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Tips on AMS (Acute Mountain Sickness) You can probably find a lot of varying literature on AMS prevention and treatment anywhere on the internet. When we were preparing for the trip, we read up all we could but, honestly, it was all very confusing. Some guide services recommended Diamox. Other experts didn't. We tried asking some local doctors, but they were not experts on the matter either. Besides Diamox was really hard to get locally. When we got to Machermo 4400m, almost everyone in our group (all eight of us)already had AMS to some degree. I started on Diamox, which we found in abundance in Kathmandu, at 125mg early on at Namche Bazaar (3450m) because I knew from previous experience that I had reactions to altitude after 1,500m. I had to bump up my dosage to 250mg when we did a 'rest day' hike that took us up to 3,800m and back down again to 3,450m. That evening 4-5 of my trekking mates we already suffering mild to intermediate symptoms of AMS. The symptoms varied from 'blue' lips to headaches to vomiting and 'wild sleepless nights'. I continued my course of Diamox for the rest of the hike. Taking 125mg - 250mg each evening, depending on the expected altitude gain the next day. If we were climbing no more than 400m altitude gain, I took only 125mg of Diamox before bed. I was free of AMS for the rest of the trip but when we got to Machermo, five of my trekking mates had to visit the Rescue Post Clinic for medication; some for AMS, others for severe diarrhea. We took the opportunity to sit in the infamous 3 o'clock AMS lecture and asked as many questions as we could (I found out that my severe backache the previous day was due to my kidneys reacting to the Diamox and that I was not hydrating enough despite my drinking more than normal). We found the AMS lecture so informative that we took digital pictures of the lecture notes. Hopefully, it might help you in planning your next high altitude trip. This is a copy of the notes. RISK FACTORS and PREVENTION
SLEEP AT ALTITUDE Can be a big problem!
COUGH AT ALTITUTE Can be a big problem!
TREATMENT OF AMS MILD:
MODERATE OF SEVERE:
DIAMOX (acetazolamide) Can be used to prevent AMS as well as treatment Only recommended for people who get AMS easily or if you have to go up very fast (eg. a rescue) Start night before ascent above 3,000m Continue until maximum height reached and starting to descend Dose (for prevention) 125mg - 250mg twice a day Side effects
Don't take DIAMOX if you have sulphur allergy Diamox doesn't mask symptoms of AMS It works on your kidneys to stimulate you to breathe more HIGH ALTITUDE PULMONARY OEDEMA (H.A.P.E.)
SYMPTOMS
TREATEMENT
HIGH ALTITUDE CEREBRAL OEDEMA (H.A.C.E) SYMPTOMS
Fluid on the brain TREATMENT
< Search for more information on AMS online before climb anything more than 3,000m. Your homework will help you get higher. Have a successful journey>
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02 July 2008 @ 01:30 AM | Category: Trail Maps & Directions |
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AMS1_Dr Cheryl.jpg |
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AMS2_Treatment.jpg |
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AMS3_Sleep.jpg |
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AMS4_Risk.jpg |
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AMS5_Diamox.jpg |
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AMS6_HAPE.jpg |
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AMS7_HACE.jpg |
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