Nepal Tours Information

Nepal in its earthly heaven has a lot to offer, and if time permits Natural Beauty lovers all around the globe would enrich their lives by trekking, exploring and experiencing the many glories of this unique country. Hers one can learn what beauty really means.With its unique castes, each with its own ancestral background, Culture plays a major role for all Nepalese. Witness the Himalaya wildlife, the fantastic array of birds and flowers, the fascinating cultures of the more than 61 ethnic group Castes.Combine these experiences with mountaineering or trekking or rapid white water rafting on some of the World’s most famous rivers, Rafting, Trekking, Mountaineering or Cultural expeditions premise to leave a life long imprint of Nepal’s greatest wonders.

This experience can be customized to fit the need of any person of any age and any interest and physical level.Nepal Obviously known as the land of great mountain has its high Himalaya Mountains , Unique wild life and rapid rivers which is are its natural gifts. The mountains welcome experienced and inexperienced trekkers. In the history of Nepal, trekking started in 1953 after the expedition to Mt. Everest ( Mt. Chhomolongma ) by Sir Edmond Hillary with Tenzing Norgay Sherpa that turned the world upside down for explorers.

Tour and Trekking region:

• East Nepal
• Central Nepal 
• Central West Nepal
• Far Western region 

Information about to go in Nepal Himalaya mountains regions trekking:   

First Aid Kit

Carrying first aid kit is a must to prevent oneself from any unpredictable events for which immediate concerns have to be given. This contains the basic ailments as mentioned below. 

• Bandage for sprains
• Plasters/Band-aids
• 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 ciprofloxin)
• Anti-diarrhoea medication (antibiotic)
• Diarrhoea 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.

 Visa information:

 A Nepalese visa is required to enter Nepal. You can obtain a visa at Nepalese Embassy/Consulate in your home country or at Tribhuvan international Airport upon your arrival in Kathmandu. 

• Two passport size photo are require for visa application
• No need to pay visa fee for children under 10 years
• Multiple entry visa fee for 15 days is USD 30, 40 days USD 40 and 90 days USD 100
• Tourist visa can be extended up to 150 days.

Equipment Lists

General Equipment

(These general equipments will be provided by Broad adventure which need to be return at the completion of your trek.)

• Duffel or Rucksack bag
• Down jacket
• 4 seasons sleeping bag

(If you have got these things then your own is recommended)

Mandatory Equipment (Which you need to have your own)

• Wind and waterproof jacket and pants
• Fleece pullover or jacket
• Long underwear of polypropylene or wool
• Technical clothing which is light and dries quickly (Long and half sleeves T-shirts )
• Light trekking pants
• Normal t-shirts
• Socks : cotton and woolen
• Underwear and towel
• Warm hat, gloves, sun hat, sun glasses, sunscreen, lip care.
• Rain coat or poncho
• Head lamp with spare batteries
• Water bottle and water purifier
• Proper fitting boots
• Jugging shoes/sandal
• Gaiters
• Day pack
• Handkerchiefs
• Soap and shampoo
• Tooth paste, tooth brush, nail cutter with filer
• Hand washing gel
• Map
• Spare battery for camera
• Safety pad (for women)
• First aid kit
• Toilet paper

Optional Equipment

• Walking poles
• Binocular
• Reading materials
• Swiss army knife or similar
• Super glue and sewing needle
• Pocket music player : iPod or mp3 or mp4
• Ear plugs (for sleeping despite dog barking)
• Bathing suit
• Safety razor and its belonging
• Pocket note books
• GPS and Satellite phone

ABOUT HIGH ALTITUDE SICKNESS

"If you are not feeling well at altitude, it is altitude sickness until proven otherwise."

"Altitude sickness is nothing to worry if you are careful otherwise…………………………."

"Awareness about the altitude sickness is the best medicine for AMS"

Altitude sickness which is also known as acute mountain sickness (AMS) may occur when people gain considerable amount of height with in a short period of time, generally occurring over the altitude of 3000m above the sea level. One will feel some difficulties such as shortness of breathing, light headache, tiredness. The most common symptoms include severe headache, sickness and loss of awareness and in most of the probable cases there are clear symptoms in order to take immediate rescue measures. We have got expert, skilled and trained guides who are entrusted with the job to help you is such probable mishaps and every thing shall be carried out in consent with the recommendations from your physian. Here are some key information giving you enough ideas about altitude sickness, the precautions you have to follow and remedial measures.

