Mountain Sickness, Acclimatization - Kilimanjaro


Mount Kilimanjaro climbing,trekking,hiking planning.  

Useful information on climbing mount kilimanjaro. Climbing gears, kilimanjaro climbing routes, kilimanjaro climbing price costs, discount kilimanjaro climb packages, kilimanjaro view tours and climbing kilimanjaro guides.

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When the idea of climbing mount Kilimanjaro,trekking,hiking then first think about precautions and things which will make your trip success.  

Expert mountain climbing guides from Kilimanjaro Tanzanite Safaris Co.Ltd explains and takes care of Tourists when climbing mount kilimanjaro. Guides takes care of food, guiding to kilimanjaro summit, nature lecture,snow and volcano tours on Mount kilimanjaro

One of the precautions to consider is how to overcome or avoid problems. One of the problems which might occur is High Altitude Sickness (HAS) or Acute Mountain Sickness (AMS). How ever if you have proper information about HAS/AMS then you will climb Mount Kilimanjaro successful and with comfort. Mountain climbing guides on Mount Kilimanjaro and Meru know well about HAS/AMS. All mountain guides are well trained and most of them have experience of 5 to 20 years trekking mount Kilimanjaro. So When hiking up Kilimanjaro tell the Mountain guide how do you feel and also follow advise.  

   

High Altitude Sickness (HAS)  

Acute Mountain Sickness (AMS).  

High Altitude sickness or Acute Mountain Sickness (AMS) can affect mountain climbers, hikers, skiers, or travelers who ascend too rapidly to high altitude, typically above 8000 feet or 2400 meters. The risk is higher for persons who normally reside at or near sea level. Anyone is at risk, no matter what age or level of fitness.  

The reduction in atmospheric pressure and a lower oxygen concentration at high altitude are the cause of the illness, which can affect lungs, nervous system, muscles and heart.  

Symptoms can range from mild to life threatening.  

Mild symptoms (most cases):  

-Headache, difficult in sleeping, loss of appetite, nausea and/or vomiting, fatigue, dizziness or light –headedness, rapid pulse, shortness of breath with exertion.  

Severe symptoms (can cause death if not treated early)  

-Continuous cough with shortness of breath at rest, chest tightness or congestion, coughing up blood, bluish color of skin, inability to walk in straight line or to walk at all, deceased consciousness, confusion, gray or pale completion: in these cases there is edema in the lungs (HAPE or High Altitude Pulmonary Edema) or in the brain (HACE or High Altitude Cerebral Edema).  

The risk and severity of AMS is higher as the rate of ascent is increased, the higher altitude attained and higher levels of exertion. It takes about 8 hours to develop, which is why skiers usually don’t suffer too much.  

At altitude below 3000 metres, about 20% of the people develop symptoms, but above 3500 metres most people will experience at least some symptoms, while at altitudes below 5000 metres, virtually everybody will suffer symptoms, especially if enough time is not taken for acclimatization.  

Considering the altitudes of the peaks of Mount Meru (4667 metres) and Mount Kilimanjaro (5895 metres) and the short  time span generally taken in climbing these  mountains, most climbers will develop  some form as AMS ,if they do a rapid  ascent without sufficient acclimatisation. For Marangu route you can climb for 5 days successful to the top, because Marangu route is easier and gentle. How ever it depends how fit you are and 6 days is recommend so that yourself enough time while climbing Kilimanjaro. Other routes mostly need 6 days or more like Machame, Rongai, and Umbwe; while Lemosho and Shira need 7 days or more for Kilimanjaro trekking expeditions.  

 How to prevent (serious) AMS:  

Take  as much time as possible  to acclimatise.When climbing  above  300 metres ,sleeping elevation should not increase more than  300 metres  per night  and spend  a second  night  at same elevation for every  1000 metres. That is why we recommend to take an extra day for acclimatization so that your Kilimanjaro trekking adventure is fun and success.  

   

 Recognize early symptoms of AMS, so you can return if needed. Experienced guides will monitor you and warn you in time. All guides are experienced and have taken many Kilimanjaro trekking adventure trips to the Kilimanjaro snow.  

Go slowly! This is special warning for extra fit climbers who have a tendency to go too fast and increase their risk for AMS. Please take advise of Guides and surely you will be safe and success in your Kilimanjaro trekking expedition.  

Mount Kilimanjaro National park authority always have principles of maintaining group of 6 or less and at least 3 guides to take care of every Tourist climber. Mostly these guides are local born at base slopes of mount Kilimanjaro, well educated and trained. They have local knowledge useful for Tourists and adventures.  

Drink as much water as you can, and enough water is provided by Travel Agencies/Kilimanjaro climbing outfitter. Acclimatisation and the exertion of the climb caused fluid loss. You will need to drink 3-5 litres per day! Monitor your urine color (should be clear).  

Don’t over –exert yourself when you first get up to altitude, but light activity is better than sleeping because respiration decreases during sleep, making AMS symptoms worse.  

Avoid smoking, alcohol and tranquillizers as they further decrease the respiratory drive during sleeping-resulting in worsening symptoms.  

Eat a high carbohydrate diet (more than 70% of calories from carbohydrate).Oral rehydration salts and energy bars are recommended. Ask the Travel agency or Kilimanjaro trekking for Menu daily time table and demand what you need.  

Strongly consider the use of Acetazolamide (Diamox) to speed acclimatisation with a factor 3-4.This drug was introduced in the mid 1990’s; it makes the blood more acid and stimulates the frequency of respiration. Side effects: incease of urine output, tingling of fingers and lips. Mild drowsiness and a possible allergic reaction as it is sulfa based.If considering taking the drug, try it before the trip. The most recent advice for the dosage: 250 mg in the morning (whole tablet), 125 mg in evening (1/2 tablet).Start the day before or the day of the ascent and continue 3-4 days, as normally acclimatization takes 3 days.  

People suffering from cardiac or severe pulmonary diseases and pregnant women should avoid high altitudes.  

How to treat AMS:  

-The principle is to descend to lower altitude as rapidly and safely as possible. Usually there are Emergency Mountain Rangers who are standby for taking rescue of any ill person. Mountain rangers work hand in hand with your guides.  

-Oxygen and drug as Acetazolamide, Nifedipine and Dexamethasone can be used in more severe cases but need good medical supervision (not always available!).  

-For severe cases as HAPE and HACE-hospitalisation is required,but facililities such as mechanical ventilation are usually not available. This refers to such devices as the Gamor Bag-standard equipment on mountains like Everest. With the ever increasing amount of climbers on Tanzania’s peaks (1000’s per year) one would hope for some investment in improvement of medical facilities on these mountains  

KILIMANJARO TANZANITE SAFARIS CO.LTD is a reputable tour operator in Tanzania and organize climbing mount kilimanjaro trips and wildlife safaris.

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Take precautions and follow advice so that you avoid this sickness. Wish you well planning and Kilimanjaro trekking expedition and climbing adventure successful.  

Let us help you plan Mount Kilimanjaro, contact us now:  

Email: info@kili-tanzanitesafaris.com

Peak to Peak Trail and Wilderness Links
Peak to Peak Trail and Wilderness Links


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