Manaslu Circuit Trek

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Activities: Trekking & Sightseeing Fitness Level: Adventurous
Max Elevation: 5,135m/16,847ft at Larkya La pass Transportation: Private vehicle
Best Month: March to May & Sep to Dec Group Size: 2+
Arrival on: Kathmandu Departure from: Kathmandu
Meal: Breakfast in Kathmandu and all meals during the trek
Accommodation: Hotel accommodation in Kathmandu and teahouses during the trek
Price: USD:1880
https://www.nepalvisiontreks.com

Trip Introduction

Manaslu Valley Circuit Trek, the most prominent trek takes you to the beautiful Manaslu Region situated between extremely tall mountains and the beautiful Himalayas rugged into the most happening trails. The Lower and Upper Manaslu region has been a wonderland that has remained unexplored to the world for many years. The trails take us through the incredible, mountain-capped high route passing the sprawling Gurung village perched with high, terrace hilltops with stunning views of Mt. Manaslu(8,613m/26,759ft).

Manaslu Valley Circuit Trek Trip Introduction:

The trek route is among the most varied trails in the region. The Manaslu Trek itself is a demanding trek that requires a high level of fitness to enjoy the adventure. With a glimpse of Ganesh Himal and Nagadi Vhuli, the trail takes you to the historic monasteries, and well-preserved Chorten through the thrilling Larkya La Pass to land you at the Manaslu Base Camp(5,106m.16,752ft), the base camp of the eight-highest mountain in the world.

This Trek can take anywhere from 10-25 days, but we have planned a 17 days package that lets you complete the exploration of the Manaslu region. You can take this great opportunity to explore the less explored and hidden valleys of the region. The trails reward you with epic scenery and intimate encounters with the local culture of the people in the region. The trek has also been named the best all-around trek in northern Nepal by many trekkers. 

Outline Itinerary

Itinerary Outline:

1st Day: Arrival day in Kathmandu (1,300m/4,265 ft)
2nd Day: Kathmandu Valley sightseeing & trek preparation 
3rd Day: Drive from Kathmandu to Sotikhola(730m/2,395ft) 7-8 hrs drive
4th Day: Trek to Machha Khola (930m/3,051ft), 5-6 hours walking 
5th Day: Trek to Jagat (1,410m/4,626ft), 6-7hours walking
6th Day: Trek to Deng(1,865m/6,119ft), 6-7 hours walking 
7th Day: Trek to Namrung (2,630m/8,629ft), 6 - 7 hours walking
8th Day: Trek to Lho (3,180m/10,433ft), 5-6hours walking
9th Day: Trek to Samagaon(3,530m/11,581ft), 4 - 5 hours walking
10th Day: Acclimatization day at Samagaon 
11th Day: Trek to Samdo (3,860m/12,664ft), 3-4 hours walking 
12th Day: Trek to Larkya Phedi (4,460m/14,632ft), 3 - 4 hours walking 
13th Day: Cross the Larkya La (5,135m/16,847ft), trek to Bimtang (3,590m/11,778ft), 7 - 8 hours walking
14th Day: Trek to Tilje (2,300m/7,546ft) 5 - 6 hours walking
15th Day: Trek to Chamje (1,430m/4691ft), 5 - 6 hours walking
16th Day: Drive to Besisahar for 2-3 hours and continue to drive to Kathmandu
17th Day: Departure from Kathmandu

Day to Day Itinerary

Detailed Itinerary: 

#@#Day 01: Arrival day in Kathmandu (1,300m/4,265 ft)

#@#As planned earlier, one of our representatives will be ready to welcome you at the Tribhuvan International Airport. He will be also helping you with the transfer to your hotel to get some refreshments. You will again be joining us for dinner that night where you’ll also have a short briefing about the trip.

