How to Handle Altitude Sickness During Family Travel

Ascend gradually above 8,000 feet, stay hydrated, and watch for symptoms like headaches and nausea in children and adults. Carry acetaminophen, descend immediately if symptoms worsen, and consider preventive medication for destinations above 9,000 feet.

  1. Plan your ascent schedule. Spend at least one night at 6,000-8,000 feet before going higher. For every 3,000 feet above 9,000, add an extra acclimatization day. If flying directly to Cusco (11,200 feet), plan 2-3 days of light activity before any treks.
  2. Recognize the symptoms in family members. Headache is the first sign. Watch for nausea, fatigue, dizziness, and loss of appetite. Children may become unusually cranky or clingy. Adults often experience trouble sleeping. Severe symptoms include confusion, difficulty walking, or persistent vomiting.
  3. Hydrate aggressively. Drink 3-4 liters of water daily per adult, 1-2 liters for children under 12. Avoid alcohol completely for the first 48 hours. Coca tea helps with mild symptoms but doesn't replace water. Pack electrolyte powder for children who won't drink plain water.
  4. Treat mild symptoms immediately. Give acetaminophen or ibuprofen for headaches. Rest and avoid strenuous activity for 24-48 hours. Light walking is fine, but no hiking or running. If symptoms persist after 2 days or worsen, descend 1,000-2,000 feet.
  5. Know when to descend. Descend immediately if anyone shows severe symptoms: persistent vomiting, confusion, difficulty walking straight, or severe headache that doesn't respond to medication. Don't wait. Go down at least 1,500 feet and seek medical help.
Can children get altitude sickness?
Yes, children are just as susceptible as adults and may show different symptoms like unusual crankiness or clinginess. They need the same gradual ascent and hydration protocols.
Should we take altitude medication before traveling?
Consult your doctor if you're going above 9,000 feet. Acetazolamide can prevent symptoms but has side effects. Many families prefer to try natural acclimatization first unless they have a history of altitude problems.
How long does altitude sickness last?
Mild symptoms typically improve in 1-3 days with proper rest and hydration. If symptoms persist beyond 3 days or worsen, descend to a lower altitude immediately.
Is it safe to sleep at high altitude with children?
Yes, but monitor them closely the first few nights. Sleep quality often decreases initially. If a child has persistent breathing problems or severe symptoms during sleep, descend the next day.