What is Altitude Sickness?

A health article about Altitude Sickness from Your Health Online the A to Z directory of dealing with Health Problems & nutritional Self Care Strategies

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As the name implies, altitude sickness is a condition felt by people when they are exposed abruptly to altitudes of 8,000 feet or more. 

Once you reach high levels of altitude, you will experience thinning of the air supply or oxygen.  

This in turn, can cause some adverse effects on your brain and lungs. 

Around 20% of Americans experience altitude sickness. 

Studies are still inconclusive on who will likely get altitude sickness. 

Factors such as age, gender, level of physical fitness does not seem to affect the probability of a person to experience it

Some of the common symptoms of Altitude Sickness

 There are several signs and symptoms that you have to watch out for, especially when it comes to children. 

As children cannot fully understand or even describe what they are feeling, it is important that you always look at your children closely when you travel to high altitudes.

Ø  Headache: the very first manifestation of altitude sickness once you reach 8,000 feet above sea level.

Ø  Fatigue: this is due to lack of oxygen, which is needed for metabolism and production of energy.

Ø  Dizziness

Ø  Insomnia

Ø  Drowsiness

Ø  Anorexia

Ø  Nausea and vomiting

Ø  Paresthesia or feeling of needles and pins due to circulatory compression

Ø  Peripheral edema, also because of circulatory compression (accumulation of fluid in the hands, feet, arms and legs.

Ø  Difficulty of breathing

Ø  Palpitation or rapid pulse

Altitude sickness can progress to other life-threatening conditions such as pulmonary edema and cerebral edema.  These conditions result because of accumulation of fluid in the lungs and brain respectively. 

Ø  Signs and symptoms of high altitude pulmonary edema

o   Dry, persistent cough

o   Shortness of breath

o   Fever

o   Orthopnea or difficulty of breathing while lying down

o   Coughing up of pink, frothy sputum which indicates fluid in the lungs.  The pinkish tinge is a result of blood stain that comes from destroyed lung tissue.

o   Cyanosis or bluish lips and fingernail beds

o   Crackles and rales during breathing

Ø  Signs and symptoms of high altitude cerebral edema

o   Headache that does not abate even with the use of pain relievers

o   Ataxia or unsteady gait

o   Projectile vomiting

o   Altered level of consciousness

Types of Altitude Sickness

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Altitude sickness progresses through three primary stages as the body struggles to adjust to lower oxygen and air pressure.

These range from mild, hangover-like symptoms to life-threatening conditions affecting the lungs and brain, which demand immediate descent and emergency medical attention. 

1. Acute Mountain Sickness (AMS)

This is the mildest and most common stage, often occurring within 8 to 36 hours of ascending above 8,000 feet. It feels similar to a severe hangover. 

  • Common Symptoms: Throbbing headache, dizziness, fatigue, nausea, loss of appetite, and shortness of breath during physical exertion.
  • Action: Stop climbing, rest, and hydrate. The body usually acclimates within 1–2 days.  

2. High-Altitude Pulmonary Edema (HAPE)

This is a severe and life-threatening form of altitude sickness where fluid leaks from the blood vessels into the lungs. It often develops after more than a day spent at high altitude. 

  • Common Symptoms: Extreme shortness of breath (even while resting), chest tightness, dry cough, rapid heart rate, and fatigue. It can escalate to coughing up pink, frothy fluid.
  • Action: Descend immediately by 500–1,000 meters and seek emergency medical care.  

3. High-Altitude Cerebral Edema (HACE)

This is the most severe and advanced stage of altitude sickness. It happens when the brain swells with fluid and can lead to a coma or death if left untreated. 

  • Common Symptoms: Worsening headache, vomiting, confusion, extreme lethargy, and ataxia (a loss of coordination causing a staggering gait or difficulty walking in a straight line).
  • Action: Administer emergency oxygen, use a portable hyperbaric bag (if available), and initiate immediate descent to a lower elevation. 