#@#Day 02: Kathmandu Valley sightseeing & trek preparation

#@#We’ll start our guided tour in the capital city, Kathmandu to explore the cultural world heritage sites around the city. We start our tour exploring the Pashupatinath Temple, the largest pilgrimage place for Hindu peoples, Boudhhanath Stupa, the largest stupa in the world, and Swoyambhunath Stupa, the monkey temple. We will also visit the historical Kathmandu Durbar Square to explore its architectural features. We will have a short discussion and introduction in the evening with our fellow trekking crew members. 

#@#Day 03: Drive from Kathmandu to Soti Khola (730m/2,395ft) 7-8 hours

#@#On the third day of the trek, we will take an early start by taking the drive of 6-7 hours in a private vehicle. We make our first stop at Arughat Bazaar, Gorkha. You can see that the town is spread out along both banks of Budi Gandaki. You can also go for any last-minute shopping to buy anything you require for the trip. We will continue our drive to Soti Khola where we will be spending the night.

#@#Day 04: Trek to Machha Khola (930m, /3,051ft) 5-6 hours walking

#@#We will hike to the Machha Khola, also known as the Fish River. A settlement with the same name, ‘Machha Khola’ is situated a little above the river which is our home for the day. The village is the gateway to the great Himalayan trail that travels up the east bank of the river in the direction of Ganesh Himal. 

#@#Day 05: Trek to Jagat(1,410m/4,626ft) 6-7 hours walking

#@#We will start our trek by taking a few steep ascents and descents leading our trail from Macha Khola. The trail will eventually lead us to the gravel bars next to the river. We will reach the small village, Tatopani, after two hours of walking and crossing the Tharu Khola. Tatopani is famous for its natural spring where you can clean yourself in the hot water. After a short ascent, you will reach Doban crossing a well-built stairway. The path will still continue to ascent through more rocky terrain, up and down ravines. We will reach the place with the official checkpoint, Jagat, which points to our stop for the day.

#@#Day 06: Trek to Deng (1,865m/6,119ft), 6 - 7 hours walking

#@#After passing the Jagat Valley, We will walk for an hour until we reach the village of Sirdibas after passing the Jagat Valley. We will also cross the Budi Gandaki on a sizable suspension bridge and then ascend steeply to Philim. The trail makes its way down the hillside to reach Ekle Bhatti before crossing back over the river below the confluence of Budi Gandaki and Siyar Khola. We will then descend into a stunning gorge situated above the river. The trail will then ascend to the western side of the valley which will lead us to Deng, our stay for the night.

#@#Day 07: Trek to Namrung (2,630m/8,629ft), 6-7 hours walking

#@#We will approach the Buddhist-influenced region on this day. The walk will continue till we reach some forest ups and downs until we reach Ghap. Ghap is a place with exquisite mani walls and well-preserved paintings. We will eventually reach Namrung village after an arduous climb through the bamboo and rhododendron forest. Overnight in Namrung.

#@#Day 08: Trek to Lho (3,180m/10,433ft), 4 - 5 hours walking

#@#We walk for about 4-5 hours on this day taking some ascending, descending, and enjoying the beautiful view of the mountains. The valley widens after the Namrung village. The trail passes through the Tibetan town of Sho. We will then pass through the Lho Valley which offers a great view of Mount Ganesh I. We spend our night in the Lho Valley. 

 

#@# Day 09: Trek to Samagaon (3,530m/11,581ft), 5 - 6 hours walking

#@#We will continue our walk on the river’s right bank from the Lho. We spend a few hours ascending through the jungle enjoying the view of Peak 29 before us. We will then reach the beautiful settlement, Shyala offering breathtaking views of Phungi, Manaslu, and Him Chuli. We will then arrive at Samagaon village, traversing a large pasture filled with several marmots. We stay at the camp overnight. The camp which is located at the top of the hamlet offers breathtaking views of Manaslu.

#@#Day 10: Acclimatization day at Samagaon

#@#We will take a day to acclimatize to the higher altitude. Samagaon is a beautiful place with an adjacent monastery and beautiful landscape. You can take the day as the opportunity to tour the area, enjoy the scenery, and explore the area. Invest the night at the teahouse.

