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Healthy in High Country 
 
by Lisa Marie Mercer June 21, 2005

Defining Altitude Illness

In 1991, an International Hypoxia Symposium was held at Lake Louise in Alberta Canada. The following diagnostic definitions were determined.

Acute Mountain Sickness (AMS) is characterized by:

  • Appetite loss, nausea or vomiting
  • Fatigue and/or weakness
  • Light headedness
  • Dizziness
  • Insomnia
  • Confusion
  • Altered Gait

There are a number of ways to avoid acute mountain illness:

  • Spend a day at a lower altitude before proceeding to your higher destination.
  • Sleep at a lower altitude
  • Avoid alcohol and caffeine
  • Stay hydrated
  • Avoid sleeping pills
  • Avoid narcotic pain medications
  • Use caution when gaining altitude

If you are experiencing any of the symptoms of AMS, descent is crucial! Failure to do so can result in a more serious case of acute mountain sickness.

High Altitude Cerebral Edema (HACE) occurs when AMS is not treated. The fluid build up causes the brain to swell. This causes extreme disorientation and lack of coordination. At this point, delaying descent can be fatal!

High Altitude Pulmonary Edema (HAPE) is the most severe form of AMS. Its symptoms include:

  • Difficulty breathing at rest
  • Extreme fatigue
  • Cough, possibly with pinkish emissions
  • Gurgling
  • Chest tightness
  • Blue lips and/or fingernails

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