Instant Muktinath Trek is a short and exciting trek on the foothill of Annapurna and Dhaulagiri range, which follows the most ancient traditional route and medieval villages in the trans-Himalaya region of Mustang. Jomsom (Dzongsampa or New Fort) is a small village nestled in the river valley of Kali Gandaki, situated at an altitude of 2760 meters/9055 feet. Being an ending point of Round Annapurna trek or starting point to Upper Mustang Trek, Jomsom has always been on of the most sorted trekking destination in the Himalaya. This Trans-Himalaya village has been blessed by the divine Himalayan ranges surrounding from all directions. The view of Dhaulagiri and Nilgiri is one of the highlight of this trek.
Starting from the lake city of Pokhara, A 20-25 minutes scenic mountain flight will take you to Jomsom, a district administrative center of Mustang. From Jomsom you will hike to Muktinath, the famous pilgrimage site for Buddhists and Hindus. To Hindus, Muktinath is a sacred place of salvation, as they believe that bathing in the waters here guarantees salvation after death. The Hindu god, Brahma, is said to have lit the eternal flames that burn at Muktinath. To Buddhists, Muktinath is a place where the great sage guru Rinpoche (Padmasambhava) came to meditate.
For the majority of its history, Mustang was an independent kingdom that was closely tied in language and culture with Tibet. It was a center for trade, and Buddhist scholarship and art.
Early morning board a small twin-otter plane for a 20 minute scenic flight to Jomsom which passes through the world's deepest gorge wedged between Annapurna I (8,091 m) and Dhaulagiri I (8,167m). Jomsom is an administration center of Mustang and a gateway to Upper Mustang Trekking and ending point of Round Annapurna Trek. Such as you will see hustle and bustle of Authentic trekking trial in Nepal. Your breakfast will be served in Jomsom. After breakfast start your hike peacefully to Kagbeni, situated at an altitude of 2800 meters/9188 feet. Kagbeni is a village along the Annapurna Circuit that boders between Lower and Upper Mustang. Kagbeni is a famous village located in the heart of Barah Kshetra. This medieval village is popularly known for its mud brick houses, dark alleys, Chortens, prayer flags, Gompas and Authentic culture of locals. The 'Kag' of Kagbeni is derived from 'Ghag' meaning center. It really is a center of Jomsom to south and Muktinath to east. Overnight stay at Guesthouse lodge in Kagbeni.
After breakfast start your trek through deserted trial swith mesmarizing view of panoramic Thorong Peak, Nilgiri and Dhaulagiri range. Follow the trial crossing Puthak and Jhong until we reach a famous pilgrimage site of Mukti Kshetra or Muktinath. Located on the foothill of Thorang Pass, Muktinath is a highly venerated sacred place for both Hindus and Buddhists. For Hindus this place is known as Mukti Kshetra which literally means 'Place of salvation' and is ont of the ancient Temple of Lord Vishnu. The shrine is considered to be one of the eight sacred places known as Svayam Vyakta Ksetra as well as one of the 108 Divya Desam, or holy places of worship of Lord Vishnu. Additionally, it is also one of the 51 Shakti Pitha goddess sites. Buddhists call Muktinath Chumming Gyatsa, which in Tibetan means 'Hundred Waters'. According to Tibetan Buddhism Chumig Gyatsa is a sacred place of the Dakinis goddesses known as Sky Dancers, and also one of the 24 celebrated Tantric places. Additionally, the site is believed to be a manifestation of Avalokitesvara, the Bodhisattva of Compassion and Virtue. The Tibetan Buddhist tradition states that Guru Rimpoche, also known as Padmasambhava, the founder of Tibetan Buddhism, meditated here on his way to Tibet. Overnight stay at Guesthouse lodge in Muktinath.
After last minute worship of Mukti Kshetra, we retrace our trial back to Jomsom via Lubra village, one of the most beautiful Thakali village in the region. You will be greeted with the view of Tukuche, Nilgiri and Dhaulagiri. Overnight stay at Guesthouse lodge in Jomsom.
After breakfast Fly back to Pokhara.
