit during regular treks. A comprehensive first-aid kit is compulsory for expeditions that take on isolated and off-the-beaten trekking paths; the same goes for climbing expeditions.
- A bandage in case of sprains.
- Plasters/ Band-aids and antiseptic ointments for simple cuts
- Iodine or water filter (optional) instead of buying bottled mineral water
- Moleskin/Second skin in case of blisters.
- Aspirin/Paracetamol -painkiller.
- Oral rehydration salts-Nava Jeevan or Jeevan Jal (orange-flavored ORS)
- The broad-spectrum antibiotic (norfloxacin or ciprofloxacin).
- Anti-diarrhea medication (antibiotic).
- Diarrheal stopper (Imodium - optional).
- Diamox 250/500mg (for altitude sickness).
- Gel hand cleaner/sanitizer.
Note: We can add medical supplies per the trekkers' special needs to the first-aid kit given above.
Equipment And Packing List
Here is some information to help you know what to bring for the trek. It's very important not to forget the essential items because they will affect how comfortable and safe you are. At the same time, try not to carry too much unnecessary gear.
General Items:
- An all-season sleeping bag and a down jacket (we can provide these if needed, but you’ll have to return them after the trek).
- A duffle bag (we’ll provide one for you during the trek, but it must be returned afterward).
- A windproof and waterproof lightweight jacket (this is essential for mornings and evenings above 3,000 meters).
- A daypack.
Important Documents And Items
- Valid passport, two extra passport-size photos, and airline tickets.
- Dollars, pounds, or Euros in cash for purchasing a Nepali visa at Kathmandu airport, paying for restaurants and hotels, gratuities, and snacks, and purchasing your drinks and gifts.
- Credit cards, Bank/ATM/Cash machine cards for withdrawing funds from cash machines (bring a photocopy of your cards), traveler's checks, Etc
HEAD
- A bandana or headscarf is also useful in dusty conditions.
- Warm hat that covers your ears (wool or synthetic)
- Headlamp with extra batteries and bulbs
- Sunglasses with UV protection
- Prescription sunglasses (if required)
- UPPER BODY
- Polypropylene shirts (1 half sleeve and two long sleeves)
- Light and expedition-weight thermal tops
- Fleece wind-stopper jacket or pullover
- Waterproof (preferably breathable fabric) shell jacket
- Down vest and jacket *
- Gore-Tex jacket with hood, waterproof and breathable
LOWER BODY
- Non-cotton underwear briefs
- 1 pair of Hiking shorts
- 1 pair of hiking trousers
- 1 pair of lightweight thermal bottoms (seasonal)
- 1 pair of fleece or woolen trousers
- 1 pair of waterproof shell pants, breathable fabric
FEET
- 2 pairs of thin, lightweight inner socks
- 2 pairs of heavy poly or wool socks
- 1 pair of Hiking boots with spare laces (sturdy soles, water-resistant, ankle support, "broken-in")
- 1 pair of trainers or running shoes and sandals
- Cotton socks (optional)
- Gaiters (winter only), optional, "low" ankle high version
HANDS
- 1 pair of lightweight poly liner gloves.
- 1 pair of lightweight wool or fleece gloves
- 1 pair of mittens, consisting of 1 Gore-Tex over mitt matched with a very warm polar-fleece mitt liner (seasonal)
TOILETRIES
- 1 medium-sized quick-drying towel
- Toothbrush/paste (preferably biodegradable)
- Multipurpose soap (preferably biodegradable)
- Deodorants
- Nail clippers
- Face and body moisturizer
- Female hygiene products
- Small mirror
- Personal Hygiene
- Wet wipes (baby wipes)
- Tissue /toilet roll
- Anti-bacterial handwash
SLEEPING
- 1 sleeping bag (good to -10 degrees C or 14 degrees F)*
- Fleece sleeping bag liner (optional)
- Rucksack and Travel Bags
- 1 medium rucksack (50-70 liters/3000-4500 cubic inches, can be used for an airplane carryon)
- 1 large duffel bag *
- A small daypack/backpack for carrying your valuables should have good shoulder padding.