What Causes Altitude Sickness

Altitude sickness is caused by ascending to high elevations too quickly, giving your body inadequate time to adjust to lower oxygen levels and air pressure.

Symptoms often start 6–12 hours after ascent and include headaches, nausea, dizziness, and fatigue.

Prevention and treatment require ascending slowly, staying hydrated, and potentially descending if symptoms worsen.



Risk Factors: Who are prone to Altitude Sickness?

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If you are planning to ascend to high elevations, adapting effectively can dramatically reduce your risk:  

  • Ascend Gradually: Avoid going directly from sea level to very high altitudes. Once you pass 2,500 m, increase your sleeping altitude by no more than 300 m to 500 m per day.  


  • Hydrate and Rest: Drink plenty of fluids and take regular rest days. 


  • Avoid Triggers: Limit your intake of alcohol, sedatives, and heavy physical exertion during the first few days. 


  • Medication: For quick ascents, medications like acetazolamide (Diamox) can be prescribed by your doctor to prevent or lessen the symptoms of AMS. Ensure you check for contraindications before use.  


Prevention of Altitude Sickness

One way to prevent altitude sickness is desensitization or acclimatization. 

You have to climb up to a certain altitude until you start feeling the air to become thin. 

It is advised by expert climbers that you establish sleeping quarters lower than the highest point that you were able to climb. 

You may have to sleep in that area for a few days before you continue to go back up, always maintaining a lower base camp. 

It is recommended that you go up by 300 feet daily as you ascend to the highest peak.

Acetazolamide (Diamox) is a drug that will help you acclimatize to higher altitudes. 

It is taken 24 hours before you start climbing, and continued for 5 days to help you breathe easier. 

Caution is advised when taking this drug for it can cause some allergic reactions, especially to those who are allergic to sulfa-based drugs.

Dexamethasone is a corticosteroid that effectively decreases brain edema, and effectively prevents most symptoms of altitude sickness. 

It is taken twice a day for a prescribed duration once you start to climb. 

It is important to remember to taper the dose by gradually decreasing the amount you take daily before you stop to prevent any rebound complications because of sudden drop of steroid levels in the body.

Always make sure that you have a diet high in carbohydrates before you start climbing. 

Pasta is the best source of complex carbohydrates that can give you enough energy and keep you on your feet while you climb.

If you cannot desensitize altitude sickness, it is advised that you refrain from going to high altitude places like the Mountain Rockies, Peru, and Naples. 

If you are to go to those places, never fly to that area directly, rather drive up and take some breaks during the travel to help lessen the onset of altitude sickness. 

If you are pregnant, it is also advised that you travel to high altitude places because studies are still inconclusive as to the effect of altitude sickness on pregnant women and the baby.


When To Seek Medical Attention For Altitude Sickness

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Altitude sickness typically begins at elevations above 2,500 m (8,000 feet) and ranges from mild to life-threatening 

  • Acute Mountain Sickness (AMS): The most common and mildest form. Symptoms feel similar to a severe hangover and include headaches, loss of appetite, fatigue, and difficulty sleeping.  
  • High-Altitude Pulmonary Edema (HAPE): Occurs when fluid builds up in the lungs. It causes severe shortness of breath, a persistent cough, and a rapid heart rate. HAPE is a medical emergency that requires immediate oxygen and descent.  
  • High-Altitude Cerebral Edema (HACE): A severe, life-threatening form where fluid accumulates in the brain. Symptoms include confusion, loss of balance, and irrational behavior. HACE requires immediate emergency evacuation and medical care.  


Treatment/Therapy:

The only way to treat altitude sickness is by rapid descent. 

You can also take some medications to address the signs and symptoms but most medications are administered with extreme caution and with medical supervision. 

If you feel that you are having altitude sickness, it is best that you go to lower altitudes to prevent onset of other complications. 

Acetaminophen (Tylenol) can help resolve your headache. 


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