 

#@#Day 11: Trek to Samdo (3,860m/12,664ft), 3-4 hours walking

#@#We will start the walk for the day from the Samagaon village that widens after we pass through juniper and birch forests on an easy walk to the stone huts at Kermo Kharka. We will continue the trek till we reach a bridge over a sidestream where the trail splits into the left and right forks. The left fork goes to the Manaslu Base Camp and the right fork passes by a number of mani walls that goes to the Larkya La. There is a white stone, Kani, indicating the entrance point for the Samdo village. We stay in the village of Samdo.

#@#Day 12: Trek to Larkya Phedi (4,460m/14,632ft), 3 - 4 hours walking

#@#On the 12th day of the trek, we will descend through fields to an old mani wall and stone arch. After this, we will then drop into the river and cross on a suspension bridge to begin our trek into the past. This place is famous as the legendary Larka Bazaar, which formerly included a thriving market. We will eventually reach another mani wall in the journey which is the marking point for the start of the climb to the pass where the trail begins. From this place, we can witness the enormous Larkya Glacier coming from Manaslu. The trail will progressively grow more difficult as it ascends the gorge's wall to a viewpoint. We will arrive at Larkya Phedi, accommodating travelers crossing the Larkya La. We will spend the night at Larkya Phedi.
 

#@#Day 13: Cross the Larkya La (5,135m/16,847ft), trek to Bimtang (3,590m/11,778ft), 7-8 hours walking

#@#We will quickly arrive at the ablation valley on the Larkya Glacier's left side taking an early start. We will begin the steady ascent to the Larkya pass peak as we move through the glacier moraine. The summit allows a panoramic view of Himlung Himal, Cheo Himal, Kang Guru, and Annapurna II. We will follow the top of the moraine to the west. The trail will then traverses in a series of rugged, steep switchbacks before descending more gradually on snow to a grassy moraine. You are recommended to take crampons and an ice ax for the descent if the terrain is icy. The trail will become simpler to follow and we will then arrive at a little meadow and spring. As the trail descends to a vast meadow, passing a mani wall we reach the rest house at Bimthang. Stay the night in Bimtang.

 

#@#Day 14: Trek to Tilje (2,300m/7,546ft) 5 - 6 hours walking

#@#The trail will take us to a glacier stream at the Dudh Khola's headwaters after we pass through the Bimthang's pastures, over a wooden bridge. We will then fall into a pine and rhododendron forest that thoroughly takes us to the fenced fields of Karcher. We will then pass through a landslide and ascend steeply to a ridge covered in prayer flags before we descend to the riverbank at Gho. The route will take us through farms and sporadic oak and rhododendron stand until it reaches Tilje, a sizable Gurung settlement. We will sleep at Tilje tonight.

#@#Day 15: Trek to Chamje (1,430m/4,691ft), 5 - 6 hours walking

#@#We will leave the settlement into a stone arch, then proceed through the Dudh Khola, descending the scrub woodland. The residences of Dharapani can be seen from a distance as the walls of the Marsyangdi Valley get larger. Dharapani is located over a lengthy suspension bridge that spans the Marsyangdi after passing through Thonje and under a chorten-shaped arch. As we proceed through the most difficult section of the Marsyangdi gorge, the trail will now reverse the direction of the Annapurna Circuit. Sleep there the night.

 

#@# Day 16: Drive to Besisahar for 2-3 hours and continue to drive to Kathmandu

#@#We will travel to Besisahar by local transportation through the Tal settlement as we follow the Marshyangdi River downstream on this day. The car will be waiting for you in Besisahar to pick us up. We will continue the drive to Kathmandu. After returning to Kathmandu, we will settle into our accommodation and spend the night relaxing.

