Kilimanjaro Altitude Sickness

Mount Kilimanjaro Travel Guide

Kilimanjaro Altitude Sickness

Kilimanjaro Altitude Sickness

Many adventurers want to climb Mount Kilimanjaro. As Africa’s highest summit at 5,895 meters (19,341 feet), it doesn’t require ropes or climbing gear, but it does demand respect, especially when it comes to Kilimanjaro Altitude Sickness.

As they climb, even fit hikers can have trouble with the effects of less oxygen and decreased air pressure. To have a safe and effective Kilimanjaro Climbing Tour, you need to know how altitude sickness works and how to get ready for it.

What is Altitude Sickness?

Altitude sickness, also called Acute Mountain Sickness (AMS), can range from mild discomfort to life-threatening emergencies. It typically occurs when climbers ascend too quickly without allowing their bodies to adapt.

Three primary forms of altitude sickness:

  • Acute Mountain Sickness (AMS)
  • High Altitude Cerebral Oedema (HACE)
  • High Altitude Pulmonary Oedema (HAPE)

AMS Symptoms:

  • Headache
  • Nausea or vomiting
  • Fatigue or weakness
  • Dizziness
  • Loss of appetite

Mild AMS may feel like a hangover, while moderate to severe AMS includes unrelenting headache, shortness of breath, and even loss of coordination.

Understanding HAPE and HACE

High Altitude Pulmonary Oedema (HAPE) develops due to fluid build-up in the lungs. It can happen without any other AMS symptoms.

  • Breathlessness, even at rest
  • Coughing up pink or frothy mucus
  • Extreme fatigue or confusion
  • Blue lips or nails

High Altitude Cerebral Oedema (HACE) is caused by fluid around the brain and can be deadly without immediate treatment.

  • Disorientation, confusion, hallucinations
  • Difficulty walking (ataxia)
  • Severe headache with vomiting
  • Loss of coordination

Immediate descent is the only solution if HAPE or HACE is suspected.

Altitude Training

Diagnosing Altitude Illness on the Mountain

Our guides on a Kilimanjaro Climbing Tour are trained to keep an eye on climbers with gear like pulse oximeters. This instrument checks the amount of oxygen in the blood, which helps figure out how well the body is handling high altitudes.

The Lake Louise Scoring System (LLSS) is a well-known way to look at symptoms more closely. It was created in 1991 during a consensus meeting in Lake Louise, Canada. Altitude medicine professionals from all around the world still use and update this score system to check for Acute Mountain Sickness (AMS) in climbers.

The LLSS looks at five main symptoms:

  • How bad the headache is
  • Feeling sick or having stomach problems
  • Feeling tired or weak
  • Feeling dizzy or lightheaded
  • Impact on daily duties and physical activity

The severity of each symptom is rated on a scale from 0 to 3. If you have a headache with a total score of 3 or higher, you probably have AMS. If the score goes up or the symptoms get worse, the climber may need to stop climbing or start going down for their safety.

What Is Kilimanjaro Acclimatisation?

Kilimanjaro Acclimatisation is your body’s process of adapting to reduced oxygen levels at high altitudes. When done right, it increases your chances of reaching the summit safely.

Signs your body is adapting:

  • Deeper and faster breathing
  • Increased resting heart rate
  • More red blood cell production
  • Reduced plasma volume (leading to dehydration risk)

Good acclimatisation practices include:

  • Choosing longer routes like the Lemosho Route or the Machame Route
  • Taking rest days or practising "climb high, sleep low"
  • Staying hydrated and eating well

Best Practices to Avoid Altitude Sickness

The way you plan and pace your climb plays a major role in preventing Kilimanjaro Altitude Sickness. Here are some tips that make a big difference:

  • Choose a longer route. Options like the Lemosho Route or the Machame Route include more acclimatisation days.
  • Climb slowly. "Pole pole" (Swahili for "slowly") is not just advice, it’s a safety strategy.
  • Stay hydrated. Aim for at least 3-4 litres of water per day.
  • Avoid alcohol, sleeping pills, and narcotics.
  • Eat high-carb meals. Carbohydrates improve oxygen use and energy levels.
  • Dress in layers. Avoid getting cold or wet to reduce the risk of hypothermia.
  • Consult a Doctor. Some climbers also take Diamox, a prescription medication that helps with acclimatisation. It is advisable to consult a doctor before your Mount Kilimanjaro Climbing Tour to understand the medications you need.

Effects of High Altitude on Existing Health Conditions

Not everyone is affected the same way by altitude. Even healthy, fit climbers can experience problems.

People with the following conditions need medical clearance:

  • Heart disease
  • Lung conditions like asthma
  • Neurological issues

Some climbers also take Diamox, a prescription medication that helps with acclimatisation. It is advisable to consult a doctor before your Mount Kilimanjaro Climbing Tour to understand the medications you need.

How Sleep Is Affected on Kilimanjaro

Sleep problems are very common at altitude. One condition, called Cheyne-Stokes breathing, causes irregular breathing patterns during sleep. Climbers may wake up gasping or experience poor sleep quality.

Though not dangerous, it can lead to fatigue. Diamox is often used to regulate this breathing pattern.

Acute Mountain Sickness

Other Health Risks While Climbing Kilimanjaro

Altitude isn’t the only challenge. Climbers should be aware of:

1. Hypothermia:

  • Avoid wet clothes
  • Always carry warm layers in your daypack

2. Sun exposure:

  • Use SPF 40+ sunscreen
  • Wear UV-blocking sunglasses
  • Cover your head, neck, and arms

3. Stomach issues:

  • Wash hands with antibacterial gel before meals
  • Avoid tap water and unpeeled fruits before the trek
  • Stick to the hygienic meals provided on the mountain

Emergency Protocols and Rescue Readiness

Your climbing Kilimanjaro guides perform health checks twice daily. They check your:

  • Blood oxygen saturation
  • Heart rate
  • Breathing sounds
  • Symptoms you report

If you show signs of worsening altitude sickness, you may be required to descend.

Best Day Safaris' descent protocol includes:

  • Immediate descent if blood oxygen is below 75%
  • Close monitoring if the score is between 6 and 8 on the Lake Louise scale
  • Automatic evacuation if the score is above 8

Our guides carry emergency oxygen and are trained in Kilimanjaro Rescue procedures. Helicopter rescue is available in emergencies. Stretcher evacuations are also possible depending on the situation.

Altitude Training: Can You Prepare Before the Trek?

Yes, definitely. Kilimanjaro Altitude training involves simulating low oxygen conditions before your climb. This can include:

  • Training in altitude chambers
  • Using hypoxic tents
  • Practising intermittent hypoxic breathing

A practical option is to climb Mount Meru before Kilimanjaro. It's nearby and gives your body a chance to begin Kilimanjaro Acclimatisation early.

Your Kilimanjaro Climb is Backed by Expert Care!

The symptoms of Kilimanjaro Altitude Sickness are not something you should take lightly.  Taking preventive measures like correct planning, route choice, hydration, and medications can help tackle the symptoms well.

Kilimanjaro Climbing Tours are safe when done with responsible operators like Bestday Safaris, who prioritise health and safety.

We do thorough safety inspections, carry emergency oxygen, teach our guides on how to handle high altitudes, and offer routes that are well-paced to help people acclimatise. Our crew makes sure that every step of the way is safe, informed, and supported.

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Guide to Kilimanjaro

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