Altitude Sickness Risk Estimator
Estimate your AMS risk for high-altitude destinations based on ascent rate, altitude, age and fitness level.
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Watch for these symptoms
Altitude reference for popular Indian trekking destinations
| Destination | Altitude (m) | State | AMS Risk |
|---|---|---|---|
| Shimla | 2,200 | Himachal Pradesh | Low |
| Mussoorie | 2,000 | Uttarakhand | Low |
| Manali | 2,050 | Himachal Pradesh | Low |
| Leh | 3,500 | Ladakh | Moderate |
| Rohtang Pass | 3,978 | Himachal Pradesh | Moderate |
| Kaza (Spiti) | 3,800 | Himachal Pradesh | Moderate |
| Nubra Valley | 3,048 | Ladakh | Moderate |
| Khardung La Pass | 5,359 | Ladakh | High |
| Pangong Lake | 4,350 | Ladakh | High |
| Kedarnath Temple | 3,583 | Uttarakhand | Moderate |
| Hemkund Sahib | 4,329 | Uttarakhand | High |
| Goecha La (Sikkim) | 4,940 | Sikkim | High |
Frequently asked questions
What is Acute Mountain Sickness (AMS)?
AMS is the body's response to reduced oxygen at altitude. It typically begins 6–12 hours after arriving at high altitude. Symptoms include headache, nausea, fatigue, dizziness, and loss of appetite. Most cases are mild and resolve with rest and acclimatisation.
How do I prevent altitude sickness?
Ascend gradually (maximum 300–500m per day above 2,500m). Schedule acclimatisation days (rest days) every 2–3 days. Stay hydrated. Avoid alcohol in the first 48 hours. Consider Diamox (acetazolamide) as prescribed by a doctor. Do not fly directly to altitudes above 3,500m without a rest day.
Does fitness level affect AMS risk?
Surprisingly, high cardiovascular fitness provides limited protection against AMS. The key factor is the rate of ascent, not fitness. Even elite athletes can get AMS if they ascend too fast. However, good fitness helps you manage the physical exertion better.
When should I descend immediately?
Descend immediately if you experience: severe headache not relieved by pain relief, vomiting, loss of coordination (ataxia), confusion or altered mental state, or shortness of breath at rest. These are signs of High Altitude Cerebral Edema (HACE) or High Altitude Pulmonary Edema (HAPE), which are life-threatening.
Is Leh safe to visit by flight?
Flying directly to Leh (3,500m) from sea-level cities is common but carries AMS risk. Rest completely for the first 24–48 hours after arrival. Avoid alcohol, exertion and sleeping pills. Drink plenty of water. Most healthy adults acclimatise within 2–3 days if they rest adequately.