Everest 03 High Passes Trekking 21 Days

everest high passes trek Everest 03 high passes trekking provides surprising views of the towering mountains like Everest (8,848m), Lhotse (8,516m), Ama Dablam (6,812m), Makalu (8,516m) and many other peaks. Crossing the craggy high passes of Renjo la (5388 m), Cho La (5380 m) and Kongma La (5535 m) with ascend of the three peaks of Gokyo Ri (5483 m), Kalapathar (5545m) and Chukung (5550 m) and the hike to Everest base camp makes this high pass trek the unparalleled and memorable trekking experience in Nepal. The cultural aspects of this trip are simply amazing as it gives you deep insights of mountain traditions and how mountain communities survive in these harsh zones, but yet reserve their warm smiles for visitors despite the biting cold. This westerly approach to Everest provides amazing vistas of the world’s highest mountain and should be considered in particular, by the keen photographer or by those who want a tougher trek.

The adventurous Everest 03 High Passes trekking sets off from Lukla, gateway to the Everest Region. We take a 45 min scenic mountain flight to Lukla from Kathmandu after exploring the Kathmandu Valley further more. We then trek to Phakding passing many Tibetan Buddhist prayer walls, monasteries and monuments. We continue to Namchhe Bazaar by descending towards the Dudh Koshi River and join the main trail. From Namchhe Bazaar we walk on a peaceful trail with excellent views of the mountains as it winds in and out of the forest on the side of the canyon. The trail moves around the villages of Hungmo, Taramga, Marulung and reaches Lungden. Further ahead, we cross the Renjo La Pass (5,388m) to reach the pretty Gokyo Lake.

After observing the beauty of the Himalayas from Gokyo Ri we proceed towards the mighty Cho-La Pass via Lonpongo and Tagnag. The challenging ascent to Cho-La Pass rewards you with magnificent view from the top. We traverse high on the flanks of Awi Peak, above the village of Chola and continue past Cholatse Lake to reach Lobuche. The trail then follows the rough moraine of the Khumnbu Galcier in the direction of Gorak Shep. We then visit the Everest Base Camp and the famous Kala Pattar for some of the incredible mountain sceneries. We return back to Lobuche from where we turn left and head towards Chhukhung crossing the Khongma La pass on our way. We then descend to Tyangboche through Dingboche, Orsho, Shomare,Pangboche and Devoche on a smooth path. The trail ahead leads to the Namchhe Bazaar followed by the flight to Kathmandu from Lukla.

Trip Details

Itinerary
Detail Itinerary
Trip Info
Weather
Equipment
Useful Info

Itinerary:

Day 01: Arrival in Kathmandu [1,338m] Transfer to the Hotel. (Car).
Day 02: Sightseeing tour of Swayambhunath, Kathmandu durbar Square, Pashupatinath and Boudhanath. “B”. (06-07 Hours).
Day 03: Mountain Flight to Lukla [2,810 m],Trek to Phakdaing [2,640 m]. "B,L,D". Trek (40 m fly and 03-04 Hrs).
Day 04: Trek to Namche Bazaar [3,440 m]. "B,L,D". Trek (06-07 Hrs).
Day 05: Rest day at Namche [3,440 m] side trip to Everest view point. "B,L,D". Trek ( 04-05 Hrs).
Day 06: Trek to Thame [3,800 m]. "B,L,D". Trek (04-05 Hrs).
Day 07: Trek to Lungdung [4,500 m]. "B,L,D". Trek (06-07 Hrs).
Day 08: Trek to Renjo Pass [5,417 m]. Gokyo [4,750 m]. "B,L,D". Trek (08-09 Hrs).
Day 09: Trek to Thangna (4,700 meters). "B,L,D". Trek (03-04 Hrs).
Day 10: Trek to Dzongla (4,843 m) Via Chola-Pass. "B,L,D". Trek (08-09 Hrs).
Day 11: Trek to Lobuche [4,930 m]. "B,L,D". Trek (04-05 Hrs).
Day 12: Trek to Gorakchep [5,170 m]. / Everest Base camp [5,350 m]. trip in the afternoon. "B,L,D". Trek (08-09 Hrs).
Day 13: Trek to Kalapattar [5,545 m]. And Back to Lobuche [4,250 m] "B,L,D". Trek (06-07 Hrs).
Day 14: Trek to Chhukkung [4,730 m].Via Kongma-La Pass [5,535 m]."B,L,D". Trek (08-09 Hrs).
Day 15: Trek Dingboche. [4,350 m]. ]."B,L,D". Trek (02-03 Hrs).
Day 16: Trek Tyangboche afternoon visit Monastery. [3,880 m]. ]."B,L,D". Trek (04-05 Hrs).
Day 17: Trek to Namche [3,440 m]. ]."B,L,D". Trek (04-05 Hrs).
Day 18: Trek to Lukla [2,810 m]. "B,L,D". Trek (06-07 Hrs).
Day 19: Fly Back to Kathmandu [1,338m]. "B". (40 m). (Car).
Day 20: Free day in kathmandu [1,338m]. "B".
Day 21: Trip ends! Fly back home, taking with you the memory of a life time. "B". (Car).

