COLORADO FOURTEENERS

Acclimatization - Avoiding AMS

Coming from 700 feet above sea level, one of my biggest worries on a four day 14er hiking trip was Altitude Mountain Sickness (AMS). I searched every resource that I could find, and I talked to as many people as I could, trying to find that "magic elixir" to avoid AMS. I found out that there is no such elixir. But, I did see a lot of opinions and a lot of ideas. I decided to summarize the various things that I did to help avoid AMS. I really don't know which things helped and which didn't, or which helped the most. But, I'll list them in the order which I believe had the most affect. Here they are:

Hydration WATER, WATER, WATER. I paced about 20 ozs of fluid per hour of climbing. That equates to around 20 oz per 2-3 miles. I usually had half my fluid as water and half as gatorade. If I were to change anything I did, I would have drank more water.

Forced Acclimatization I arrived in Denver at 10pm and immediately went to 11,000 feet (trailhead of Grays) and camped there for the night. I slept at 9,000-11,000 feet every night. Luckily, I never had ANY AMS symptoms or sleep problems any night.

Fitness I run marathons, and typically run 30+ miles per week. My max VO2 is currently around 48, which is above average. Some think that this is a big indicator of ability at altitude, but other data suggests not. Also, in preparation for the trip, I went hiking 12 miles and 15 miles the two Sundays before my trip, with my 15 lb pack load; albeit at 700 feet altitude.

Vitamin Supplements I read all over the internet, trying to find out what supplements help with AMS. Based on my research, here is what I took, starting approximately 10 days before my trip and continuing through the trip: (2) multi-vitamins, 1200 mg of vitamin E, 1000 mg of Vitamin C (both ~3000% of RDA) and 120 mg Ginkgo Bilbo. As I regularly take a multi-vitamin and sometimes vitamin C and E, this was not so extreme for me.

Food Content I tried to eat 70% carbohydrates. It is more difficult for the body to digest proteins and fat. By eating primarily carbohydrates, your stomach requires less blood/oxygen to digest. When the stomach requires less blood/oxygen, then the brain gets more. Also, I tried to make sure that I ate food continuously, instead of gorging myself in any one sitting. Everyone knows how lethargic you can feel after a large lunch. This is again due to the blood flow to your stomach. You brain needs this blood, especially when the oxygen is deficient. What did I eat?: Cliff bars and Gatorade bars. I noticed these were the highest Carbs content, so I stuck with them. Also, I bought a big pack of twizzlers and ate them as I was walking up the mountain. This was pure sugar (carbs) and kept me eating continuously. I was craving twizzlers, but I would try any heavy sugar candy as a substitute. I should have eaten more, but I only had about 1 bar every 2-3 hours. I always left with a good pop-tart breakfast or a Subway lunch though.

Breathing Very often, I forced myself to breath heavy and fast. At sea level, this might make me hyperventilate, but at altitude I noticed this did not make me dizzy.

Medicine Okay, so sometimes, I had some mild headaches. This was my ONLY AMS symptom. On the first day I had mild headaches that I would say were not quite as bad as some hangovers that I have had. On the second day, I had similar headaches, but I could feel it getting better already. Really the only time that my head bothered me was when I was pounding back down the trail (similar to a hangover). By the third day my headaches were almost gone and on the 4th day I had no headache at all. I used IBUPROFEN in order to alleviate the headache pain. That worked great! I truly believe that the headaches were primarily due to mild dehydration. Next time MORE WATER!!

Genetics!? Maybe I'm just lucky!!!??

Symptoms of AMS are as follows:
  • headache (* my worst symptom)
  • dizziness
  • fatigue
  • shortness of breath
  • loss of appetite
  • nausea
  • disturbed sleep
  • general feeling of malaise.

To gain additional information on AMS, and acclimatization, just go to any "search engine" and type in ACCLIMATIZATION!
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