To enable all expedition members to acclimatize well and hence maximize their chances of success, our expedition programs are prepared with sufficient time for acclimatization. Adaptation to the altitude takes time and there can be no short-cuts, even if supplementary oxygen is used in the final stages. The atmospheric pressure at the base camp is half of that at the sea level. A thorough program of acclimatization is built into the itinerary which consists of regulated height ascents, followed by descents and rests before the final ascent to the summit. This will prevent the climbers to get rid from altitude sickness
Although our guides carry first aid medical kit, it is better to carry a supply of first aid items for your own personal use according to your health conditions. Here are the list of some general as well as some special medications you may require:
- Antiseptic cream (Betadine)
- Sunblock SPF 30+
- Throat lozenges
- Painkillers and anti-inflammatory such as Aspirin, Paracetamol, Ibuprofen etc.
- Band-aids, bandage, compression bandage and 'Second Skin' for blisters
- Re-hydration salts. (Trioral, Electrobin, Oral Rehydrating Salt)
- Dextrose glucose tablets
- Water treatment tablets
- Your prescription medications
- Antibiotics for longer climbing and expedition style tripsdfsiosdfiajsf
You will be affected by high altitude problems if it is your fist trip at a high altitude. The altitude has some important beneficial effects on the human body and your trips have been designed to enable these. Please familiarize yourself with the information on AMS (Acute Mountain Sickness) and understand how to avoid it and read on benefits of high altitude and take advantage of these to improve your body' metabolism.
Altitude sickness is the reaction of the body adjusting to decreasing amounts of oxygen. The high altitude slowly decreases the flow of oxygen means the higher you climb, the flow of oxygen is very thin resulting the malfunction of body. Altitude sickness most commonly occurs from above 2,800 meters (9,200ft) but this is different for everyone - there is simply no way of knowing your own susceptibility prior to being at altitude thus it is vital for you to monitor your own health. AMS occurs when the body is unable to adopt at the higher altitude having less amount of oxygen. At an altitude of 5490m (18000 ft.), the oxygen availability becomes just the half of the availability at sea level. While only a third of oxygen is available at the summit of Mt. Everest. Symptoms may be mild and subside/go away after a day's rest, or if it is ignored it could lead to death.
Symptoms can appear within 1-2 hours although most often appear 6-10 hours after ascent and generally subside in 1-2 days as the body adjusts to altitude. They may reappear as you continue to go higher. Symptoms of AMS usually occur gradually and can be one or a combination of the following:
• Headache: Due to the less amount of oxygen in air, the blood influences the blood vessels to spread wide in order to supply more oxygen to the brain and which cause them to show the early symptom of AMS.
• Dopiness: The trekkers or climbers feel very sleepy but could not.
• Shortness of breath: The breathing pattern changes as the breathing becomes faster and deeper than normal in order to get enough oxygen and rapid pulse
• Loss of appetite and nausea: Despite of physical exercise, the trekkers don’t have an appetite to eat. They will feel as if they want to vomit.
• Pins and Needles: Sensation of a limbs falling asleep.
• Fatigue: Physical pressure while trekking the long hours followed by Insomnia shows the next symptom of AIMS which is fatigue.
• Dizziness: A feeling of falling down, it is the early symptoms of AMS.
• Malaise: Malaise is the feeling of being sick which is also one of the symptoms of AMS.
• Swelling of hands, feet & face: Due to the accumulation of fluids, the tissues swell which is also one of the symptoms of AMS.
Symptoms associated with more severe Acute Mountain Sickness includes:
At high altitude, all people will experience some of the above symptoms in a mild form. If the body is unable to adjust to altitude these symptoms will persist and if they are left untreated, altitude sickness may progress to High Altitude Cerebral Edema (HACE) or High Altitude Pulmonary Edema (HAPE). Edema means simply fluid accumulation in your interstitial body tissues. Both HACE and HAPE can be fatal if ignored.
High Altitude Pulmonary Edema (HAPE)
If one accumulates of fluid in the lungs and mild fever then, there is a chance of High Altitude Pulmonary Edema (HAPE). The filling of fluid in the lungs is Pulmonary Edema. The fluid blocks the passage of fresh oxygen to get into the lungs which causes the shortage of oxygen. Though the exact reason for the HAPE has not been identified, scientists think that pressure of blood vessel around the lungs is directly proportional to the altitude. As a result the smaller blood vessels leak allowing the fluid to escape to the lungs. The treatment for the HAPE victims is to give the oxygen at the rate of 4 liters a minute, using Portable Altitude Chamber (PAC). In case of unavailability of PAC bag or oxygen, one is taken down to the low altitude which is the only way of life-saving. HAPE can also lead to unconsciousness which may also results to death in a short period of time.
