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5 Signs You May NOT Recognise As Acute Mountain Sickness (AMS)
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- čas přidán 2. 06. 2019
- Acute Mountain Sickness is very common when you’re trekking in the Himalayas.
How common is it? Well, in a team of 20, we see at least 3-4 people showing symptoms of AMS. Most of them recover within a few hours.
We’ve also noticed that all of them don’t show symptoms at the same time. Some of them might show symptoms at a lower camp, some at a middle camp and some at a higher one.
Some show symptoms even while descending!
Now that might surprise you.
But it’s something you should keep in mind. AMS doesn’t always affect you while ascending. It might have hit you at your previous campsite or at the highest point on your trek, and the symptoms might show up the next day when you’re descending.
So you have to be vigilant at all times.
Getting to the symptoms of Acute Mountain Sickness, here's what we see most often.
Most trekkers affected by AMS display gastrointestinal symptoms. They either go to the loo very often, or they feel nauseous. They sometimes vomit. Especially late in the evening or after bedtime.
In our experience, GI symptoms (gastrointestinal) are a lot more frequent than the notorious headache that all manuals will tell you about.
Having said that, we have seen trekkers suffering from persistent headaches too. It builds up while trekking. It persists through the afternoon and evening. Most confuse it with dehydration. Or they assume it’s the heat. Most often they are right, but they could be very wrong too.
Moving on…
They find it hard to sleep at night.
You’ll often hear them saying “I’m feeling uneasy.” They won’t be able to explain that uneasiness.
These are all classic symptoms of AMS.
There are more symptoms - fatigue, loss of appetite, dizziness.
Of the three, look out for trekkers who are supercharged on day one and suddenly lagging behind on day two. (They’ll most likely tell you that they’re slow because they are taking in the scenery. Most of them don’t like to admit to any symptoms.)
Watch, especially, for not wanting to eat.
What I’ve learnt is that when you’re at high altitude, any symptom you have must first be attributed to AMS and then to anything else.
If these symptoms are treated immediately, AMS can be cured and the trekker can proceed further. Most of our trekkers who have mild AMS go on to complete the trek after medication.
If left untreated and ignored, mild AMS could transform into its more sinister cousins - HAPE or HACE.
To understand how to treat Acute Mountain Sickness, click here - • How to treat and preve...
To learn how to prevent Acute Mountain Sickness, with Diamox and without Diamox, click here - indiahikes.com...
To know more about High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE), click here - indiahikes.com...
To read case studies about Acute Mountain Sickness, HAPE and HACE, click here - indiahikes.com/...
To download a manual on Acute Mountain Sickness, click here - indiahikes.com...
A special thanks to Ashwini Kenkre for helping us with footage from the mountains, and Yash Raj, who shot them.
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Absolutely great video, I was recently hit by AMS, and this is my suggestion for first timers.
I recently did the pangarchulla trek, and it has become harder now because of the camping ban. So we had to ascend quickly from 11500 feet to 14700 in one day.
I was hit by AMS on the very top of the peak and it was horrible as we had a down climb in snow for 6 hours after that.
Suggestions:-
1. Never stay right behind the guide or the trek leader trying to keep up with them. Guides and trek leaders are very experienced and they tire lesser than other trekkers.
2. Never let your heart rate reach 85% of the max heart rate. Always try to keep it comfortable heart rate wise. If you think your heart rate is Increasing, let it go down. And then continue.
3. Take small steps. Huge steps engage larger muscles, larger muscles require more blood flow, this will tire you much quicker.
4. Drink a lot of water. Once in snow, you will stop sweating, thus not feel thirsty at all. But please forcefully drink water and urinate.
5. Always remember to discuss each and every symptom you are facing with trek leaders and guides. Because AMS starts slowly, but hits quickly.
Never try to ignore the risk of AMS, because once you are hit by AMS, it will disable you mentally and physically to continue enjoying your trek and it will become a nightmare.
Always remember, completing trek is optional, but returning is mandatory.
What great tips! Thanks for putting this down.
We stopped running both, Pangarchulla and Kuari Pass because of this excruciating climb which takes the fun out of the trek! We're glad you're sharing your experience.
You're also welcome to write about your personal experience at Pangarchulla, what went wrong, what went right, what you learnt on our website. Just write to info@indiahikes.com if you'd like to contribute. :)
Sahi
Thanks a lot
Thanks
You guys at Indiahikes are doing an amazing job. Keep going
Very informative video but I once told my trek leader that i was shivering last night due to cold and he sent me back for AMS but before summit day.
Thank you for valuable information.
Great video and very educational, thank you! Have you ever heard anyone complaining they feel heaviness in their legs while hiking at a lower oxygen levels? What do you attribute this symptom to?
Nice video, i have all the symptoms unhave spoken whenever i go to the mountain region i feel like vomiting i feel like i should get out as soon as possible
I always have the first two symptoms on any trek above 2500 mtrs! My first two trips were a disaster with the trek leader blaming it on food! I have learnt my lesson (or so I think 🤔)
It's never likely to be the food. In the mountains, always suspect and treat AMS first, and then anything else.
Thank you :)
How do I treat indigestion on a high altitude? It has happened to me in Peru and Ecuador. I had to take strip of antibiotics like Norflox 400. Do you have any other effective medicine recommendations? Thank you.
Hello Swati ..........I like mountain , nature,and trekking as well as.......I saw your all the videos......you all are doing a great job . .......I want to say u that .....I wanna to become a trekker .....so what can I do ......
Hey Swathi, I like your channel a lot, can u suggest me best moderate trek for the month of September?