Another option:

Day 01: Arrival in Kathmandu [1,338m] Transfer to the Hotel. (Car).
Day 02: Mountain Flight to Lukla [2,810 m], Trek to Phakdaing [2,640 m]. "B,L,D". Trek (20 minute fly and 4-5 hours drive).
Day 03: Trek to Namche Bazaar [3,440 m]. "B,L,D". Trek (06-07 Hrs).
Day 04: Rest day at Namche [3,440 m] side trip to Everest view point. "B,L,D". Trek (04-05 Hrs).
Day 05: Trek to Tyangboche [3,860 m]. "B,L,D". Trek (06-07 Hrs).
Day 06: Trek to Dingboche [4,350 m]. "B,L,D". Trek (05-06 Hrs).
Day 07: Rest at Dingboche [4,350 m]. "B,L,D".
Day 08: Trek to Chhukkung [4,730 m]. "B,L,D". Trek (02-03 Hrs).
Day 09: Trek to Lobuche [4,930 m] Via Kongma-La Pass [5,535 m].
Day 10: Trek to Gorakchep [5,170 m]. / Everest Base camp [5,350 m] trip in the afternoon. "B, L,D". Trek (08-09 Hrs).
Day 11: Trek to Kalapattar [5,545 m]. And trek to Dzongla [4,843 m]. "B, L,D". Trek (07-08 Hrs).
Day 12: Trek to Thangna [4,700 m] Via Chola-Pass. [5,420 m]. “B,L,D”. (Trek 8-9 hrs).
Day 13: Trek to Gokyo [4,750 m]. “B,L,D”. (Trek 3-4 hrs).
Day 14: Ascent of Gokyo - Ri and Back to Gokyo [4,750 m]. “B,L,D”. (Trek 3 - 4 hrs). Day 15: Trek to Lungdung [4,500 m] via Renjo Pass [5,417 m]. “B,L,D”. (Trek 8- 9 hrs).
Day 16: Trek to Thame [3,800 m]. "B,L,D". Trek (04-05 Hrs).
Day 17: Trek to Namche [3,440 m]. ]."B,L,D". Trek (04-05 Hrs).
Day 18: Trek to Lukla [2,810 m]. "B,L,D". Trek (06-07 Hrs).
Day 19: Fly to Kathmandu [1,338m]. "B". (40 m). (Car).
Day 20: Free day in Kathmandu [1,338m]. "B".
Day 21: Trip ends! Fly back home, taking with you the memory of a life time. "B". (Car).

Note: If the above itinerary does not meet your needs, we can design individualized travel plans based on your preferences.