#@# Day 17: Departure from Kathmandu

#@#You will have a whole day to do any last-minute souvenir or gift purchasing for family, friends, or relatives before your departure flight or drive. You can also go for any further adventures or activities, you may have planned with us. You will be transferred to the international airport if you are departing in order to catch a flight to another location.

We wish you a wonderful Himalayan adventure with us!

Trip Includes

Trip Cost Includes:

✅ All airport and hotel transportation by private vehicle in Kathmandu per the suggested itinerary.
✅ Deluxe twin-sharing accommodation in Kathmandu with breakfast
✅ Farewell dinner in Kathmandu (Alcoholic beverages are excluded)
✅ Full board meal (breakfast, lunch, dinner, tea & coffee) during the trek
✅ Seasonal fruits during the trek are provided
✅ Comfortable & clean accommodation on teahouse/lodge/tent during the trek
✅ Government Registered Trek guide (English speaking, First Aid and eco trained), Sherpa porter (one porter for two trekkers)
✅ All necessary paper works, Entry fees, and permits & TIMS card
✅ Four seasonal sleeping bags, Nepal Vision Treks duffel bag,  and trekking map (sleeping bag  to be returned after trip completion)
✅ First aid exclusive medical kit bag
✅ All government and local taxes

Trip Excludes

Trip Cost Excludes:

❌ Visa fees (You can obtain a visa easily upon your arrival at Tribhuvan International Airport in Kathmandu so (bring accurate USD cash and two passport photographs)) International airfare to and from Kathmandu
❌ Lunch and dinner apart from the trek except for welcome & fare well dinner (and also in the case of early return from the mountain than the scheduled plan)
❌ Any extra night accommodation in Kathmandu because of early arrival, late departure, and early return from the mountain (due to any reason) than the scheduled itinerary plan
❌ Travel and rescue insurance
 

Equipments

More Info:

Clothing & Packing Information
Correct Clothing & Equipment’s are essential for a safe and enjoyable trek. Experienced trekkers will often take only a selection of these items based on what has worked in the past. Please find the equipment list below for your personal use during your travel with us.

We are advised to consider the following equipment’s as essentials while packing for the Manaslu Circuit Trek. Adjustments to the list can be managed according to our requirements, interests, duration of trip, and season of trip.  We can find variety of these gears to buy in Kathmandu. Majority of the gears which are in sale in Kathmandu are locally is much cheaper and must be tried on carefully and checked carefully for quality, but on the whole it is OK. We can find very high quality branded gears too in some famous stores in Kathmandu; mostly top notch imported gear, Mountain Hardware, The North Face, Marmot, Black Diamond climbing gear plus head torches and others, and prices are reasonable.

The hotel stores free of cost whatever you don't take trekking, and of course they have a laundry service. You might want to plan with a clean set of clothes for your return from the trek.

Who carries what?
You carry a daypack with your camera, a jacket, water and day snacks. The porters will carry everything else, so pack this in a duffel/kitbag rather than backpack. Since, luggage has weight limitation of approximately 33 pounds or 15 kg.

Important documents 
• Passport (must be valid for 6 months after trip), 2 extra passport size photos, airline tickets
• Photocopy of the information pages of your passport and Insurance
• Insurance – this MUST include helicopter rescue, repatriation and medical coverage. Money – US$200 to US$300 personal spending for trek and for Kathmandu depending on souvenir hunting (but don’t change money at the airport as you will get a better rate of exchange in the Thamel District of Kathmandu).
• Credit cards, Bank/ATM/Cash machine cards for withdrawing funds from cash machines.

