Learn About Acute Mountain Sickness

What is the definition of Acute Mountain Sickness?

Acute mountain sickness is an illness that can affect mountain climbers, hikers, skiers, or travelers at high altitudes, usually above 8000 feet (2400 meters).

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What are the alternative names for Acute Mountain Sickness?

High altitude cerebral edema; Altitude anoxia; Altitude sickness; Mountain sickness; High altitude pulmonary edema

What are the causes of Acute Mountain Sickness?

Acute mountain sickness is caused by reduced air pressure and lower oxygen levels at high altitudes.

The faster you climb to a high altitude, the more likely you will get acute mountain sickness.

The best way to prevent altitude illness is to ascend gradually. It is a good idea to spend a few days ascending to 9850 feet (3000). Above this point ascend very slowly so that the elevation at which you sleep does not increase more than 990 feet to 1640 feet (300m to 500m) per night.

You are at higher risk for acute mountain sickness if:

  • You live at or near sea level and travel to a high altitude.
  • You have had the illness before.
  • You ascend quickly.
  • You have not acclimatized to the altitude.
  • Alcohol or other substances have interfered with acclimatization.
  • You have medical problems involving the heart, nervous system, or lungs.
What are the symptoms of Acute Mountain Sickness?

Your symptoms will also depend on the speed of your climb and how hard you push (exert) yourself. Symptoms range from mild to life-threatening. They can affect the nervous system, lungs, muscles, and heart.

In most cases, symptoms are mild. Symptoms of mild to moderate acute mountain sickness may include:

  • Difficulty sleeping
  • Dizziness or light-headedness
  • Fatigue
  • Headache
  • Loss of appetite
  • Nausea or vomiting
  • Rapid pulse (heart rate)
  • Shortness of breath with exertion

Symptoms that may occur with more severe acute mountain sickness include:

  • Blue color to the skin (cyanosis)
  • Chest tightness or congestion
  • Confusion
  • Cough
  • Coughing up blood
  • Decreased consciousness or withdrawal from social interaction
  • Gray or pale complexion
  • Inability to walk in a straight line, or walk at all
  • Shortness of breath at rest
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What are the current treatments for Acute Mountain Sickness?

Early diagnosis is important. Acute mountain sickness is easier to treat in the early stages.

The main treatment for all forms of mountain sickness is to climb down (descend) to a lower altitude as rapidly and safely as possible. You should not continue climbing if you develop symptoms.

Extra oxygen should be given, if available.

People with severe mountain sickness may need to be admitted to a hospital.

A medicine called acetazolamide (Diamox) may be given to help you breathe better. It can help reduce symptoms. This medicine can make you urinate more often. Make sure you drink plenty of fluids and avoid alcohol when taking this drug. This medicine works best when taken before reaching a high altitude.

If you have fluid in your lungs (pulmonary edema), treatment may include:

  • Oxygen
  • A high blood pressure medicine called nifedipine
  • Beta agonist inhalers to open the airways
  • Breathing machine in severe cases
  • Medicine to increase blood flow to the lungs called phosphodiesterase inhibitor (such as sildenafil)

Dexamethasone (Decadron) may help reduce acute mountain sickness symptoms and swelling in the brain (cerebral edema).

Portable hyperbaric chambers allow hikers to simulate conditions at lower altitudes without actually moving from their location on the mountain. These devices are very helpful if bad weather or other factors make climbing down the mountain impossible.

Who are the top Acute Mountain Sickness Local Doctors?
Highly rated in

University Of Oxford

Patan Hospital 
Kathmandu, CR, NP 

Buddha Basnyat is in Kathmandu, Nepal. Basnyat is rated as an Elite expert by MediFind in the treatment of Acute Mountain Sickness. They are also highly rated in 9 other conditions, according to our data. Their top areas of expertise are Typhoid Fever, Salmonella Enterocolitis, Typhus, and Acute Mountain Sickness.