- Small padlocks for duffel-kit bags
- 2 large waterproof rucksack covers (optional)
MEDICAL
- Small, personal first-aid kit. (Simple and light)
- Aspirin, first-aid tape, and plasters (Band-Aids)
- Anti-diarrhea pills
- Anti-headache pills
- Cough and cold medicine
- Anti-altitude sickness pills: Diamox or Acetylpolyamine
- Stomach antibiotic: Ciprofloxacin, Etc. Do not bring sleeping pills, as they are respiratory depressants.
- Water purification tablets or the water filter
- Extra pair of prescription glasses, contact lens supplies
- Extras/Luxuries
- Reading book
- Trail map/guidebook
- Journal and pen
- Binoculars (optional)
- Voltage converter (from 220 to 110)
- Plug adapter (2 round pegs to 2 flat pegs)
Acclimatization And High-Altitude Sickness
The acclimatization planned during the trip helps trekkers adapt to the environment with less oxygen. Our body needs time to adjust to higher altitudes. Rushing to the higher elevation without acclimatization may result in acute mountain sickness (AMS), which could be fatal. The trekkers may suffer from AMS above 2,400m/7,875ft as the amount of oxygen becomes less and less with the increase in elevation.
We can categorize AMS into three categories with its symptoms. The trekker suffering from normal AMS feels giddy, gets headaches, has Nausea, and is out of breath. It is suggested not to worry as it disappears after the body gets used to less oxygen. Likewise, trekkers suffering from mild AMS show symptoms of dizziness, muscular pain, insomnia, headache, vomiting, loss of appetite, rapid heartbeat, and shortness of breath. Mild AMS can be treated with anti-headache medicines.
A person suffering from serious AMS shows heightened symptoms, including shortness of breath, even while resting. The trekker with serious symptoms can barely walk, and fluids may start building up in the lungs. The trekker having serious AMS has to be taken to a lower altitude immediately.
Advanced Cases Of AMS
If AMS is not treated in time, it can be life-threatening and lead to edema, a condition in which fluid accumulates in the body's tissues. Following are the two serious altitude sicknesses caused at high altitudes.
High Altitude Cerebral Edema (HACE)
In HACE, the brain gets swollen, leading to coma and even death. Its symptoms are paralysis on one side of the body, bladder dysfunction, fatigue, bowel dysfunction, loss of coordination, and confusion. Descend to a lower altitude as soon as possible to prevent the worsening of the condition.
High Altitude Pulmonary Edema (HAPE)
Fluid accumulates in the lungs, which also increases the capillary pressure. Its symptoms include severe shortness of breath at rest, dry cough that later produces frothy pink sputum, and fatigue. Important Note: Severe cases of AMS are rare. All our Adventure Club Trek guides know the symptoms of AMS and can handle it with care. We prioritize acclimatization, talk about the use of Diamox beforehand, and counsel all our trekkers on the risk and preventive factors before and during the trip. Your safety is our main concern.
First-Aid Kit
Our guides and porters are equipped with a basic first-aid kit during regular treks. For expeditions that take on isolated and off-the-beaten trekking paths, a comprehensive first-aid kit is compulsory, and the same goes for climbing expeditions.
- A bandage in case of sprains.
- Plasters/ Band-aids and antiseptic ointments for simple cuts
- Iodine or water filter (optional) instead of buying bottled mineral water
- Moleskin/Second skin in case of blisters.
- Aspirin/Paracetamol -painkiller.
- Oral rehydration salts-Nava Jeevan or Jeevan Jal (orange-flavored ORS)
- The broad-spectrum antibiotic (norfloxacin or ciprofloxacin).
- Anti-diarrhea medication (antibiotic).
- Diarrheal stopper (Imodium - optional).
- Diamox 250/500mg (for altitude sickness).
- Gel hand cleaner/sanitizer.
Note: We can add medical supplies per the trekkers' special needs to the first-aid kit given above.
Visa And Entry Procedures
Everyone needs a visa to enter Nepal except Indian nationals. Citizens of the SAARC nations like Pakistan, Bangladesh, and Bhutan do not require a visa for 30 days. Fortunately, getting a Nepal visa is an easy process. Tourist visas and official overland entry points are issued on arrival at the international airport. However, travelers from Afghanistan, Iraq, Cameroon, Ghana, Somalia, Swaziland, Senegal, Zimbabwe, Nigeria, Ethiopia, and Liberia have yet to be issued visas on arrival. After you arrive at the Tribhuvan International Airport in Kathmandu, you will find electronic kiosks to assist with your visa processing. After taking the completed form and paying the visa fee, you must stay in the long immigration queue for your visa on arrival.