Detail itinerary:

Day 01: Arrival to Kathmandu [1330 m]: Once you arrive at the Tribhuwan International Airport in Kathmandu a representative from Adventure Treks Nepal will be waiting outside the airport gate according to your flight time who will take you to the Hotel. After you have settled in, a short briefing session will be conducted regarding the trip and if you have any questions, feel free to ask us. We are always ready to help you if you have any other activity which you want to do besides the planned itinerary.

Day 02: Cultural Tour in Kathmandu (1,330m) - (B): After your breakfast at the hotel we head out to explore the Kathmandu valley even more and know many interesting facts about the culture of the people and their history. At the beginning we head to a stupa situated at the top of the hill west from Kathmandu named Swyambhunath. The stupa is believed to be 2000 years old and also has many other temples in the surrounding. The stupa is also known as the “Monkey Temple” as there are hundreds of monkeys living in the jungle near the stupa and are seen in everywhere around the temple/ stupa. We then head to witness the exotic arts and history of Nepal. We enter the Kathmandu Durbar Square, an ancient palace of the kings of Kathmandu Kingdom. Around the palace area there are many famous temples and tourists attractions like the temple of the living goddess Kumari, 17th century built Jaganath Temple which is well known from its exotic wood carvings, the Kasthamandap temple which is three storey temple built of wood from single tree in 12th century. We then drive to the Pashupatinath Temple, a famous and sacred Hindu Temple that is located on the banks of the Bagmati River, approximately 5 kilometers north-east of Kathmandu in the eastern part of Kathmandu followed by a visit to the oldest and largest Bouddhanath Stupa. Return back to Hotel after visiting the four world heritage sites of Nepal.

Day 03: Flight to Lukla [2,810 m] (2,652m), Trek to Phakding [2,652 m] - (B/L/D): We take an early morning mountain flight to Lukla which will take around 45 min from Kathmandu. We will meet our supporting crew members in Lukla and begin our trek down to the Dudh Koshi River. We cross the furious river to walk along the terraced potatoes and wheat fields to enter the neighborhood of Phakding for our first overnight stay in the Himalayas. Average trekking time is 03 to 04 hours.

Day 04: Trek to Namche Bazaar [3,440 m] - (B/L/D): The trek on this day begins after your breakfast as the trail passes through dense forests of pine and rhododendron, We will be crossing the fearsome Dudh Koshi River twice on this day to finally enter the Sagarmatha National Park area. We will continue our trek on a smooth path to Namche Bazaar where you will see many yaks transporting goods to different parts of Everest Region. Nupla (5,885m), Kongde Ri (6,093m) and Thamserku(6,808m) will be rising majestically above us throughout the day. Average trekking time is 6 to 7 hours.

Day 05: Acclimatization day, day hike to Shyangboche [3,833 m] - (B/L/D): This is a rest day in Namche Bazaar. It is extremely important to spend an extra day in Namche Bazaar to acclimatize due to the decreasing air pressure and adapt the changed climatic condition. We will hike to the Everest View Hotel in Shyangboche during the day time for extraordinary Mountain View of Ama Dablam and Mount Everest. Return back to Namche Bazaar for overnight stay. Average trekking time is 2-3 hours.

Day 06: Namche Bazzar to Thame [3,820 m] - (B/L/D): After your body is prepared for the journey ahead we begin our trek to Thame along the path which is untouched by the modern civilization. During the trekking we pass a large array of prayer flags, Chorten and the carved mani stones. Average trekking time is 5-6 hours.

Day 07: Thame to Lungdeng [4,500 m] - (B/L/D): The trek on this day is frequently uphill as the path passes by many old, walled Sherpa villages. You can experience varieties of flora and fauna while trekking on this day. We will walk through many Sherpa villages like Hungmo, Taramga, Marulung, where Sherpa people treat you with great hospitality and unique culture. You will often share the trail with Tibetan Yak Canavans, trading route to and from Namche to Tibet with the villagers. We will reach Lungdeng for our overnight stay. Average trekking time is 5-6 hours.

