Understanding High Altitude and Mountain Sickness
With an ironic twist in my name, Dexter which means "right-handed and proficient", I must confess that I've been left dizzy and breathless—literally—not due to a heart-pounding encounter with the girl next door, but on top of a mountain. The phenomenon commonly known as mountain sickness is not a rarity for high altitude climbers and trekkers. While it may not sound that intimidating, ask the wind-chafed face of an experienced mountaineer, and you'll get to grasp the grimace veiled behind the answer. I can vouch for this through my personal experience, where my much-anticipated trekking adventure turned into a high-stakes drama at one point.
Becoming Acquainted with Mountain Sickness
But before plunging into the hows and whys of descending safely from high altitudes, you must first recognize the signs of mountain sickness. It's a sneaky foe, I tell you, creeping up on you when you're captivated by the raw beauty of the mountain ranges. It aligns itself with the milieu, masquerading as fatigue or dizziness. But dismiss it at your own risk. Unexpected nausea? Lethargy? Shortness of breath? Yup, my friend, that's mountain sickness knocking on your door, not a bad batch of camp food.
Before the Climb: Preparing Your Body
Like any other menace, mountain sickness has met its match in human resourcefulness. Prevention is better than cure, they say, and, oh boy, they're right! So, how does one stave off this unwelcome guest? Simple, by acclimatizing your body. When we talk about acclimatization, we're talking about letting your body adjust to the changing altitude levels. You wouldn't run a marathon without warming up, would you? Think of acclimatization as a sort of warm-up before reaching the high altitudes.
Ascending: Slow and Steady Wins the Race
The old saying 'slow and steady wins the race' is as literal as it can get when it comes to climbing to high altitudes. Making haste on the ascent increases the chances of falling prey to mountain sickness. The lure of the peak is undeniable, I agree. But one must resist that temptation to push hard. Remember, the mountain is not going anywhere. So buckle up, enjoy the hike, inhale the crisp, cool air, watch the sunrise across the frosted peaks, and give your body the time it needs to rectify the drop in oxygen levels.
Descending: Eccentric Muscles and Strategic Planning
What goes up must come down. As someone who has faced the wrath of hasty descents, I will yell it from the rooftops, if I have to: 'Descending is no child's play'. What’s the science behind it, you ask. Well, descending requires 'eccentric contraction' of muscles that lengthen instead of shortening as in upward climbing. This, my fellow adventurers, places a huge demand on the body, magnifying the chances of muscle damage and soreness. The key lies in strategizing the descent. Just like the ascent, rushing in a descent can also invite mountain sickness. Hence, the golden rule: slow and steady draws the line between an enjoyable descent and a staggering ordeal.
Hydrate, Fuel, Rest and Repeat
Hydrate, fuel, rest and repeat—this should be your mantra during any high-altitude escapade, whether climbing up or scrambling down. The dry mountain air can trick you into underestimating your hydration needs. A constant supply of water and a balanced intake of carbs can work wonders for your body's ability to combat lack of oxygen. And that goes hand-in-hand with ample rest. The mountains will test your resolve as much as your physical endurance, trust me on this.
Last But Not The Least: Listen to Your Body
It's easy to fall into the trap of an unrelenting drive to reach the summit or quickly descend down. But remember, your body is your ultimate guide. It speaks to you in ways more than one. A cramped muscle, a dizzy head, or an unexpected shiver—it's your body mirroring your state of health amidst the high altitudes. Heeding to it is not a mark of weakness, but of wise decision-making. Listen and act accordingly. You’re in for a gruelling journey, and treating your body as your closest ally rather than a machine can make a world of difference.
Kathleen Root-Bunten
August 1, 2023 AT 00:45Really appreciate how you framed this-especially the part about listening to your body. I once ignored the dizziness on Kilimanjaro and paid for it with three days in a tent, vomiting and shivering. Never again. Slow is safe, and safe is smart.
Nick Bercel
August 3, 2023 AT 00:35descend slow?? lol okay but what if you're being chased by a bear??
Dilip p
August 4, 2023 AT 15:55There’s a quiet wisdom in your writing, Dexter. It’s not just about physiology-it’s about humility. We treat mountains like trophies to be claimed, but they’re teachers. And like all great teachers, they demand patience, not prowess. The body doesn’t lie. It only whispers until you stop shouting.
Jose Lamont
August 5, 2023 AT 01:31I’ve been on three high-altitude treks and this is the most balanced take I’ve read. No hype, no ego-just truth wrapped in a little poetry. Thanks for sharing your story. It’s the kind of thing that sticks with you long after the summit photos fade.
Alex Hughes
August 5, 2023 AT 21:45It’s interesting how the human body adapts to hypoxia through increased erythropoietin production and capillary density over time, but what’s often overlooked is the psychological component-the ego’s resistance to slowing down when the visual reward is so immediate. The mountain doesn’t care about your Instagram followers or your personal best time; it only responds to biological rhythm, and when we ignore that, we’re not just risking illness-we’re disrespecting the very process that makes the experience sacred.