Visitors can now apply for the online visa within 15 days of their arrival date in Nepal. For this, you will need your Nepal hotel address and a digital passport-sized photo to be uploaded to the online application. After submitting the form online, you need to print out the confirmation page, which has to be furnished at the immigration section in Kathmandu airport, along with your passport and the required visa fee.
Tourists can also apply for a Nepali visa at the local Nepali Embassy or Consulate in their respective countries. Or, they can even mail their visa application to the visa office near their location, but well ahead of time to allow sufficient processing time. Nepal visa information for all categories of travelers and their correspondence cost can be very handy, so for more information and contact details of the Nepali Embassies and Consulate worldwide, you may Contact us for more information.
Whichever way you enter Nepal, you will be given a 15/30/90-day visa as per your requirement. The general Nepal tourist visa fee on arrival for multiple entries is:
15 days – US$30, 30 days – US$50, and 90days – US$125
Tourist visas can be extended for a maximum of 150 days a year. These extensions are granted only at the Department of Immigration offices in Pokhara and Kathmandu. For more information on Nepal visas, visit our visa information page.
Our Trekking Guides/Leaders
Here at Adventure Club, our staff is like family. We only use locals to support their communities and train our staff rigorously to be the best they can be – for you!
- Full first-aid training
- Guide Training (trekking)
- English and other common languages (as requested)
- Village and Land Conservation
- Mountaineering (for specialty expeditions or climbing treks)
All our guides are highly trained in all aspects of trekking, conversation, first-aid, and emergency evacuation. They are all very professional, knowledgeable, and passionate about tourism. They are local guides, and their English is sometimes limited to trek-related topics. They know how to facilitate running a smooth and safe trip while appreciating the beauty of the Himalayan world.
Porters Care
On any team, courtesy and respect are fundamental for an enjoyable and worthwhile experience. Our porters are an essential, integral part of each trekking team; as such, they are well-treated and well-paid. After your trek, you will find they have fully earned your gratitude and respect. We expect all trekkers to keep their baggage weight under 22kgs/40lbs. Adventure Club Trek maintains a full commitment to the rights of our porters, providing them with appropriate clothing, gear, and lodging. In case of serious accident or sickness, they receive the same care as anyone else employed on the trekking team, even including evacuation by helicopter at our expense if appropriate. We fully support the IPPG (International Porter Protection Group), which strives to maintain and improve our porter's working conditions.
Travel Insurance
To be adequately protected in terms of insurance, you will need specialist travel insurance for participation in hazardous activities. A travel insurance policy that covers helicopter evacuation, trip cancellation, injury, death, lost baggage, theft, liability, medical treatment, and expenses is strongly recommended. Ensure the insurance covers all the activities you will be undertaking during your stay in Nepal, such as trekking and climbing. Suppose you are injured and unable to travel. In that case, you can ask for a rescue helicopter from a remote area only if you have definite proof that you can pay for it. Adventure Club Trek has an agreement in Kathmandu that guarantees payment for helicopter evacuations. They pay a cash deposit to the helicopter operator and collect the money from you once you have been rescued. Be sure your policy specifically covers mountaineering or alpinism, or you may need help to settle a claim.
Group Size And Team Composition
We always form a small group of like-minded people to give them a wonderful and wise travel experience. It provides opportunities to interact and share in a fun-filled environment in the wilderness. Generally, our travel group comprises a maximum of 16 members. We need at least two participants to run our fixed departure dates. For private trips, the number of group members does not apply. We always strive to form a team, ensuring that the members are comfortable with one another.
Tipping
Tipping is optional in Nepal as most services include a service charge. However, if you want to express your gratitude, you can tip drivers and hotel staff. People usually welcome such generosity. When tipping your porters or trekking leaders, use your discretion as per the quality of the services. Tip money does not form a part of our employees' wages. However, you can use tipping to show appreciation for excellent service at the end of the trip.
