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Altitude Sickness
 

What is the altitude illness?
In average, Three trekkers die per year by altitude illness in Nepal. Nepal has diversity in land. It means Nepal have the land of 60m to 8848metres by the sea level because of this diversity The person who live in the lowerpart can be sick when he goes to the higher part. This is called altitude illness or mountain sickness. Many people, who want to go trekking in Nepal with out idea of altitude illness, they can have problems in the way and sometimes the case will be danger. We can help the trekkers to give advice of acute mountain illness (AMS). Sometimes trekkers can have problems by the smell of the flowers also, which we can find in the Nepal Himalayas.

What we must do to remove AMS?
We can follow the minor rules to wipe out the mountain illness .For example - One trekker sleep the height of 2800 meters and the other day he go to 3200 meters .In this case he doesn't have problem. But some trekkers who sleep about 2000 meters highs one day and on the other day he sleep in the height of 4500 meters .He can get the problems in respiration and other. This is called the mountain sickness. If some trekkers want to remove this problem he must walk and sleep in the difference of about 300 to 500 meters height.

Beside this AMS trekkers can have the problems of Allergy and Diarrhea, to wipe out their diseases we must have careful in every meals which we eat. The first thing is the water, which we use. We can use by boiling water and to put medicines that can purify water .We must put Iodine also in water. The medicine called Tetraglycine Hydroperiodide tablets can be used. These are not find in Nepal now .The Lugols solution can find in Nepal .The first medicine which can find in tablets is a bottle which have 50 tablets. One tablet can purify 1 liter of water. The second medicine can get in liquid. When we put these drops water we must wait about 30 minutes to drink and must put 3-4 drops of solution in one liter of water. The another way to purify water is to use filter. This way is more inconvenient when you are travelling.

There are some list of Medicines, which we can, used in AMS and other normal diseases.

For Acute Mountain Sickness
Medicine
Uses
Dosages for Adult
Remarks or side effects
Actozolamide
(DIAMOX)
Prevention and treatments of AMS. Diamox -250mg - 12 hourly means 2 tablets per day. It can be used in HACE & HAPE also. 125 to 250 mg Morning and night Will produce feeling of tingling in finger, Lips, Toes. This is not serious .May be you can get some allergy.
Dexamethazone High Altitude Cerebral Edema(HACE) (HACE) 4 mg - 6 Hourly Start with 8-mg .can have serious side effects if it is Reduce Dose slowly.
Nifedipine
(ADALAT) Tablets
High Acute pulmonary Edema(HAPE) 10 to 20mg - 6 to 8 hourly Can have serious side effects. Some times your blood pressure slow and headache also.


Allergy, Inflammation &Other normal Diseases
Medicine
Uses
Dosages for Adult
Remarks or side effects
Anti-inflammatory Cream.
(VOLTAREN EMULGEL,DIFFLAM GEL )
For Trekkers Knees Apply Directly & rub in well External use only
Ibuprofen (600 mg ) This is a pain reliving medicine for the trekkers' knees and by the effect of food. 1 Tablets every six hours. Stop taking if some stomach problem occur.
Calamine ,Caladryl Insect's bites, Itchy Skin, Sun burn, Prickly heat. Apply Directly. External use only.
Hydrocortisone Cream 1
(HYDROCORT)
Skin rashes, Allergies, Mild sun burn , Piles Apply Directly 8- Hourly External use only , Not to be used in infected skin
Para cetamol
(Acetaminophen 500mg)
For relief of mail pain &to help reduce a high fever 2 Tablets every 4 Hours None side effect
Sodium Sulamide eye Drops Antibiotic Solution for the treatment of Bacterial Conjunctivitis 1-2 drops every 3 Hours for 3-5 days Possible local Allergy
Actifed
(SYMPTOMATIC)
Decongestant for relief of discomfort due to clods, Infection of Internal ear- Infection 1 tablet Every 8 hours Jitteriness, Sedation
Dettol, Savlon General disinfected, Wounds cleaning 1 Tablets in 250ml of water. External use only. Soak instruments for 10 minutes.

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