Packing List 
»Running shoes»: 1 pair for casual comfortable support shoes wears on lighter walking days.
»Hiking boots»: 1 pair of sturdy hiking boots. Sole should be flexible but still provide enough support for your feet. Boots should be very water repellent.
»Wool socks»: 2 pairs of thin, lightweight inner socks and 2 pairs of heavy poly or wool socks
» Gaiters»:Only for winter, optional, “low” ankle high
»T-Shirts» Polypropylene shirts (2 half sleeve and 2 long sleeves), Light and expedition weight thermal tops
»Jacket» Fleece wind-stopper jacket or pullover, Waterproof (preferably breathable fabric) shell jacket, Down vest and/or jacket and Gore-Tex jacket with hood, waterproof and breathable
»Trekking pants» Non-cotton underwear briefs, 1 pair of Hiking shorts, 1 pair of Hiking trousers, 1 pair of lightweight thermal bottoms (seasonal), 1 pair of fleece or woolen trousers and 1 pair of waterproof shell pants, breathable fabric
»Head wears» Bandana or head scarf, useful for dusty conditions also, Warm hat that covers your ears (wool or synthetic), Headlamp with extra batteries and bulbs, Sunglasses with UV protection
»Hand wears» 1 pair of lightweight poly-liner gloves, 1 pair of lightweight wool or fleece gloves, 1 pair of mittens, consists of 1 Gore-Tex over mitt matched with a very warm polar-fleece mitt liner (seasonal)
»Sleeping Bag»: High quality with hood to at least - 10 Degree Celsius or 14 degrees F (Company provide you sleeping bag for this trek)
»Rucksack and Travel Bags» 1 medium rucksack (60-80 liters/3500-4500 cubic inches, can be used for an airplane carryon), 1 large duffel bag (Company provide you duffle bag for this trek), A small daypack/backpack for carrying your valuables, should have good shoulder padding, Small padlocks for duffel bags, large waterproof rucksack covers (optional)
»Trekking Poles»: Optional
»Water treatment tablets»: Iodine or Chloride Dioxide tablets. A small bottle or multi pack is sufficient. Taste neutralizer tablets remove iodine taste. Chloride Dioxide formulas will not discolor water
»Water Bottles» 2 Wide mouth bottles with minimum 1 Liter capacity per bottle No water bag or bladder systems; they freeze or are hard to fill.
»Pee Bottle» (Optional) but very useful
»Pee funnel for Women» (Optional) Lightweight urinary director (For minimal undressing for discreet use)
»Sunscreen» SPF 30 or better, 2 small tubes and make sure that the sunscreen is not older than 6 months. Sunscreen older than six months loses half of its SPF rating.
»Hand/foot warmers»: (Optional) recommended if you easily get cold hands and feet 1-3 pairs.
»Lip screen»: SPF 30 or better, at least 2 sticks. Not older than 6 months
»MP3 player» (Optional) Flash memory only players since hard drive players do not work at high altitude (above 13,000ft). Chargers can be used at several lodges along the way.
»Towel» Bring towel for trekking. »Toiletry bag» Include toilet paper, soap, towel, and toothpaste & brush, Wet wipes 1-2 per day and hand sanitizer: Hand moisturizer.
»Extra luggage» Please note you do not need to take all your gear with you while trekking - luggage can be safely stored at the hotel in Kathmandu and collected at the end of your trek.

First aid 
»Personal first aid Kit (small and simple)» Aspirin, Moleskin, Adhesive tape and Band-Aids.
»Drugs/medications/prescriptions» Trekker should bring Mupirocin (Bactroban) cream; excellent topical antibiotic for scrapes and cuts.
Cirprofloxin (Cipro) 500mg tablets for traveler’s diarrhea and for urinary tract infections. Loperamide (Lomotil) or Immodium for diarrhea.
Acetazolamide (Diamox) 125 or 250mg tablets for altitude sickness.
Ibuprofen (Advil, Motrin) 200mg tablets for altitude headaches.
Acetaminophen (Tylenol) 325mg tablets for stomach sensitivity.

This above list is only a guideline for you. While you are required to bring everything on this list, there are numerous options, brands.

