Return-to-Syangboche
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Nepal Visa and Other Important Information


Tourist Visa

Visa Facility Duration Fee
Multiple entry 15 days US$ 25
Multiple entry 30 days US$ 40
Multiple entry 90 days US$ 100

Tourist Visa Extension
Visa extension fee for upto 15 days is US$ 30

Tourist visa can be extended for a maximum period of 150 days in a single visa year (January - December).
Transit visa for one day can be obtained from Nepal's immigration offices at the entry points upon the production of departure flight ticket via Tribhuvan International Airport in Nepal, by paying US$ 5.

NOTE: Indian nationals do not require Visa to enter Nepal.


For further information about immigration please contact:

Department of Immigration
Maitighar, Impact Building, Kathmandu
Tel: 00977-1-4221996 / 4223590 / 4222453
web site: www.immi.gov.np


 
Practical Information and Medical Advice:

Trekking in Nepal need not be considered risky affair as far as your health is concerned. Nevertheless, preventive measures such as a through medical check up and inoculations before you start trekking can save you from unexpected hazards. Since the remote places of Nepal are not supplied with necessities that are essential for modern medical facilities and as the rescue and evacuation are measured in days, it is imperative to make a comprehensive first aid box consisting of basic drugs and accessories as part of the paraphernalia for trekking. Modern dentistry is unknown in the hill of Nepal so it is advised to have a checkup before departure from home. Tooth fillings, sometimes loosen in cold temperatures and high altitudes, so it is recommended to have them checked. Travelers are requested to bring medicine prescribed by their doctor at home. Common medicine for stomach problems, headache, and malaria is available in Kathmandu. Medicine is usually not available in remote areas. So necessary medicine is advisable to carry with you. Before going to Nepal, it is advised to get injections against typhoid, meningitis and hepatitis.

Overcoming Altitude Sickness or AMS (Acute Mountain Sickness)
This is often known as Acute Mountain Sickness (AMS), which is particularly a matter of important medical consideration while trekking in the Himalayas. Altitude Sickness means the effect of altitude on those who ascend too rapidly to elevations above 3000 meters. Early mountain sickness will manifest itself in headache, nausea, shortness of breath, fatigue; etc can be encountered as initials of the sickness. The major information source on prevention and treatment of the sickness is Himalayan Rescue Association (HRA) and Adventure Treks Nepal (P). Ltd. is the confide life member of it. We assure every trekker that all our guides have followed the training conducted by HRA with the understated information.

Cause/Factor of altitude sickness
- Less Oxygen
- Low Pressure i.e. Barometric Pressure, Rapid Ascent
- Possible Dehydration
- Hypothermia type of altitude sickness


Type of altitude sickness
- AMS - Acute Mountain Sickness
- HAPE - High Altitude Pulmonary Edema
- Hace - High Altitude Cerebral Edema

Symptoms

1. (AMS) Acute Mountain Sickness
- Mild symptom feels like hangover/not feeling good
- Headache
- Fatigue/Tiredness
- Nausea
- Shortness of breath
- Loss of appetite
- Sleep disturbance
- Dizziness

2. (HAPE) High Altitude Pulmonary Edema (Water in lungs)
- Increasing shortness of breath even at rest
- Severe cough-dry/Productive
- Very tired-Unusual fatigue while walking
- High Pulse rate i.e. 110
- Blueness of face, lips, finger nails that means inability to transport Oxygen into the blood

3. (HACE) High Altitude Cerebral Edema (Water in the head)
- Severe symptoms of altitude sickness
- Severe Headache
- Vomiting
- Walking like a drunk (Ataxia)
- Mental confusion/Altered mental status
- Irritable-Does not want to be bothered by other people
- Unconsciousness or Coma
- TEST - Tandem walking test, Heel to toe step fall off from the line.

Decision Making
- Find out the main problem i.e. at altitude. Assume all problems are Altitude Sickness unless proven otherwise.
- If it is an altitude problem with mild symptoms, stay at the same altitude until the symptoms are completely gone. Take an Aspirin tablet, try to go up but listen to your body. If symptoms are worsening, go down.

Prevention
- Acclimatization: - After a 1000m. ascent, stay one more night for acclimatization.
- Do not make RAPID ASCENT; don't go too fast too high.
- No alcohol, sleeping pills and smoking.
- Drink more fluid 3-4ltrs a day… clean, boiled or treated water/tea/coffee/soup/juice etc.
- Do not carry heavy packs, 10 - 12 Kilograms is ok.
- Climb higher sleep lower.
- Over 3000m, 300m. Ascent a day.
- Do not travel alone.

Treatment

1. DESCENT is the lower altitude immediately. Do not wait for the Helicopter.
2. Medicine:
- Oxygen.
- Diamox…for AMS 125mg. Before dinner, for sleeping problem if feeling suffocated.
- Nafedipine for HAPE
- Steroids/Dexamethasone for HACE

3. Hyperbolic Bag - Gammow Bag
4. Golden Rules
- Awareness of ALTITUDE SICKNESS
- If you have mild symptoms, do not go higher. Take Aspirin.
- If you have worsening symptoms, go down.
- Do not leave your team member behind unattended, either trekker or porter.

5. Important
- Don't stand up too quickly.
- Drink plenty of fluids (at least 3 liters per day)
- Get all information about Altitude Sickness before your trekking tour that will make you confident to make your tour successful.

Our advice: Drink 4ltr of water minimum a day, don't exhaust yourself so much and breathe deep and take rest more than usual.

 

We are affiliated with

Trekking Agencies Association of Nepal
(TAAN)

Sustainable Tourism Network
(STN)

Nepal Mountainering Association 
(NMA)

Further Information

Our pictures: Photo gallery
Our partner: Everest Sherpa Resort

We accept:
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Government Registered

Holiday World Trekking Nepal is registered under Government of Nepal.
Dept. of Tourism: Regd No: 376/054
Company Regd. No: 7749-2054/055
Revenue Department PAN/VAT No: 500 117 398