Day 08: Lungden - Renjola Pass [5,415 m] - Gokyo Lake [4,790 m] - (B/L/D): After your breakfast, we will continue our trek towards the Gokyo Lake crossing the first high pass named Renjo-La pass (5,415m). The path is steep to the pass and we walk down the sandy ridge. We walk pass a frozen stream along the rocky trail and also many yak Kharkas on our way to Gokyo. We will also see the twin Renjo Lakes before the stunning Gokyo Lake. You can witness the mesmerizing views of 7000 to 8000 meters peaks all around including Kalapathar, Tengboche Monastery, chola glaciers and many more. Overnight stay at Gokyo village. Average trekking time is 5-6 hours.

Day 09: Trek to Gokyo - Ri and back to Gokyo [4,750 m] - (B/L/D): This is our second day in Gokyo. On this day we will be climbing the Gokyo Ri to witness the panoramic view of Cho Oyu, Gyachung Kang, Everest, Lhotse, Makalu, Cholatse and Tawachee. After spending sometime in Gokyo Ri we will descend back to Gokyo village for overnight stay. Average trekking time is 6 to 7 hours.

Day 10: Trek to Thangna [4,700 m] - (B/L/D): After breakfast we slowly trek across the glacier towards Thangna on a path that twists around the persistently changing barrier. The view of Cho Oyu and Cholatse is just breathtaking on this day. A gradual ascend after lunch will take us across the deserted yak pastures and high into the Himalayas. You can find Himalayan Thar on today's trail so always be alert. Average trekking time is 6 to 7 hours.

Day 11: Trek to Cross Dzongla [4,843 m] via Cho La Pass [5,420 m]- (B/L/D): Today we will be crossing another high pass of the trek, the ferocious Cho La Pass at an elevation of 5,420 meters above the sea level. We will be beginning our day very early in the morning, around 4 or 5 am, to reach the pass 8 or 9 am. It is extremely dangerous to cross the pass during noon time due to strong wind. Once we reach at the top we will be rewarded with the views of the peaks that are superb all day and once at the saddle of the pass, the glaciers and immediate peaks seem to hover over us. The beauty and sense of achievement of crossing this pass is undescribable. After some refreshment at the top of the pass we gently descend down to Dzongla for our overnight stay alongside the steep north face of Cholatse. Average trekking time is 6 to 7 hours.

Day 12: Trek to Lobuche [4,955 m] - (B/L/D): After a cold night, the early morning sun brings some of the spectacular mountain views. After your breakfast we trek high on the flanks of Awi Peak, overhead the village of Chola and walk beyond the Cholatse Lake. The Chola Glacier flows sharply from a saddle between the cliffs of Cholatse and Taweche in a uneven and gorgeous display. We walk slighty uphill to witness the impressive Nuptse (7,745m), rising high above the Khumbu Glacier. We then continue further to join the Everest Base Camp trail and you will find the increase in the numbers of trekkers and Yak. We finally reach the settlement at Lobuche for our overnight stay. Average trekking time is 6 to 7 hours.

Day 13: Trek to Gorak Shep [5,288 m] Everest Base Camp [5,360 m] - (B/L/D): On this day we will be heading to Gorak Shep on a rocky trail along the Khumbu Glacier. After your Lunch at Gorak Shep we head upwards to the Everest Base Camp . From Everest Base Camp, one will experience the 360-degree mountain view of Pumori (7,145m), Lingtren (6,697m), Nuptse (7,745m), Everest (8,848m) and many other dazzling peaks. We will return back to Gorak Shep for overnight stay. Average trekking time is 8 to 9 hours.

Day 14: Climb Kalapattar [5,545 m], Trek to Lobuche [4,930 m] - (B/L/D): We will have a early morning trek to the famous Everest view point of Kala Pattar (5,545m). The trek to Kala Pattar will be demanding and will take around 2 to 3 hrs. If the weather remains in our side you will be rewarded with the best view of Mount Everest and other mountains alongside. We then walk downhill to Lobuche for the overnight stay along the Khumbu Glacier. Average trekking time is 7-8 hours.