Physical Condition and requirement

Useful info

Useful Information for the package:

Passport and Visa Requirements
All foreigners require a visa for entry into Nepal (except Indian nationals). It is your responsibility to obtain an entry visa. You can get it from a Nepalese embassy overseas or on arrival in Kathmandu, Nepal. Most people will obtain their visa on arrival at Kathmandu airport. You will need two passport photos and the following fees in US Dollar cash (this is payable in any major currency but NOT traveler's cheque) dependent upon the duration of the multiple entry visas:

  1. Multiple entries 15 days US$ 30 or equivalent convertible currency
  2. Multiple entries 30 days US$ 50 or equivalent convertible currency
  3. Multiple entries 90 days US$ 125 or equivalent convertible currency

Travel Insurance: 
Travel Insurance is mandatory for booking any of Himalayas Nepal Vision’s Adventure packages. Trekking in the Himalayas is full of fun and adventure but you have to be prepared for risk management. While you are in High Altitude region, there are higher risks of difficulties. You may suffer from various health problems, injuries, and illnesses. Even High altitude sickness can tear up your perfect itinerary. And that’s where travel insurance can save you from distress or at least from some of the costs, depending on the policy you buy. For your adventure, Travel insurance is a safety net if things go wrong. At times, even a helicopter may be needed along with a rescue team, for ground evacuation, so, every traveler must have rescue insurance covered against personal accidents, medical expenses, emergency air ambulance/helicopter rescue service accidents, and personal liability. Start your trip with all the necessary health & traveling insurance for your safety.

Having good travel insurance will not only guarantee you peace of mind while you travel with us but also provide you with complete cover for anything things that may go wrong.

Trip Meal Plan 
Eating is a big part of traveling. With Nepal Vision, you will experience the vast array of wonderful food that is available in the Mountains. Nepal Vision will provide Traveling Mountains meals (breakfast, lunch & dinner) that crews require on the trail. On this trip, you can enjoy both traditional Nepalese three-time served as Dal Bhat (rice and lentils), as well as a variety of different food items, such as vegetables, noodles, potatoes cuisine served and soup along with some, Nepali versions of western food such as pizza, pasta, and French fries. Breakfast and dinner will be served from the teahouse or lodge menu where we will spend the night. Lunch will be eaten at one of the trailside restaurants. A welcome dinner, a farewell dinner, and breakfasts will be served during our stay in Kathmandu.

When an individual is allergic to some food products, requires a special diet, or has specific religious food needs, we will arrange it as per your requirements on request. Also, the crew will carry fresh, fruit supplies at a time along the trail. Our guides will carefully be checked for the quality and quantity of the food in every teahouse. Explicit cooking directions are indicated on each food for your convenience.

Trip Accommodation 
During this trip, we will spend a few nights in Kathmandu at four-star standard hotels. We will spend the nights at standard mountain teahouses. A Tea House is a combination of a guesthouse, restaurant, and social hang-out. Private rooms are available in most tea houses. The lodges are fairly basic. The rooms are spare with twin beds and very little additional furniture. Blankets are generally provided. Most bathrooms are shared and toilets are the Western version. Most of the Teahouses have running water facilities while some of them may also have hot water available for bathing at an additional cost. It is advisable to carry wet wipes as an alternative.

There is a large dining room more like the lounge, warmed by an iron cylinder, fitted with a chimney duct, in which a log fire is lit. Most teahouses now also have electricity for charging small appliances, mobile phones, and cameras. Some might charge a small amount for this.

Best time to visit Nepal 
Nepal is for all seasons! But because of the huge range in altitude and landscape, the climate of Nepal differs significantly throughout the country. The most recommended seasons for trekking are autumn (Sept, Oct, Nov) and spring (March, April, and May). In these seasons you will be rewarded with good weather, sunny and warm with clear skies and outstanding views. During monsoons (June, July, Aug) although there will be no problem with trekking, the issue could be less visibility and rain. For the student of botanicals, a monsoon is a blessing as the higher valleys, mountains, and meadows blossom with flowers and abundant vegetation. You can also trek in winter (Dec, Jan, and Feb). Only, the issue will be cold weather with snowfall at higher elevations.