1. Normal symptoms

• Normal headache
• Crazy dreams at the altitude of 2500m and above.
• Irregular sleep
• Loss of appetite ( occasional)
• Increased rate of breathing

What to do (Treatment) ?

Don’t worry only with those symptoms. Most of the trekker will feel some or all of those symptoms. Enough rest and drink is the best cure.

2. Mild altitude sickness (Acute Mountain Sickness

Signs and Symptoms

Acute Mountain Sickness (AMS) is common in travelers who ascend rapidly to altitude above 7,000 feet.

• The typical sufferer experiences a headache, difficulty sleeping, loss of appetite, and nausea.
• Swelling of the face and hands may be an early sign. Children are generally more susceptible than adults.
• Sleep is often fitful, with frequent awakenings and an irregular pattern of breathing characterized by periods of rapid breathing alternating with periods of no breathing.

Treatment

• When mild symptoms develop, it is a signal that one should no to any higher in altitude until the symptoms have completely resolved. Watch the victim closely for progression of illness to more severe forms. Usually, within one or two days, the victim will feel better and can then travel to higher altitudes with caution. Symptoms will improve more rapidly simply by going down a few thousand feet.
• Administer acetaminophen (Tylenol) 650 to 1000 mg. or ibuprofen (Motrin) 400 to 600 mg. for headache.
• Consider administering acetazolamide (Diamox) ,at a treatment dose of 250 mg. twice a day .
• Minimize exertion.
• Avoid sleeping pills.

3. Severe Altitude Illness

High Altitude Cerebral Edema (HACE)

A victim may have one or more of the following:

• Severe headache unrelieved by Tylenol or Motrin;
• Vomiting;
• Loss of coordination;
• Severe lassitude
• Confusion, inappropriate behavior, hallucinations, stupor or coma;
• Transient blindness, partial paralysis of loss of sensation on one side of the body may occur;
• Seizures

Treatment

• IMMEDIATE DESCENT of at least 3,000 feet (1,000 meters) or until the victim shows signs of considerable improvement are the most important treatment. Do not wait to see if the victim gets worse of improves. Waiting could prove to be fatal.
• Administer acetazolamide (Diamox), 250 mg. twice a day.
• Administer dexamethasone (Decadron) 8 mg, followed by 4 mg. every 6 hours if available.
• Administer oxygen if available.
• In case immediate descent is not possible, placing the victim in a portable hyperbaric chamber (Gamow Bag) may be helpful in mitigating the effects of HACE.

High Altitude Pulmonary Edema (HAPE)

HAPE usually begins within the first two to four days of ascent to higher altitudes, most commonly on the second night.

Signs and symptoms : A victim may have one or more of the following:

• Initially, the victim will notice marked breathlessness with minor exertion and develop a dry, hacking cough.
• As greater amounts of fluid collect in the lungs, the victim develops increasing shortness of breath, even while resting, and a cough than may produce frothy sputum.
• The victim looks anxious, restlessness and has a rapid or bounding pulse.
• Cyanosis (a bluish color of the lips and nails indicating poor oxygenation of the blood) may be present.

Treatment:

• IMMEDIATE DESCENT of at least 3,000 feet (1,000 meters) or until the victim shows signs of considerable improvement are the most important treatment. Do not wait. Waiting could prove to be fatal.
• Administer oxygen four to six liters-per-minute, if available.
• The prescription drug, nifedipine (Procardia) may be helpful for HAPE. The dose is 10 to 20 mg. every 8 hours.
• The use of Gamow bag, as described above, may be beneficial when the victim can not be immediately evacuated to a lower altitude.

How to prevent from Acute Mountain Sickness (AMS)? 

• Sufficient time for acclimatization should be allowed esp. above 3000 meters.
• Make gradual ascent.
• Avoid alcohol, smoking and even sleeping pills.
• Drink adequate fluid, about 4 liters which includes water, tea, coffee, juice, soup, etc.
• Climb high and sleep low.
• Follow the guidance from your guide.
• If mild symptoms begin to appear, descent quickly.
• Try to keep yourself warm.