High Altitude Cerebral Edema (HACE)
HACE is the accumulation of fluid in the brain due of the swollen blood vessels to the brain. HACE is also seen within a couple of hours and can send the patient to coma and take his/her life in just few hours likewise to HAPE. The excessive flow of blood to the brain due to the low-level oxygen causes vasodilation which eventually leads to leakage of blood vessels to the brain. A 4 to 8mg of dexamethasone is given as a first dose to those who suffer from such sickness and then 4mg Diamox is given an every six hours gap. Similarly, 2-4 liters/minute oxygen is given and one is taken to down if it is necessary.
- A dry cough, developing to a wet one with blood-tinged discharge or saliva
- Tightness in the chest & blueness/darkness of face, lips & tongue
- Low fever up to 38°C/100°F
- Severe fatigue, progressing to coma
- Severe headache symptoms not relieved by painkillers or lying down
- Confusion, disorientation & drowsiness
- Loss of balance or coordination
- Blurred or double vision/retinal hemorrhage
Certain medical conditions (such as respiratory disease) or medications (such as sleeping pills) can increase the risk of altitude sickness - it is important that you inform your guide of any medical conditions or medications before ascending to altitude. You can help your body to acclimatize and avoid altitude sickness by:
Most travelers are able to successfully acclimatize by following the previously mentioned guidelines. However, there are instances where medical treatment is required. Ultimately, the best treatment for acute mountain sickness (AMS) is to descend to a lower altitude and rest. Early diagnosis is important. Acute mountain sickness is easier to treat in the early stages. The guide will monitor you all the time for symptoms and will pace you appropriately to minimize your exposure to AMS.Cooperating with the guide and reporting if any of the above-described symptoms are seen allows your guide to undertaking appropriate and timely action to minimize your exposure to AMS. Sufficient time for acclimatization (After 3000 meters) is also another method to minimize AMS. Following precautions can be done in order to get rid of AMS:
• Don’t ascent up rapidly.
• Never use alcohol, sleeping pills and smoking.
• Drink more fluid 3-4 liters a day, clean boiled water / tea / coffee / soup / juice etc.
• Climb high and sleep low.
• Don’t go trekking alone, take guide/porter.
• Follow the advice from your guide, hotel, local people, guidebook.
• Descent if mild symptoms rapidly getting worse.
• Never leave or descent sick person along.
• Avoid getting cold.
• Take an easy and comfortable trekking route even if it is longer.
• Sleep more than normal.
Your Guide will carry some medications in First Aid Kit and may suggest for medication such as Ibuprofen, Paracetamol, combination of them or specific AMS medication. Standard and effective medication for prevention of AMS is Acetazolamide (Diamox) and it may be given to help improve breathing and reduce mild symptoms. This drug can cause increased urination. Ensure you drink plenty of fluids and avoid alcohol when taking this drug.With severe cases of AMS, our guide will contact our office in Kathmandu and arrange your evacuation by helicopter. Before we accept you on the trek we will require that you purchase health and travel insurance including helicopter rescue and hospitalization.
You never know when the unexpected situation comes and put you in hearse condition. So such cases you will be rescued by Helicopter. You are entirely liable for all the expenses incurred in evacuation. So, before coming to Nepal, please make your travel insurance. Ask your guide to arrange a runner to the nearest communication point and inform office about requirement of a helicopter. For evacuation, we require the name of the sick person and the exact location from where helicopter can airlift you. You should not leave the place after calling Helicopter for evacuation though you are feeling better than before.
On the trek, there is a facility of purchasing safe drinking water in teahouses.It is better if you carry the water purifying pills on your own. On camping trek, the water will be treated with Potassium permanganate or Iodine. On the trail, water from the streams is safe to drink, but better not to use it directly for drinking.
Security and a safe journey is our core objective of trekking. Our guide holds licenses issued by the Nepal Government and our staffs are local, honest, kind and genuine. But we also insist you to take care of your own personal belongings. If you are on ‘camping trek’ please take your main bag inside the tent once you reach campsite and put all bags and belongings in the middle of the tent when you feel sleepy. Your guide assigns a Sherpa on turn wise basis to guard the campsite throughout the night. If you are on ‘Tea house arrangement, never leave your baggage unattended and keep your lodge room locked when you go out.