Medical matters & Advice for Trekking
Nepal does not require you to have been inoculated against any illness, however, inoculations are definitely advised. Please consult with your doctor. If you have had any form of recent trouble, it is also advisable to have a fitness check up. . Modern dentistry is unknown in the hills of Nepal, it is worth considering a checkup before departure

On the more popular trails there are health posts which deal with minor ailments, more serious problems are dealt with in major towns .These are often within reasonable distance from the trails. If you are trekking in more remote places, you will need a comprehensive medical kit and some form of communication / mobile phone. In the case of an emergency, you may well need to be airlifted out by helicopter (1500 / 2000 USD per hour), it is essential you are adequately insured.

Various trekking guide books are available with advice. The pamphlet published by the Himalayan Rescue Association gives detailed information on a complete list of medical supplies you may need. It is worth considering contacting your travel agent for advice if you still need help .Guide books with health information are easily available in the bookshops of Kathmandu

Fitness
If you are trekking for the first time, trekking may seem a daunting experience. The truth is, if you are reasonably fit there is a trek in Nepal to suit.

There are many treks in Nepal, ranging from gentle walks to serious and strenuous high altitude expeditions. All trekking demands a level of fitness, in general, the longer the trek the more fitness required. Above 3,000 metres most treks should be designed not to gain more than 500 metres in one day. Long distances might have to be covered during the day, on these days you will need to maintain a good level of stamina. The best preparation for trekking is cycling, swimming, jogging, squash, tennis and long hill walks. Remember, the better your physical condition, the more you are likely to enjoy the trek.

High Altitude Sickness
High altitude sickness, often known as Accute Mountain Sickness (AMS), mainly happens to people who ascend too rapidly over 3000 mtrs. Treks over this altitude need to be planned in an appropriate way. Most people trekking above this level are likely to experience heavier breathing along with a mild headache, this is very different from A.M.S. High altitude sickness in most cases develops slowly and is normally spotted well in advance.A descent of 500 mtrs for a couple of days will be enough to solve the problem.