The trekking routes are filled with trekkers during spring and autumn but during monsoon and winter the routes are not packed and you could enjoy rather the best of nature. However, because of the effects of global warming, the climate is changing worldwide and there could always be the possibility of exceptions in these weather patterns. There could be a hoax of bad weather and sometimes even in adverse months during the best seasons too. 

Leader(s) & Staff 
The Trek Leader of your group has a role to ensure all aspects of the trip run smoothly. Our guides are intimately familiar with all local castes and customs along the trails and will share with you many cultural insights that are not covered in any guidebook. You will have a good chance to learn Nepali phrases, cultural things, and more on your trekking. Nepal Vision trained its guide/trekking staff on the following course:

  • Intensive Wilderness First Aid
  • Trekking Guide Training
  • Eco Trekking Workshop and Adventure Meet
  • English Language
  • Conservation and Biodiversity
  • Rock Climbing, Ice Climbing, and Mountaineering (For expedition leaders)

Altitude Information
What is Altitude? 
Altitude is known as elevation, and it is often used to refer to the height above sea level. Altitude is related to air pressure. Trekkers and mountaineers can measure their altitude by measuring the air pressure around them. As the altitude rises, air pressure drops. In other words, if the indicated altitude is high, the air pressure becomes low. The human body reacts to high altitudes. Decreased air pressure means that less oxygen is available for breathing. One normal effect of altitude is shortness of breath since the lungs have to work harder to deliver oxygen to the bloodstream. It can take days and even weeks for a body to adjust to high altitude and low air pressure. To prevent severe altitude sickness, mountaineers bring supplemental (extra) supplies of oxygen and limit their time in the 'high elevation'.

Acclimatization 
We are experts at operating adventure trips at high-altitude destinations. Every trip we run has a realistic acclimatization program. Our treks are designed to allow gradual height gain, spread over several days. There is no way of predicting who will suffer from altitude but, for the vast majority of people, a slow ascent to height will produce minimal effects. Acclimatizing takes time and there are no safe shortcuts. All trips to altitudes over 3,000 meters carry medicines essential to the treatment of altitude illness, and our leaders are trained to administer them and to know the symptoms.

Symptoms & signs of Acute Mountain Sickness

  • Headache (typically throbbing, often worse for bending over or lying down), Additionally one or more of the following symptoms might be seen:
  • Tiredness, weakness
  • Lightheadedness
  • Loss of appetite, nausea (or vomiting)
  • Insomnia, disturbed sleep
  • Dizziness, fatigue, lethargy, heavy legs

Treatment 
The only cure for mountain sickness is either acclimatization or descent to a lower altitude as soon as possible. In the presence of these symptoms, medical attention must be sought immediately in conjunction with a descent to the lowest possible height.

  • Rest (avoid even the slightest exertion if this is possible) at the same (or lower) altitude until the symptoms clear (up to 4 days)
  • Drink enough to keep your urine pale and plentiful
  • Use ibuprofen or paracetamol for headache
  • Consider Diamox™ (125 to 250 mg 12-hourly) for 3 days, or for the rest of the time at altitude if symptoms return
  • Consider Stemeti™l (or other anti-vomiting medication) for persistent nausea/vomiting
  • If AMS symptoms are severe, give oxygen (1 to 2 L/min) OR use a pressure bag until symptoms clear
  • Check the victim regularly for signs of HAPE and HACE, especially during the night
  • Descend far enough to clear symptoms (at least 500m/1640ft) if symptoms of AMS do not improve or get worse

What do we do if we are affected by Altitude Sickness? 
Sometimes trekkers might suffer from ailments like altitude sickness, heart problems, dysentery, or fracture while trekking in the Himalayas. While there are clinics at some places for minor ailments, major hospitals are days away from most of the trekking trails. So, a client’s life could be at risk if he/she is not rescued immediately. If you find yourself ill or injured in the mountains, Nepal Vision Treks will arrange rescue and evacuation services for our clients.