Day 15: Trek to Chhukkung [4,730 m] Via Kongma-La Pass [5,535 m] - (B,L,D): On this day we will be crossing the third and final pass named Kongma La Pass. We begin our trek left from Lobuche towards Kongma La Pass and descend steeply to the Khumbu Glacier after we reach the top. We clamber up the moraines on the far side to reach the meadow by the Italian high altitude research pyramid where we plan to camp the night. Todays trek will be difficult and even more harsh during the snowy conditions. We will witness excellent views of Pumori and Nuptse during the trek today. We trek through Lhangbo village to reach Chhukkung for overnight stay. Average trekking time is 7-8 hours.

Day 16: Trek to Tyangboche [3,808 m] - (B/L/D): After successfully conquering the three high passes we unwaveringly descend towards Tyangboche. In tyangboche, you will visit an important monastery which was built in 1912 and considered the spiritual and cultural center of this region. The monastery was destroyed by the fire in 1989 and was recently rebuilt with an aid from Sir Edmund Hillary. As this area is a devout Buddhist region, the wild life is unharmed so there is always a possibility that we may see some wild animals such as musk deer, mountain goat and Pheasants in the forest. Average trekking time is 5-6 hours.

Day 17: Trek to Namche Bazaar [3,440 m] - (B/L/D): After breakfast in Tyangboche we head towards Namche Bazaar away from the towering Everest, Lhotse and Nuptse. It is a smooth and pleasant walk through Phunki Tenga and into the Namche Bazaar as the traill continues from the terraced rice fields which are home to brightly coloured pheasant, the Danphe pheasant , the national bird of Nepal. We reach Namche Bazzar in the afternoon so you can visit the local shop vendors around the market for souvenir shopping. Average trekking time is 4 to 5 hours.

Day 18: Trek to Lukla [2,652 m] - (B/L/D): We return back to Lukla through the rhododendron and pine forests and out of the Sagarmatha National Park. We cross the raging Dudh Koshi River few times on this day. We reach Lukla after a gradual ascend out of the river valley. We will spend our last night in mountains. Average trekking time is 4 to 5 hours.

Day 19: Fly Back to Kathmandu [1330 m] - (B): We say goodbye to our supporting crew members and get on a flight to Kathmandu. Once you land in Kathmandu you will be transferred to the Hotel. This day is also a buffer day in case of any flight cancellation due to unfavorable weather condition. The rest of the day is at leisure.

Day 20: Free day in Kathmandu [1330 m] - (B): This is a free day in Kathmandu. You can visit remaining world heritage sites around the Kathmandu valley that is Bhaktapur Durbar Square and Patan Durbar Square. The two palaces have great history and are well known for arts and crafts. You can also spend your day around Thamel and test restaurants of Kathmandu. We are always happy to offer you suggestions.

Day 21: Fly back home [1330 m] - (B): Adventure Treks Nepal's representative will drop you to the Tribhuwan International Airport in Kathmandu according to your flight time. Fly back home with lots of good memories and adventure.

Note: If the above itinerary does not meet your needs, we can design individualized travel plans based on your preferences.

Trip Cost Includes:

Arrival & Departure Transfers by private car on domestic and international flights.
Accommodation in Kathmandu with breakfast.
Sightseeing tour in Kathmandu with an entrance fee.
Trekking Duffle Bag using for Trekking.
Breakfast, Lunch & Dinner during the Trekking.
Accommodation in simple Tea house (mountain lodge) while trekking.
Kathmandu Lukla Kathmandu flight ticket with Airport Tax.
Trekking Porter with Insurance. (We Provide 01 Porter for 02 Pax).
Trekking Guide with insurance.
Everest Trekking Region map.
TIMS / National park /Conservation entry fees.
Government taxes.
Office services charge.

