HomeTravelRaftingJungle SafariRecommendationOur TeamPolicyGalleryContact Us
Quick Menu
Why Trekking In Nepal ?
Types Of Trekking
Visa And Embassy
Nepal Festival Informations
Equipments and Medicine
Trekking Guides
 
History Of NMA
All Trekking peak in Nepal
Mountaineering Association
 
Annapurna Region
Annapurna Circuit Trek
Annapurna Sanctuary Trek
Jomsom Muktinath Trek
Machhapuchhare Model
Mardi Himal Trek
Annapurna Panorama Trek
Annapurna to Muktinath
Gospel Trekking
Missionary Trekking
Sikles Widerness Trek
Khopra Khayar Lake Trek
Sikles Trek 8 Days
Annapurna Base Camp
Namun - La Pass Trek
Upper Mustang Trek
Poon Hill Sun Rise Trek
4 Days Dhampus Ghandruk
Nirvana Trek to Jomsom
Round Annapurna Trek -1,2,3,4 Itineraries
Annapurna Circuit Trekking
Ghandruk Trek
Khopra Trek
Millennium Trek
Non Tourist Area Trek
Jomsom Trek
Khopra Khayer lake Mohare Danda Trek
Hot-Spring Annapurna Trek
Mardi Himal via Poon Hill
 
Short & Sweet Trek
Dhampus Trek 3 Days
The Royal Trek 4 Days
Poon Hill Sunrise 8 Days
Ghodepani Ghandruk Trek
Annapurna Balcony Trek
Panchase Trek 8 & 5 Days
Ghandruk Trek 3 Days
Day Hiking around Pokhara
Australian Camp Trek
Ghachok Trek 2 Days
One day tour in Pokhara
 
Everest Region
Everest Panorama Trek
Everest Base Camp Trek
Everest Gokyo Lake Trek
Everest Three Pass Trek
 
Langtang Helumbu Region
Langtang Trekking
Helambu Valley Trekking
Tamang Heritage Trek
Bridim Rimche Trek
 
Manaslu Region
Tsum Valley Trekking
Manaslu Circuit Trek
14 Days Manaslu trek
21 Days Manaslu Trek
21 Days Tsum Valley Manaslu Trek
 
Ganesh Himal Ruby Valley
Sing - La Pass Trekking
Ganesh Himal Trek
 
Far Western Nepal Trek
Humla to Kailash Trekking
Dhorpatan Wildlife Trek
Limi Humla Trek 18 Days
Churen Himal Trek 20 Days
Jumla Rara Lake Trekking
Gurja Himal Trek 19 Days
 
Eastern part of Nepal Trek
Makalu Base Camp Trek
Milke Danda Trek 11 Days
Kanchanjangha Trekking
 
Adventure Trek
Round Dhaulagiri Trekking
Tilicho Mesokanta - La Pass
Tilicho Lake Trekking
Ganja - La Pass Trekking
Namun Bhanjyang Trek
 
Peak Climbing
Pisang Peak Climbing
Chulu East Peak Climbing
Island Peak Climbing
Labuje Peak Climbing
Mera Peak Climbing
Thapa Peak Climbing
Tent Peak Climbing
Singu Chuli Peak Climbing
Chulu west Peak Climbing
Chulu Far East Peak
Mardi Himal Peak Climbing
Yala Peak Climbing
Paldor Peak Climbing
Hiunchuli Peak Climbing
Ramdung Peak Climbing
Kusum Kanguru Peak
Ramdung & Pachhermo
 
Expedition
Mt Dhaulagiri Expedition
Annapurna 1 Expedition
Annapurna III Expedition
Annapurna II Expedition
Annapurna IV Expedition
Everest Expedition Tibet
Amadablam Expedition
Barunche Expedition
Kanchenjunga Expedition
Manaslu Expedition
Everest Expedition Nepal
Himlung Himal Expedition
Mt Choyu Expedition
 
Restricted Area Trek
Upper Mustang Trekking
Upper Dolpo Trekking
Upper Mustang Via Damodar Kunda Trek 17 Days
Upper Mustang to Nar - Fu
Nar - Phu Trekking
Lower Dolpa Trek 15 Days
Lower Dolpa Trek
 
Culture and Heritage Home Stay Trekking
Sirubari Village Trek
Ghale Gaun Trek
Gurung Heritage Trail
 
Honey Hunting Trek
Bhujung Honey Hunting
Honey Hunting Ghalegaun
Honey Hunting Annapurna
 
Newly Open Non Tourist Area Trek Route
Myagdi Eco-Tourism
Guerilla Trek 15 days
Baglung Eco-Trek
Numbur Cheese Circuit
Bhairav Kund Trek
Five Lake Trek
Sailung and Timal Trek
 
Bird Watching Trek
Bird Watching Annapurna
Bird Watching Langtang
Bird Watching Annapurna
 
- Others
Reviews / Recommendation
Online Reservation
Oversease Booking
Do and Don't
Safety
 
plan your trip
 
 
Equipments and Medicine
Equipments and Medicine list -
 
Sleeping -
 
Tent (necessary for treks with camping)
Sleeping bag (–15° bag will suffice on most treks)*
Sleeping pad
Silk liner
 
*Many nights at lower elevations will be hot, but because there will likely be a few very cold nights at high elevation a cold weather bag is unavoidable. At low elevations you can sleep with the silk liner only and using it later extends the life of your bag (oil from skin is bad for expensive down).
 