Helicopter rescue services will rarely come to your aid without you either making a cash deposit or a promise in Kathmandu. While you are traveling with us, we can become the guarantor for the helicopter operators, make the initial payments, and send a helicopter for your rescue. We claim the amount later from you or your insurance. Please make sure you have travel insurance that covers emergency helicopter services for rescue to avail of this service.

Our expert and trained guides are very experienced in dealing with the effects of higher altitudes. They are equipped with necessary first-aid medical supplies and will assist with basic first-aid treatment. The safety of our clients is taken very seriously and conducted the operation swiftly and didn’t panic for a second to come up with a proper operation.  

Vaccination: 
Vaccination is the most important thing to consider while traveling to prevent possible diseases. For traveling to Nepal, we recommend you take vaccines against Polio, Tetanus, Typhoid, Hepatitis A, etc. However, it is not a must to have but it is recommended. You should check up with your doctor before the departure of your trip. Your doctor will have access to the most up-to-date information on the required vaccinations for the country you will be visiting.

Extra Expenses Information
You are responsible for your expenses, a cold beverage, mineral water, extra meals, and drinks (more than 3 meals a day), and other services which are not mentioned in our service Includes column. So you should be planning to bring at least US$20 to US$30 per day for these expenses. It is not necessary to obtain local money before departure. Nepal has modern banking facilities so you can use ATMS in Kathmandu where you can easily use your credit card, Debit card, Master card, Visa card, etc. to withdraw local currency.

COVID Precautions
Fully vaccinated travelers don't require a pre-departure PCR test for COVID-19 to enter Nepal. You must bring the vaccination certificate completed at least 14 days prior to arrival at the Airport. In case you are not fully vaccinated or have not completed a full dose of vaccination at least 14 days prior to your arrival in Nepal, you have to bring a COVID-19 test report which can be either RT-PCR, Gene Experr, True NAAT, or WHO accredited test that shows the negative result done within the last 72 hours of boarding from the first airport. In case you are entering through the land border, you will need to do the test within 72 hours before entry. The provision will not be accepted for children below 5 years.

Things to Consider
There are a few important things you need to know before traveling to Nepal so that you can have a smooth journey to Nepal.

  • Be prepared for major emergencies. Nepal experiences natural calamities like Earthquakes, Landslides, floods, and several others. Carrying an emergency kit with necessary first aid supplies and bottled water will be a great help. 
  • Take care while you photograph as it's illegal to photograph army barracks, checkpoints, many temples, and many other areas. 
  • Don't use any illegal drugs. The government of Nepal might take this as a severe charge and also might ask for a sum of penalties for drug offenses.
  • Check with your intended tour provider despite Nepal issuing trekking and mountaineering permits. 
  • Exchange foreign currencies for NPR which will be available at banks or any exchange bureaus. Those can be found in major centers. Most hotels and restaurants accept credit cards but it's better to carry some fleece cash. Make sure you carry enough cash to cover your needs because not all areas have ATMs. 
  • Use the registered taxis. Some taxi drivers may take ask for higher amounts by fooling novice travelers, so make sure you consider checking for prices. 

FAQ

Frequently asked questions:

#@#Why is Mt. Manaslu called the killer mountain?
#@#Manaslu is named “killer mountain” because more than 60 people have died on its treacherous sloppy path.

#@#Is a guide mandatory for Manaslu Circuit Trek?
#@#Yes, a guide is mandatory for the Manaslu Circuit Trek. This is because the trail follows the area from Jagat to Bimthang, which is declared a restricted region.

#@#Is Manaslu difficult to climb?
#@#Climbing Manaslu Circuit is more challenging than is stated in many social media posts, articles, and papers. It is a sloppy trek that must be climbed very carefully.

#@#What is the height of Mt Manaslu?
#@#Mt Manaslu is located in the west-central part of Nepal at the height of 8163m.


Source:https://www.nepalvisiontreks.com