Before
departing a full examination with a qualified GP is recommended in order to
highlight and advice on any potential problems you may encounter on your trip.
This is particularly important for those with previous heart, lung or blood
pressure irregularities, or any continuing medical conditions.
Children
When
taking children into the mountains you should be very careful and monitor them
for unusual behaviour, as young children often have difficulty in communicating
their feelings. Research suggests that younger people may be slower to adapt to
high altitude, however no comprehensive studies have been carried out with
regards to a safe altitude to children, so doctors recommend a maximum height
for children of 3000m. Nevertheless a number of young children have climbed
Kala Pattar, 5560m.
Teenagers
As
of yet there is no evidence to suggest that teenagers are slower to adapt to
high altitude than adults, although due to behavioural traits they can be more
at risk than mature adults. Teenagers can be overly competitive and refuse to
give in during a challenge. This may be particularly prevalent during school
trips where peers are present.
Older
people
Many
older people, even those past retirement age have been able to climb some of
the world’s most famous mountains. Age doesn’t have to be a barrier preventing
older people from climbing, it is a person’s fitness level that will prevent
them from taking part. Age should simply highlight the need for a good level of
fitness.
Heart
Conditions
As
of yet no studies have been conducted into heart attacks at altitude. It
follows logically due to the effects of altitude on the body and the knowledge
that the level of exertion required is more significant than at sea level, but
no one is sure. Talk to a doctor if you are worried.
High
Blood Pressure
High
blood pressure, also known as hypertension, is likely to be more of a risk at
altitude, so it is important to check with a qualified doctor, preferably one
who has details of your history, to see if it is safe to climb.
Diabetes
Increased
exertion whilst climbing will change the levels of carbohydrate and insulin
levels in the blood so while it shouldn’t stop climbers it is very important to
monitor glucose levels and control blood sugar levels. Again, make the people
around you aware of the condition and what to do in an emergency.
Epilepsy
There
is a slightly increased risk of seizures at high altitude, but depending on the
severity of the condition this may mean you can continue. Your party should be
aware and be prepared in the event of an emergency.
Previous
Chest Infections
People
who are more susceptible to chest infections are more likely to become ill, as
even healthy people develop chest conditions when at altitude. It would be wise
to bring any prescribed medicine, and depending on the severity, begin taking
it as a preventative measure. Consult your doctor.
Asthma
Many
asthmatics often find that their asthma is better at altitude than normal. This
is because there are fewer substances in the air which will irritate an asthma
condition. Even so, it is best to keep any medication close at hand, perhaps in
a sealed pocket or round your neck. Also make others in your party aware of the
condition and what to do in the event of an attack.
Pregnancy
The
effects of reduced oxygen and altitude on an unborn child have yet to be
studied, so for this reason it may be best not to ascend if you are pregnant.
In addition, professional care is often needed and this may be impossible at
altitude.
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