Start From: Kathmandu
Finish At: Kathmandu
Destination: Annapurna Circuit- Thorong-La - Muktinath- Pokhara
Group size: 2 pax
Activities : Cycling, Trekking, Mountain Biking.
The Annapurna Circuit biking trail is one of best biking route of Nepal. The incredible beauty, the dramatic landscapes and of the legendary people inhabiting this remote and mystical land always fascinates the bikers the starting path is in the lowland through terrace field and villages. Once enter the misty subtropical jungle, and continue through the pine forest to enter spectacular typical Himalayan landscape, naked rocks and snow capped high Himalaya.
Enjoying with nature, reach Manang, a high Himalaya settlement for generations. And on the trail, we meet with various monastery and mane stone. On a special day, we can see traditional dance of the lamas. A spectacle of at and magic with monks dress, wearing the mask of demons, playing drums in the shadow of enormous mountains. And finally reached at highest passes of the Nepal, Thorang La pass (5416m), paddling continues and crosses the one of the famous pilgrimage site Muktinath.
Altitude Sickness Info
Acute Mountain Sickness may happen when the travelers rapidly up to the height of 3000m. Our itineraries are designed with rest days. Once when you arrived in high altitude, your acclimatization line will rise your body to start to adjust. The commonly happened in altitude are shortness of breath, light headache, whereas the mountain sickness is quite different which involves a severe headache, vomiting etc.
The trained and expert guides will every day advise you about your health conditions, requirements, and altitude sickness while you are trekking, hiking and climbing. That’s why you should not be worry about the sickness. Also, we would like to recommend you to meet your doctor, advisor before you start your travel.
Given some information helps you to get rid of the Acute Mountain Sickness.
There are three stages of altitude sickness and symptoms.
Normal AMS Symptoms
The given altitude symptoms may every trekker will have experience but no worries these are common.
- Need more sleep than normal sleep time
- Occasional loss of hunger.
- Vivid, wild dreams especially at around 2500-3800 meters in altitude.
- Periodic breathing.
- A runny nose.
- Increasing urination while moving to/at higher altitudes (a good sign)
Minor AMS Symptoms
The trekkers when they entry on high Himalayan Valleys get mild AMS that youre having symptoms. The symptoms to be altitude sickness at least you have given one indication.
- Hard to breath
- Dry raspy cough
- Runny nose
- Loss of hunger
- Mild headache
What to do when Minor Symptoms does not stop?
- If the symptoms developing while walking, then stop and take relax, drink water. Drink frequently.
- If symptoms do not stop and developing continuously then stop take rest and drink water and take Diamox of 125 -250mg. Drink more water.
- If symptoms growing in the evening, take 125-250mg Diamox and drink plenty of fluids again.
- If symptoms partially go away but are still annoying it is safe to take another 250mg Diamox 6-8 hours later.
- If the symptoms continue getting worse then you have to descend for a few hours which is more merits than staying at the same altitude.
Serious AMS Symptoms
The given conditions are quite danger so descend immediately
- A severe headache.
- Persistent vomiting and dizziness.
- Ataxia (loss of co-ordination, an inability to walk in a straight line, making the sufferer look drunk)
- Losing consciousness (inability to stay awake or understand instructions.
- Liquid sounds in the lungs.
- Very persistent, sometimes watery, cough.
- Difficulty breathing.
- Rapid breathing or feeling breathless at rest.
- Coughing clear fluid, pink phlegm or blood (a very bad sign)
- Severe lethargy/fatigue.
- Marked blueness of face and lips.
- High resting heartbeat (over 130 beats per minute)
- Mild symptoms rapidly getting worse
Dangerous cases of AMS
High Altitude Cerebral Edema (HACE)
The brain swelling with the fluid is HACE. It involves disorientation, lethargy, and nausea. Before attacking the HACE, the patient will have the symptoms of fever, ataxia, photophobia, and rapid heartbeat. Unconsciousness and coma from HACE can be lead to death within 12-20hrs from the onsets of symptoms. In the initial phase of ataxia begin treatment with medication, oxygen, and dexamethasone.
Normally, 4 to 8mg of dexamethasone is given as a first dose, then 4mg every six hours, Diamox every 12 hours and 2-4 liters /minute oxygen. The patient must have to be descended.
High Altitude Pulmonary Edema (HAPE)
The condition, that builds up the fluid in the air sacs of lungs is HAPE. HAPE symptoms start progressively within 2-4 days in high altitude. Shortness of breath at rest, cough, weakness and chest tightness and at least two of; fast heartbeat rate, wheezing heard in lungs, the bluish appearance of the skin are the symptoms of HAPE. Descent to the lower altitude is needed if the patient does not get better with oxygen. The Gamow Bag may be used to the lower altitude if a person is in the backcountry unable to descend immediately because of weather.
Prevention of Acute Mountain Sickness (AMS)
- Plenty of acclimatization above 3500 meters.
- Do not take sleeping pill, no alcohol and smoking
- Drink more water (Boiled, mineral/ clean or treated) or any fluids – at least 4 liters per day.
- Climb up high altitude and sleep at low altitude.
