Medication shops are not frequent on trekking routes; therefore, it is best to carry your own first aid kit. You should read about the possible problems before hand and consult with your local travel doctor regarding any required vaccination before you leave. Your local Guide will able to offer you advice on what may occur and what to bring.
The following is a suggested list of supplies and medications that would be useful to carry a personal first-aid kit while trekking or traveling in Nepal. It is designed to handle the most common problems on a trek. The list should be modified to adjust for the remoteness and difficulty of the particular trek.
While on treks, the following problems could occur
- Upset stomach, often caused by a change in diet or contaminated food and water is a common ailment. To avoid it, one should pay particular attention to hygienic and quality of food and drinks.
- A cough, cold, sore throats common in the dry mountain air can lead to a chest infection. A sore throat can best be avoided by attempting not to breathe cold air directly through the mouth.Smoking should also be avoided.
- Joint muscle strains, foot problems, and blisters are other problems the trekker can face. wearing good footwear could help trekkers to be free from such health hazard. For sprains and strains, apply cold water to reduce swelling and support the joint with a crepe bandage.
- Acute mountain sickness
(AMS) is a fatal sickness caused by random altitude ascension. Therefore, climbers ascending 3,000 meters or above should acquire a sound knowledge of proper, swelling of limbs, dizziness, difficulty in sleeping, irregular breathing, nausea and unusual weariness. Maintaining good fluid intake helps combat altitude sickness and hurried descent of evacuation to the lower altitude is the only best cure.
TREKKING FIRST-AID KIT
The following is a list of items you should consider including in your medical kit. The list should be modified for individual preferences and allergies, and for the remoteness and difficulty of the particular trek.
- Antiseptic, such as povidone-iodine (eg Betadine), which is the most commonly used antiseptic for cleaning wounds.
- 10cm rolled cotton bandages (the stretch type is excellent for bandaging extremities)
- 10cm elastic bandage (to hold on a variety of dressings and to help stabilize minor sprains)
- Four 10cm x 10cm gauze pads (for bandaging wounds or burns)
- Moleskin (or other skin-protection material to prevent blisters)
- Paper stitches (specialized tape for pulling gaping wounds together when suturing is not possible, eg Steri-strips)
- Scissors (for cutting dressing and tape, or to cut clothes away from a severe injury)
- Sewing needle (to drain a blister, or to help remove a splinter)
- 10 assorted sticking plasters (eg Band-Aids)
- Roll of 2.5cm tape (for bandaging)
-Thermometer (to check for fever) - mercury thermometers are prohibited by airlines
- Tweezers (for removal of splinters)
- Muslin triangular bandage in a compressed package (handy as a sling or to fashion different types of splints)
- Antibiotic eye drops (one bottle)
- Anti-inflammatory drugs (such as ibuprofen,400mg; 20 tablets)
- Azithromycin (500mg; three tablets) - a broad-spectrum antibiotic
- Clotrimazole 1% or miconazole 2% cream (one tube)- antifungal cream
- Decongestant (eg pseudoephedrine; 10 tablets)
- Diphenhydramine (eg Benadryl,25mg or 50mg; 10 to 20 tablets)- antihistamine
- Hydrocortisone 1% cream (one tube)
- loperamide (eg lmodium; 20 tablets)
- Fluconazole to treat yeast vaginitis (150mg orally; one tablet)
- Ciprofloxacin (10 tablets)
- Paracetamol (acetaminophen,500mg;20 tablets)
- Potent painkillers,such as acetaminophen with hydrocodone, or acetaminophen with codeine (eg Vicodin; 20 tablets)
- Promethazine (Eg Phenergan,25mg; five tablets) -for relief of severe nausea
- Omeprazole (20mg; 10 tablets) -for relief of gastric pain
- Tinidazole (500mg;12 tablets)
- Motion-sickness tablets such as dimenhydrinate (eg Dramamine,50mg), or meclizine (eg Antivert,25mg) for long bus rides
- Laxatives,such as dulcolx tablets or suppositories