Trip Cost Excludes:

International Airfare.
Your travel insurance of any kind
Nepal entry Visa fee (US$ 50 for 30 days and you should get visa open your arrival)
Drinks, Dessert, Juice, Mineral Water, Heater charge, Hot Shower during the Trekking and main meals in cities.
Tips for Guide, Porter and driver.

Weather information

We offer trekking in Nepal from mid-September to May. However within this period there are clear seasons in the weather. From early September the monsoon rains decrease. By mid-October through to December the weather is usually stable with mild to warm days, cold nights and clear views. Daytime temperatures can reach 25-30 deg C at low altitude in October and nights can drop to below 0 deg C at higher altitudes.

Winter trekking, from December to February, offers cool to mild and clear days with often very cold nights. Daytime temperatures at low altitudes will be mild, around 20 deg C and at night may drop to 0 or as low as -10 deg C at the higher points. Occasionally winter storms can bring snow as low as 2500m.

In March the cold, dry winter season begins to give way to warmer, wetter spring conditions. Mornings are usually clear with cloud build-up occasionally bringing afternoon rainstorms. Daytime temperatures increase quickly in March, with temperatures of up to 30 deg C and mild nights at low altitudes. The increase in rainfall in the hills is more than compensated for by the spectacular displays of rhododendrons and other wildflowers at this time of year. Late spring conditions, as in April and May, are generally hot at low elevations and as the clouds build up to the next monsoon, daily afternoon rainstorms are common. This is a period that generally has clear weather at the higher altitudes and is traditionally a time when mountaineering expeditions commence their ascents.

The monsoon creates a rainy season in Nepal, which lasts from mid-June to mid-September. During this time the Nepal Himalaya is unsuitable for trekking, with the exception of a few remote valleys. We offer treks during this period in Low altitude Treks in the Nepal Himalaya, Tibet & India (Kulu, Ladakh).

The post-monsoon period: From early September the monsoon rain starts to decrease. By mid-October through to mid-December the weather is usually stable with mild to warm days, cold nights and clear views. Daytime temperatures can reach 25-30 degrees Celsius at lower altitudes and decrease as you gain height. Over 3000 meters the daytime temperatures can vary as much as 10 to 20 degrees Celsius, and may be hotter or colder, depending on whether it is sunny or windy etc. At night at lower altitudes, temperatures do not normally drop much, although as you approach November it does get colder and the days shorter. Up high it can drop sharply at night, from 0 to minus 10 or 15 and more when camped on the ice or snow.

The pre-monsoon period:In March the cold, dry winter season begins to give way to warmer, wetter spring conditions. Mornings are usually clear with cloud build-up bringing occasional afternoon rainstorms. Views of the mountains in the middle of the day and afternoon may often be obscured. Daytime temperatures increase quickly in March with temperatures of up to 30 degrees Celsius and mild nights. At higher altitudes it is similar to the conditions of the post-monsoon period, however there is usually more snow, which has accumulated over the winter period. There are spectacular displays of rhododendrons and wildflowers at this time of year. Late spring conditions ie April and May, are generally hot at low elevations and as the clouds build up to the next monsoon, daily afternoon rainstorms are common.

List of Clothing Equipments & Personal Effects

Lightweight Trekking (walking) (Waterproof) boots and spare laces. If new one is being bought, “walk then in” to avoid blisters. Also bring spare laces.
A pair of track shoes for evening and walk around campsite.
Warm Jackets (Fiber fill or down) down should be adequate.
A rainproof jacket with hood or ponchos (Get guaranteed Waterproof)
Woolen shirts and thick sweaters.
A pair of lightweight/heavyweight trousers. Jeans are unsuitable to wear on treks.
Thermal underwear.
A tracksuit.
2 pair of loose fitting long shorts/skirts.
Few pairs of cotton T-shirts.
At least 1 lightweight long sleeved shirt is particularly to avoid sun born.
A woolen hat for morning and evening and Sun cap (Hat) during the day and ensure it has a wide brim to cover the face and neck..
A pair of gloves.
A pair of sandals to shower and campsite.
Few pair of thin and thick woolen socks.
Underwear: normal quantity and swimming costume.
Sleeping bags for night. (At least -20 Celsius)