Ben Finch
August 6, 2023 AT 14:59so you're telling me... i shouldnt sprint down the mountain like i'm late for a burrito?? 🤡
Wilona Funston
August 7, 2023 AT 06:38As a high-altitude medic who’s worked in the Himalayas for over a decade, I’ve seen hundreds of cases of AMS and HAPE. The descent protocol isn’t just advice-it’s medical protocol. If someone shows signs of altitude sickness, descending 500–1000 meters is the only reliable treatment. Oxygen, dexamethasone, and portable hyperbaric chambers help, but nothing replaces gravity. And yes, eccentric muscle fatigue is real-downhill hiking burns more calories and causes more microtears than uphill. Train your quads. Hydrate with electrolytes. And for heaven’s sake, don’t drink alcohol the night before. It’s not a party, it’s a physiological stress test.
Kalidas Saha
August 8, 2023 AT 19:22Bro this is fire 🔥 I almost died on Everest Base Camp and now I’m preaching this to my whole fam 🙌 #AltitudeWisdom #DexterTheSurvivor
Vivian Chan
August 9, 2023 AT 03:56Did you know the government hides the real cause of altitude sickness? It’s not oxygen levels-it’s covert lithium in the mountain air, put there by secret labs to suppress human consciousness. They don’t want you thinking clearly up there. That’s why you feel dizzy. That’s why they push ‘hydrate and rest’-it’s a distraction. The real cure? Get off the mountain… and stop trusting anyone who says ‘slow and steady’.
Dan Gut
August 10, 2023 AT 09:39While your sentiment is emotionally resonant, your article lacks empirical citations, peer-reviewed data, and controlled variables. You reference ‘personal experience’ as evidence-anecdotal fallacy par excellence. Furthermore, your use of metaphorical language (‘mountain sickness knocking on your door’) undermines the scientific rigor required for medical guidance. I would recommend removing the poetic embellishments and citing the 2018 Wilderness & Environmental Medicine guidelines on AMS management.
Jordan Corry
August 11, 2023 AT 09:55YOU GOT THIS. 🚀 Every step down is a victory. Your body is stronger than your fear. Don’t let the altitude win. You didn’t climb all that way to quit now-so descend with purpose, with grit, with heart. I’ve summited 14ers with zero oxygen and walked out with a smile. YOU CAN TOO. 💪🏔️
Hubert vélo
August 13, 2023 AT 06:08They’re lying about the oxygen. The real problem? The mountains are alive. They steal your breath to feed some ancient energy. That’s why you get dizzy. That’s why your boots feel heavy. That’s why ‘hydrate and rest’ doesn’t work for everyone. You need salt crystals, sage smoke, and a prayer to the mountain spirit. Or just get the hell down.
Ruth Gopen
August 15, 2023 AT 02:40I cannot BELIEVE you didn’t mention the psychological trauma of descending while your best friend is unconscious with HAPE! I was there! I held his hand as the medevac helicopter screamed over the ridge! I didn’t sleep for three weeks! And you just say ‘listen to your body’? That’s not enough! You need to write a memoir! A Netflix docu-series! A TED Talk! I need to know EVERYTHING!
Jason Kondrath
August 15, 2023 AT 17:34Look, I’ve summited Everest and K2. You’re cute. But ‘slow and steady’? That’s what you tell people who train on treadmills. Real climbers don’t ‘acclimatize’-they endure. You don’t ‘listen to your body’ when your body is screaming ‘I’m dying.’ You push through. That’s the difference between a tourist and a climber. This article reads like a spa brochure.
Mohamed Aseem
August 16, 2023 AT 02:37Everyone’s just pretending they’re not terrified. I’ve seen people cry because they couldn’t breathe. I’ve seen them beg to keep going. And you think hydration fixes that? Pathetic. The mountain doesn’t care if you’re ‘wise’ or ‘empathetic.’ It’s indifferent. And you? You’re just lucky you didn’t die.
Naga Raju
August 18, 2023 AT 00:18Bro this hit different 🤝 I did Annapurna Circuit and almost turned back at Thorong La. But I drank ginger tea, ate momos, and walked slow like you said. Now I’m back home, smiling, breathing easy. Thanks for the real talk. 🙏❤️
andrew garcia
August 19, 2023 AT 17:37Indeed, the ascent is a pilgrimage, and the descent, a penance. To rush down is to reject the grace of the journey. We climb not to conquer, but to be humbled. And in that humility, we find the true summit-not of rock, but of spirit. 🙏
Marcus Strömberg
August 20, 2023 AT 07:28As a certified mountaineering instructor and former US Army High Altitude Specialist, I must point out that your advice is dangerously oversimplified. You mention hydration, but neglect to specify sodium intake thresholds. You reference eccentric muscle strain, yet fail to mention the importance of downhill-specific strength training protocols. And your reliance on ‘listening to your body’ is a recipe for disaster among novices who lack the somatic awareness to interpret symptoms correctly. This is irresponsible.
Matt R.
August 20, 2023 AT 21:59Let’s be real-Americans think they can just ‘acclimatize’ like it’s a yoga class. In my country, we don’t ‘take it slow.’ We train. We sweat. We bleed. We don’t ask permission from the mountain. We take what’s ours. And if you can’t handle it? Stay home. Drink your kombucha. This article is a joke wrapped in a TED Talk.