 
Hiking -
 
Backpack ( Rucksack )
Hiking boots* (break them in beforehand)
Camp shoes (your reward after a long day)
Wool socks (bring a few pairs of varying thickness)
Lightweight trekking pants
Trekking shorts
T-Shirts (lightweight wool is great)
Underwear
 
 
Cold Weather - 
 
Long underwear/Wool thermals
Sweater
Fleece
Waterproof jacket and pants
Heavyweight pants for high elevations (also good for camp)
Heavy down jacket (can be rented in Pokhara )
Winter hat
Winter gloves
 
Accessories -
 
Water purification (pump, tablets, or SteriPen; bring from home)
Water bottles (at least 3 liters total capacity)
Baseball cap (the sun is strong at all elevations)
Hiking poles (lessen the impact on your joints)
Sunglasses (essential when you cross snow line)
Head lamp with extra batteries
Reading materials (Kindle may be best)
Journal and pens
Camera with extra batteries
Daypack (for your rain jacket, snacks, camera, etc.)
Heavy-duty duffle bag (preferred by porters)
Gators (many people wear them but they are not mandatory)
 
Personal Supplies -
Sun glass 
Sun screen
Hand sanitizer
Toiletries (toothbrush, toothpaste, deodorant, floss, etc.)
Biodegradable bar soap
Face/body wipes
Biodegradable washing liquid
Throat lozenges, lip balm
Medications (Ibuprofen, others if necessary)
 
Extras -
 
Duct tape (fixes just about everything, at least temporarily. To avoid carrying an entire roll wrap the desired amount around a pencil)
First aid kit (with moleskin for blisters,Diam-ox/ Diamox )
Extra passport photos and photocopies of your passport
==============================================================
 
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, 10 - 12 Kilograms is ok.
6. Climb higher sleep lower.
7. Over 3000m, 300m. Ascent a day.
8. 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 4ltr of water minimum a day, don't exhaust yourself so much and breathe deep and take rest more than usual.
 
TREKKING FIRST AID KIT: SUPPLIES ----
 
7.5cm X 7.5cm gauze pads 2
10cm x 10cm non-adherent pads 10
large sterile dressing 2
Mediswabs 5
2.5cm Bandaids 30
Tampons for cotton wool 3
Stingose 2
sewing needle 1
razor blade 1
10cm elastic bandage 2 SEPARATE
2.4cm adhesive tape (1 roll) SEPARATE
 
TREKKING FIRST AID KIT: MEDICATION
Diarrhoea
Gastrolyte sachets x6 (200ml)
Loperamide (Imodium) x16 (2 to start, then 1 after loose)
Ciprofloxacin 500mg x56 (2/day 7d, before food)
Tinadazole (Fasigyn) 500mg x12 (take 4 with food)
Lomotil x20 (2 to start, then 2 every 6h until fixed)
Azothromycin 3x500mg (500mg/day) CIPRO RESISTANT
Skin problems
Bactoban 1% cream (15g tube)
Constipation
Coloxyl and senna 10 (1-2 at night, up to 4 for constipation)
Gaviscon antacid 8 x 250mg
Respiratory illness
Roxithromycin (Biaxsig) 150mgx16 (2/d 5d, before food)
Cephalexin 500mgx20 (also for wounds) (4/d 5d)
Sudafed
Painkillers
Paracetamol 25x500mg
Codeine phosphate 30mgx40 (4/d)
Fentanyl 12ug/hr x4 (3 days each!)
Eye and ear problems
Neomycin (Nemdyn) ointment (apply 3/d)
Prednisone tablets 25mgx24 (2/d 3d with food)
Other
Claratyne antihistamine 10x10mg (1/d) allergies
Acetazolamide (Diamox) 250mgx10 (½ tab before altitude)
 
SMALL FIRST AID KIT FOR TREKKING ~280G – GROUP OF -2
 
SMALL TREKKING FIRST AID KIT: SUPPLIES
7.5cm X 7.5cm gauze pads 2
5cm x 5 cm sterile dressing 3
2.5cm Bandaids 20
Mediswabs 7
Medipulv 12g
Betadine antiseptic ointment 20g
Tweezers 1
Needle 1
Razor blade 1
Glycerin suppositories 2
Tampons 3 (cotton wool)
Water purifying tabs 25 (1/litre)
 
SMALL TREKKING FIRST AID KIT: MEDICATION --
 
Loperamide (Imodium) 4x2mg (2 to start, then 1 if loose)
Lomotil 8×2.5mg (2 to start, then 2 every 6h until fixed)
Claratyne antihistamine 3 x 10mg (1/d)
Caltrate 3 x 600mg
Paracetamol 10 x 500 mg
Antistine Privine
Codeine phosphate 7 x 30mg (4/d)
Gaviscon 16 x 250mg
Salt for leeches
Plasters / bandaids
10cm rolled bandage SEPARATE