Equipment and Accessories

Duffle bag or kit bag to carry gears while trekking. (We provide)
Daypack to carry personal day requirements. (25-30 Ltr) This is a small rucksack to carry personal requirement for the day
Water bottle.
Snow glasses and sunglasses.
2-5 large plastic bags to separate clean and dirty clothes. Some small plastic bags for garbage.
Toiletries with large and small towels. Toilet paper can be by in Kathmandu and some villages in the mountains.
Wallet or money belt with compartment for coins.
Headlamp or torch light with spare batteries and bulbs.Candles or lighter to burn toilet paper and to lit on.
Snow gaiters essential during winter and High Altitude trekking.
Walking poles. (If you like to have).
Camera with spare batteries and films
Reading materials, game items (optional), note book, rubber band, pen and pencil, envelopes, a diary, a calendar, a pocket knife, binoculars (optional), a small pillow or headrest (optional). Thermoses (optional)- an inflatable sleeping mat, trekking map, adequate quantities of
passport photograph
First aid kit with enough Personal medicine.

Physically prepare yourself: It is important that your body is adequately prepared for the physical challenges of trekking. It is thus important that you assess your own condition and train accordingly. In general, the fitter you are, the easier it will be for you to handle the rigors of the trek. A well-rounded training program would include strength training, aerobic cross training, and hiking (ideally at high altitude but not necessary).

Mentally prepare yourself: Mental preparation is often overlooked. You should always keep a positive state of mind, but not ignore the signals your body sends you. Your mental stamina will, without a doubt, make the most difficult parts of the trekachievable.

We will keep the packing list update asnew equipment becomes available. If you have reviews or suggestions please send us an email.

Trekking in Nepal need not be considered risky affair as far as your health is concerned. Nevertheless, preventive measures such as a through medical checkup and inoculations before you start trekking can save you from unexpected hazards. Since the remote places of Nepal are not supplied with necessities that are essential for modern medical facilities and as the rescue and evacuation are measured in days, it is imperative to make a comprehensive first aid box consisting of basic drugs and accessories as part of the paraphernalia for trekking. Modern dentistry is unknown in the hill of Nepal so it is advised to have a checkup before departure from home. Tooth fillings; sometimes loosen in cold temperatures and high altitudes, so it is recommended to have them checked. Travelers are requested to bring medicine prescribed by their doctor at home. Common medicine for stomach problems, headache, and malaria is available in Kathmandu. Medicine is usually not available in remote areas. So necessary medicine is advisable to carry with you. Before going to Nepal, it is advised to get injections against typhoid, meningitis and hepatitis.

OVERCOMING ALTITUDE PROBLEM:
This is often known as Acute Mountain Sickness (AMS), which is particularly a matter of important medical consideration while trekking in the Himalayas. Altitude Sickness means the effect of altitude on those who ascend too rapidly to elevations above 3000 meters. Early mountain sickness will manifest itself in headache, nausea, shortness of breath, fatigue; etc can be encountered as initials of the sickness. The major information source on prevention and treatment of the sickness is Himalayan Rescue Association (HRA) and Adventure Treks Nepal (P). Ltd. is the confide life member of it. We assure every trekker that all our guides have followed the training conducted by HRA with the understated information.

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.
6. Climb higher sleep lower.
7. 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 3-4 ltr of water minimum a day, don't exhaust yourself so much and breathe deep and take rest more than usual.

We will keep the packing list update asnew equipment becomes available. If you have reviews or suggestions please send us an email.

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Everest 03 High Passes Trekking 21 Days