- Never do trek/ travel without guide and porters
- Follow the advice from your guide, hotel, local, and guidebook.
- Must have to decent if mild symptoms rapidly getting worse.
First Aid Kit
First aid kit is a basic list of common medicines.
- Bandage for sprains
- Iodine or water filter (optional)
- Moleskin/Second skin - for blisters
- Antiseptic ointment for cuts
- Anti-bacterial throat lozenges (with antiseptic)
- Aspirin/Paracetamol - general painkiller
- Oral rehydration salts
- Broad-spectrum antibiotic (Norfloxacin or ciprofloxacin)
- Anti-diarrhoea medication (antibiotic)
- Diarrhea stopper (Imodium - optional)
- Antibiotic for Guardia or similar microbe or bacteria
- Diamox 250/500mg (for altitude sickness)
- Sterile Syringe set (anti-AIDS precaution)
- Gel hand cleaner.
This is a section where you get the general idea equipment that you need in Annapurna Circuit. The important and serious part of equipment selection depends on the trekking season, trekking days, and maximum altitude.
Trekkers personal goods such as money purse, cameras, cell phones and the cosmetic items that you need in the daytime, while you are hiking. Porter carries others your heavy equipment.
- Day Pack
- Duffel Bag
- Down jacket and sleeping bag
- Upper Body - Head / Ears / Eyes
- A baseball cap can protect your ear and neck from the sunlights.
- Warm wool or synthetic hat that cover your ears
- Balaclava - lightweight, thinner variety
- UV protection glacier glasses with side shields and a hard-sided storage case. In high altitude automatically the atmosphere is thinner than low altitude so, the sunlights are quite strong in the mountain, which affects our eyes. For those people who are wearing the prescription glasses, please requesting you to speaks with your doctor about the prescription glacier glasses.
- Headlamp: Headlamp is a one of the basic for you during the trek because treks are in the mountain where not plenty of electricity is. Make sure to bring extra lithium batteries.
- A pair of liner synthetic/ woolen gloves for the mild days.
- A pair of heavy woolen gloves for morning and evening time.
- A pair shell gloves or mitts Gore-Tex is preferred for keeping hands dry.
- Two cotton t-shirts.
- A synthetic t-shirt.
- Two long sleeve polyesters, light colored shirts for sunny days. V-neck zipper provides additional venting options which are good for changing temperatures.
- A soft shell jacket, water resistant, with insulation, underarm ventilation zippers. The full front zipper is preferable for ventilation.
- A medium to heavyweight expedition down parka w/hood.
- For women two synthetic sports bras, no cotton!
Lower Body – Legs
- Three pairs nylon hiking shorts, not cotton!
- Underwear, stay away from cotton
- Two pairs lightweight long underwear
- Pair soft shell pants - synthetic, full zip from top and bottom preferably
- Two pair trekking pants, preferably that zip on/off at the knees.
- Pair hard shell pants. Waterproof / breathable, Gore-Tex or equivalent is best
- A pair cotton pants
- Especially for the women a full-length skirt.
- At least four pairs of liner socks, synthetic.
- Three pair heavyweight socks to be worn over liner socks
- A pair light weight socks, a good option for the lower / warmer parts of the trail and also on lodges at the time of dinner.
- A pair light to medium weight waterproof hiking/trekking boots. Make sure the size and should have to be avoidable for blister.
- A pair light trekking shoes or sneakers to wear in and about camps or lodge
- Sandals are optional for the trek.
Medicine and First Aid
- Extra Strength Excedrin for altitude related headaches
- Ibuprofen for general aches and pains
- Pepto Bismol capsules for upset stomach or diarrhea
- Diamox (commonly prescribed as Acetazolamide) 125 or 250mg tablets for altitude sickness
Your guides will have more extensive medical gear, but you should have the basics.
Miscellaneous, but Important
- Passport and extra passport photos (4 copies)
- Airline ticket(s)
- Visa (if required and acquired in advance)
- Immunization record
- Durable wallet / pouch for travel documents, money and passport
- Two water bottles one liter wide-mouth Nalgene and one insulator
- Lip balm. At least SPF 20, 2 sticks.
- Sunscreen. SPF 40 is recommended and should be relatively new since it loses its effectiveness over time
- Toiletry kit. Be sure to include toilet paper stored in a plastic bag, hand wipes, and liquid hand sanitizer, towel, soap, etc
- A pair of adjustable trekking poles, this is great for the downhill trek, and even it is listed in optional.
- Favorite snack foods, two pounds for maximum limits.
- Books and other devices for relaxing during the trek and rest time.
- For your records, camera, a DSLR, Go-Pro Cameras.
- Hydration bladder with drinking tube and tube insulator
- A urination bottle for men and a pee funnel for woman, as you might want to avoid that chilly late night trip
- A small stainless steel thermos
The above list guides for you to buy the goods. There are so many options for you, they different brand and version, so it would be better to buy as per your experience. Most of the things are easily available in Kathmandu as well in cheap price.
Please Note The tight fighting clothing such as made with Lycra can often be offensive to locals. So if you find these items comfortable please kindly wear top of them.