Highly rated in

Université Paris 13

Bobigny, FR 

Jean-paul Richalet is in Bobigny, France. Richalet is rated as an Elite expert by MediFind in the treatment of Acute Mountain Sickness. They are also highly rated in 4 other conditions, according to our data. Their top areas of expertise are Acute Mountain Sickness, Cerebral Hypoxia, Pulmonary Edema, and Pulmonary Hypertension.

Learn about our expert tiers
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Highly rated in

University Of Innsbruck

Innsbruck, AT 

Martin Burtscher is in Innsbruck, Austria. Burtscher is rated as an Elite expert by MediFind in the treatment of Acute Mountain Sickness. He is also highly rated in 4 other conditions, according to our data. His top areas of expertise are Cerebral Hypoxia, Acute Mountain Sickness, Pulmonary Edema, and Hyperventilation.

What is the outlook (prognosis) for Acute Mountain Sickness?

Most cases are mild. Symptoms improve quickly when you climb down the mountain to a lower altitude.

Severe cases may result in death due to lung problems (pulmonary edema) or brain swelling (cerebral edema).

In remote locations, emergency evacuation may not be possible, or treatment may be delayed. This can have a negative effect on the outcome.

The outlook depends on the rate of descent once symptoms begin. Some people are more prone to developing altitude-related sickness and may not respond as well.

What are the possible complications of Acute Mountain Sickness?

Complications may include:

  • Coma (unresponsiveness)
  • Fluid in the lungs (pulmonary edema)
  • Swelling of the brain (cerebral edema), which can lead to seizures, mental changes, or permanent damage to the nervous system
  • Death
When should I contact a medical professional for Acute Mountain Sickness?

Call your provider if you have or had symptoms of acute mountain sickness, even if you felt better when you returned to a lower altitude.

Call 911 or your local emergency number if you or another climber have any of the following symptoms:

  • Altered level of alertness
  • Coughing up blood
  • Severe breathing problems

Climb down the mountain right away and as safely as possible.

How do I prevent Acute Mountain Sickness?

Keys to preventing acute mountain sickness include:

  • Climb the mountain gradually. Gradual ascent is the most important factor in preventing acute mountain sickness.
  • Stop for a day or two of rest for every 2000 feet (600 meters) of climb above 8000 feet (2400 meters).
  • Sleep at a lower altitude when possible.
  • Make sure that you have the ability to rapidly descend if needed.
  • Learn how to recognize early symptoms of mountain sickness.

If you are traveling above 9840 feet (3000 meters), you should carry enough oxygen for several days.

If you plan on climbing quickly, or climbing to a high altitude, ask your provider about medicines that may help.

If you are at risk for a low red blood cell count (anemia), ask your provider if your planned trip is safe. Also ask if an iron supplement is right for you. Anemia lowers the amount of oxygen in your blood. This makes you more likely to have mountain sickness.

While climbing:

  • Do not drink alcohol
  • Drink plenty of fluids
  • Eat regular meals that are high in carbohydrates

You should avoid high altitudes if you have heart or lung disease.

Respiratory system
What are the latest Acute Mountain Sickness Clinical Trials?
The Impact of Hypoxia on Patients With Precapillary Pulmonary Hypertension and Treatment of Adverse Effects
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Optimization Strategy for the Prevention of Acute Mountain Sickness by Remote Ischemic Preconditioning Combined With Acetazolamide
What are the Latest Advances for Acute Mountain Sickness?
The preventive effect of four drugs on acute mountain sickness: a Bayesian network meta-analysis.
Acute, subacute and chronic mountain sickness.
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Low Stroke Volume Index in Healthy Young Men Is Associated with the Incidence of Acute Mountain Sickness after an Ascent by Airplane: A Case-Control Study.
Who are the sources who wrote this article ?

Published Date : September 23, 2019
Published By : Jacob L. Heller, MD, MHA, Emergency Medicine, Emeritus, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Basnyat B, Paterson RD. Travel medicine. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 79.

Harris NS. High-altitude medicine. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 136.

Luks AM, Hackett PH. High altitude and preexisting medical conditions. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 3.

Luks AM, Schoene RB, Swenson ER. High altitude. In: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 77.