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How to prevent altitude sickness: Tips to avoid acute illness

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A 27-year-old man reportedly died in Leh resulting from altitude illness, which is linked to oxygen deficiency. Know what it’s and the right way to stop altitude illness.

Chinmay Sharma, a 27-year-old man from Uttar Pradesh, died in Leh reportedly resulting from altitude illness, which is attributable to low ranges of oxygen within the air. The person went to the high-altitude space on his bike. Throughout his solo journey, he reportedly began having complications and problem in respiration, and later handed away in a hospital. Altitude illness can result in headache, tiredness, nausea, and vomiting. It can be life-threatening, so make efforts to stop altitude illness if you’re travelling to a high-altitude place, normally greater than 2500 metre above sea degree.

What’s altitude illness?

Altitude refers to a spot’s peak above the ocean degree. “When you’re at larger altitudes, the atmospheric stress drops, leading to much less oxygen obtainable on your physique to make use of,” says pulmonologist Dr Jayalakshmi T Okay. Altitude illness happens when the physique struggles to adapt to the decrease oxygen ranges and diminished atmospheric stress. This will occur when folks ascend too rapidly to excessive altitudes with out permitting satisfactory time for acclimatization. Individuals could begin noticing signs of altitude illness six to 10 hours after being at a excessive altitude, in accordance with the UK’s Nationwide Well being Service.

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A woman with altitude sickness
Altitude illness has three sorts. Picture Courtesy: Shutterstock

What are the varieties of altitude illness?

Listed here are the kinds and signs of altitude illness –

1. Acute Mountain Illness

“That is the most typical type of altitude illness, however it’s also the least extreme,” says the knowledgeable. The proportion of non-acclimated folks affected by Acute Mountain Illness at 3000 metres is round 75 p.c, in accordance with analysis printed in StatPearls in 2023. Among the signs headache, nausea, dizziness and fatigue.

2. Excessive Altitude Pulmonary Edema

It is a extra extreme situation the place fluid accumulates within the lungs, impairing oxygen trade. Signs embrace severe shortness of breath, persistent cough and a sense of tightness within the chest.

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3. Excessive Altitude Cerebral Edema

“That is probably the most harmful kind of this situation, which entails mind swelling,” says Dr Jayalakshmi. Signs are extreme headache, confusion, lack of coordination, hallucinations and lack of consciousness.

Altitude illness can change into life-threatening when an individual has Excessive Altitude Pulmonary Edema or Excessive Altitude Cerebral Edema. “Each situations can progress rapidly and result in extreme problems or demise if not addressed promptly,” says the knowledgeable.

What are the danger elements?

Listed here are among the threat elements of altitude illness:

1. Fast ascent

Ascending to excessive altitudes too rapidly considerably raises the danger of altitude illness. If you climb or journey to excessive elevations quickly, your physique has inadequate time to adapt to the reducing ranges of oxygen and decrease atmospheric stress. This will overwhelm the physique’s capability to acclimate, resulting in signs equivalent to complications, nausea, and dizziness. “As an example, ascending from sea degree to three,000 metres inside a single day can improve the probability of growing altitude illness,” shares the knowledgeable.

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2. Earlier historical past

Individuals with a historical past of altitude illness are at an elevated threat of experiencing it once more. Previous episodes of altitude illness recommend that their physique might need a diminished capability to acclimate to excessive altitudes. This susceptibility could also be resulting from inherent physiological or genetic elements that make their adaptation course of much less environment friendly. Because of this, those that have beforehand suffered from altitude illness ought to take further precautions, equivalent to slower ascents and extra rigorous acclimatization protocols, to cut back their threat.

3. Bodily exertion

Participating in strenuous bodily actions shortly after arriving at excessive altitude can exacerbate the danger of altitude illness. Excessive-intensity train will increase the physique’s oxygen demand, which is troublesome to satisfy at excessive elevations the place oxygen is scarce. This extra stress can overwhelm the physique’s adaptation mechanisms and precipitate signs of altitude illness. For instance, climbing vigorously or climbing instantly upon arrival at excessive altitude with out correct acclimatization can result in extra pronounced signs.

4. Current medical situations

Individuals with pre-existing respiratory or cardiovascular situations could face an elevated threat of altitude illness. “Situations equivalent to power obstructive pulmonary illness, bronchial asthma, or coronary heart illness can impair the physique’s capability to deal with diminished oxygen ranges and decrease atmospheric stress,” shares the knowledgeable. These situations can exacerbate the physiological pressure attributable to excessive altitudes, making acclimatization tougher and rising susceptibility to altitude illness.

Headache due to altitude sickness
Medicines could also be given to get reduction from headache. Picture courtesy: Adobe Inventory

How you can deal with altitude illness?

The therapy is dependent upon the kind of altitude illness.

  • The first therapy and administration of altitude illness entails descending to a decrease altitude, resting, and staying well-hydrated. “Over-the-counter drugs like ibuprofen can present reduction from headache or discomfort related to the situation,” says the knowledgeable.
  • In case of Excessive Altitude Pulmonary Edema, instant descent is essential. Supplemental oxygen shall be given, and drugs equivalent to nifedipine could also be used to handle the signs.
  • As for Excessive Altitude Cerebral Edema, corticosteroids might help cut back mind swelling. Supplemental oxygen and shut monitoring are additionally wanted.
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How you can stop altitude illness?

Everytime you journey to a excessive altitude location, ensure you put together nicely. Preserve these factors in thoughts to stop altitude illness:

1. Acclimatization

In line with the well being advisory given by the Administration of Union Territory of Ladakh, vacationers have to endure at the very least 48 hours of acclimatization earlier than going to excessive altitude areas. Correct acclimatization entails step by step rising altitude and permitting the physique to regulate to diminished oxygen ranges. “With out enough time spent at intermediate altitudes, equivalent to spending just a few days at 2500 meters earlier than ascending to 3500 meters, the danger of altitude illness will increase,” says the knowledgeable.

2. Gradual ascent

Be sluggish whereas climbing up when you don’t need to have altitude illness. “You need to improve your altitude by about 300 to 500 meters in day when you attain a spot above 2500 metres,” says the knowledgeable.

3. Hydration

Keep good hydration by consuming loads of fluids like water or wholesome fruit juices. However keep away from consuming alcohol and caffeinated drinks, as they will exacerbate dehydration.

4. Keep away from extreme exertion

Make sure that to not bodily exert or push your self within the first 24 to 48 hours at a high-altitude place. Resting and never exerting your self will cut back the danger of altitude illness.

5. Select decrease altitude for sleeping

Throughout the day, journey to a better elevation, however returning to a decrease altitude for sleeping, recommends the US Facilities for Illness Management and Prevention. The signs of altitude illness are likely to worsen at night time whereas sleeping, so select a decrease altitude for sleeping.

6. Drugs

“Prophylactic drugs equivalent to acetazolamide could also be prescribed to assist stop altitude illness,” says the knowledgeable. However take them solely after consulting with a physician, who may give recommendation on the premise of your journey plans and well being standing.

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