Hi Vimal, one of the best treks in September is the Tarsar Marsar trek in Kashmir - indiahikes.com/tarsar-marsar
If the dates suit you, choose it first.
If not, you can choose from the treks here - indiahikes.com/upcoming-treks/
How do you go about getting the meds for AMS? I was in Colorado about a year ago around 10,000 to 11,000 and has several of the symptoms. I was told to hydrate constantly and I happened to have sone prednisone with me. I have a Hx of asthma. I had never been so happy to get to a lower altitude. Just found your channel and love it.
Going by what I read, Acetazolamide is not available without a prescription in the USA. (www.pushhealth.com/drugs/acetazolamide)
But this is main medicine you need for altitudes like 10,000 - 11,000 ft.
Only if you're climbing higher, above 14,000 ft, you need Nifedipine / Dexamethasone to treat more severe forms of AMS.
You can read more about it on these posts:
3 life saving drugs that you need at high altitude - indiahikes.com/treat-altitude-sickness-ams-hape-hace/
How to prevent acute mountain sickness - indiahikes.com/prevent-altitude-sickness/
How to treat acute mountain sickness - indiahikes.com/treat-altitude-sickness-ams-hape-hace/
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great video of alertness of ams.can anybody do treks in the category of moderate to difficult at the age of 55 years plus.i am very much interested.i am very fond of passing time by enjoying trekking videos.thanks
thanks
If you're fit, then you can definitely do the moderate to difficult treks that we have, even if you're 55. You will have to train for 30-45 days specifically for the trek, this is what we recommend to all our trekkers.
Is it possible to get struck by ams while trekking hemkund sahib or valley of flowers
Hello Swati ji please YOUR vlog in Hindi & gujarati
Hello Swati Mam
I am going for kinner kailash trek 18 -19000 ft
What medicines should i take with me
And also suggest over the table sale medicines because here doctors don't seem me to take this serious and haven't prescribed anything
I have been upto 15000 ft without any meds but this time i want to go fully prepared 😊😊.
Following
Hi I recently faced such conditions during Hemkund Sahib trek. I am 47 years old. I want to do KGL next year. How can I prepare myself to avoid AMS?
Hope you got back from the trek safe and sound. There are several things you can do to prevent AMS. This video will give you a clear idea of the steps you can take - czcams.com/video/JYcVwxrfHyg/video.html
Hi Swathi,
I am going for Hampta pass this june. Please let me know when should i start taking diamox and till when.
Hi Rituraj, start taking Diamox a day before reaching high altitude. That's a day before reaching Manali. And take it till you end the trek. It's a dosage that must be weaned off and not suddenly stopped. You can read more about a preventive course of Diamox here - indiahikes.com/prevent-altitude-sickness/
Hey Swathi,
I'll be going on rupin pass on 15 June can u tell me when m i supposed to take diamox to prevent ams??
Hi Gaurav, Rupin Pass does climb slowly until Jiskun. But after that it climbs very quickly. So it's best for you to get on a preventive course from Dhaula onwards (from the evening you reach Dhaula). Take half a tablet once in the morning and once at night, after your meals. That should help.
Read more about a preventive course of Diamox here before going on your trek - indiahikes.com/prevent-altitude-sickness/
hey Swathi,
i going for buran ghati trek from 14th june. whene should i take diamox to prevent ams. And should we AAA test before treating it as AMS?
Start your course of Diamox from one day before you reach Shimla. That should help. Is there a reason you are asking about an AAA test?
@@Indiahikes yeah.. so if we are feeling like headache or something uneasy in stomach, shouldn't we first take a med (Disprine or Digine) with one ltr of water and 1 hour of rest.
I if i start feeling well then it may be a case of De-hydration or a little stomach pain. Hence we don't really need to start treating it as AMS.
Beacuse somehow i feel if straightforward we connect some uneasyness feelings with AMS aslo effect our mind to think the things which is not that sever.
But that doesn't mean with should take anything lightly in mountains. but in other hand overthinking also affect your trek. #just_my_thought
Hii , i'm going ShriKhand Mahadev this july So should i take diamox or Not ??
Hi Nishkarsh, you should absolutely be taking Diamox when you're climbing to such high altitudes, mostly to stay on the safer side. But do make sure you read all you need to know about acute mountain sickness, HAPE, HACE here - indiahikes.com/category/high-altitude-research/
Hey Swathi i am planning for a valley of flowers trek in July 2020 is diamox necessary for this trek please give link for more details on this i am 52 how shd i prepare myself for this
Hi Vani, for Valley of Flowers, you can just carry the medication with you. The trek helps you acclimatize well because you're constantly climbing and coming back to a lower altitutde. Your sleeping altitude is always lower than your highest altitude for the day. That's one of the best ways to acclimatise.
For more info on the trk, head over here - indiahikes.com/valley-of-flowers/
For more details about preventing AMS, head over here - indiahikes.com/prevent-altitude-sickness/
@@Indiahikes thank you
U r braver than me.dear
👍 🙏
Does oxymeter helps to detect the AMS
It works as a strong indicator, yes. Since it shows the oxygen saturation in your blood. When it is below 80-85, and if there are physiological symptoms along with it like headache, nausea and fatigue, it's a sure shot sign of AMS.
This is why we do an oxycheck thrice a day on a trek, to keep track and make sure that the slightest of symptoms don't go undetected.
Having said that, you cannot fully rely only on oximeters. It is a machine after all. You need a good understanding of the symptoms and behaviours associated with it to identify AMS and tackle it immediately.
@@Indiahikes Thanks
first comment
Useless...