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'''For the WikiDoc page for this topic, click [[Altitude sickness|here]]'''
'''For the WikiDoc page for this topic, click [[Altitude sickness|here]]'''


{{SI}}
{{Altitude sickness (patient information)}}


'''Editor-in-Chief:''' Alexandra M. Palmer
{{CMG}}; '''Assistant Editor(s)-in-Chief:''' Alexandra M. Palmer


{{EJ}}
==Overview==
 
==What is Altitude sickness?==
[[Altitude sickness]], also called [[acute mountain sickness]], is an [[illness]] that can affect mountain climbers, hikers, skiers, or travelers at high altitude (typically above 8,000 feet or 2,400 meters).
[[Altitude sickness]], also called [[acute mountain sickness]], is an [[illness]] that can affect mountain climbers, hikers, skiers, or travelers at high altitude (typically above 8,000 feet or 2,400 meters).


==What are the symptoms of Altitude sickness?==
==What are the symptoms of Altitude sickness?==
Symptoms generally associated with mild to moderate [[altitude illness]] include:
Symptoms generally associated with mild to moderate [[altitude sickness]] include:
*Difficulty sleeping
*Difficulty sleeping
*[[Dizziness]] or [[light-headedness]]
*[[Dizziness]] or [[light-headedness]]
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*[[Shortness of breath]] with [[exertion]]
*[[Shortness of breath]] with [[exertion]]


Symptoms generally associated with more severe [[altitude illness]] include:
Symptoms generally associated with more severe [[altitude sickness]] include:
*Bluish discoloration of the skin ([[cyanosis]])
*Bluish discoloration of the skin ([[cyanosis]])
*[[Chest tightness]] or [[congestion]]
*[[Chest tightness]] or [[congestion]]
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==What causes Altitude sickness?==
==What causes Altitude sickness?==
Acute mountain sickness is brought on by the combination of reduced air pressure and lower oxygen concentration that occur at high altitudes. Symptoms can range from mild to life-threatening, and can affect the nervous system, lungs, muscles, and heart.
[[Altitude sickness]] is brought on by the combination of reduced air pressure and lower oxygen concentration that occur at high altitudes. Symptoms can range from mild to life-threatening, and can affect the [[nervous system]], [[lungs]], [[muscles]], and [[heart]].


In most cases the symptoms are mild. In severe cases fluid collects in the lungs (pulmonary edema) causing extreme shortness of breath. This further reduces how much oxygen enters the bloodstream and reaches vital organs and tissue. Brain swelling may also occur (cerebral edema). This can cause confusion, coma, and, if untreated, death.
In most cases the symptoms are mild. In severe cases fluid collects in the [[lungs]] ([[pulmonary edema]]) causing extreme [[shortness of breath]]. This further reduces how much [[oxygen]] enters the [[bloodstream]] and reaches vital [[organs]] and [[tissue]]. Brain swelling may also occur ([[cerebral edema]]). This can cause [[confusion]], [[coma]], and, if untreated, [[death]].


The chance of getting acute mountain sickness increases the faster a person climbs to a high altitude. How severe the symptoms are also depends on this factor, as well as how hard the person pushes (exerts) himself or herself. People who normally live at or near sea level are more prone to acute mountain sickness.
Approximately 20% of people will develop mild symptoms at altitudes between 6,300 to 9,700 feet, but pulmonary and [[cerebral edema]] are extremely rare at these heights. However, above 14,000 feet, a majority of people will experience at least mild symptoms. Some people who stay at this height can develop pulmonary or [[cerebral edema]].


Approximately 20% of people will develop mild symptoms at altitudes between 6,300 to 9,700 feet, but pulmonary and cerebral edema are extremely rare at these heights. However, above 14,000 feet, a majority of people will experience at least mild symptoms. Some people who stay at this height can develop pulmonary or cerebral edema.
==Who is at highest risk?==
The chance of getting [[altitude sickness]] increases the faster a person climbs to a high altitude. How severe the symptoms are also depends on this factor, as well as how hard the person pushes (exerts) himself or herself. People who normally live at or near sea level are more prone to [[altitude sickness]].


==Who is at risk for Altitude sickness?==
==When to seek urgent medical care?==
Call your [[health care provider]] if you have or had symptoms of [[altitude sickness]], even if you felt better when you returned to a lower altitude.


==How do I know I have Altitude sickness?==
Call 911 or your local emergency number, or seek emergency medical assistance if severe [[difficulty breathing]] develops, or if you notice a lower level of [[consciousness]], coughing up of [[blood]], or other severe symptoms. If unable to contact emergency help, descend immediately, as rapidly as is safely possible.


==When to seek urgent medical care==
==Diagnosis==
A doctor will listen to the [[chest]] with a [[stethoscope]] ([[auscultation]]). This reveals sounds called crackles ([[rales]]) in the [[lung]], which can mean [[pulmonary edema]].
 
A [[chest x-ray]] may also be performed.


==Treatment options==
==Treatment options==
The main form of [[treatment]] for all forms of [[altitude sickness]] is to climb down (descend) to a lower altitude as rapidly and safely as possible. Extra [[oxygen]] should be given, if available.
People with severe [[altitude sickness]] may be admitted to a hospital.
[[Acetazolamide]] ([[Diamox]]) is a [[drug]] used to stimulate [[breathing]] and reduce mild symptoms of [[altitude sickness]]. This [[drug]] can cause increased [[urination]]. When taking this [[medication]], make sure you drink plenty of [[fluids]] and do not drink alcohol.


==Where to find medical care for Altitude sickness==
[[Pulmonary edema]], the build-up of fluid in the [[lungs]], is treated with [[oxygen]], the high [[blood pressure]] medicine [[nifedipine]] or [[phosphodiesterase inhibitors]] ([[sildenafil]]), and, in severe cases, a breathing machine ([[respirator]]).
 
The [[steroid]] drug [[dexamethasone]] ([[Decadron]]) may help reduce [[swelling]] in the [[brain]] ([[cerebral edema]]).
 
Portable [[hyperbaric]] chambers have been developed to allow hikers to simulate their conditions at lower altitudes without moving from their location on the mountain. These new devices are very important if bad weather or other factors make climbing down the mountain impossible.
 
==Where to find medical care for Altitude sickness?==
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Altitude sickness}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed    Directions to Hospitals Treating Altitude sickness]
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Altitude sickness}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed    Directions to Hospitals Treating Altitude sickness]


==What to expect (Outlook/Prognosis)==
==What to expect (Outlook/Prognosis)?==
Most cases are mild, and symptoms improve promptly with a return to lower altitude. Severe cases may result in [[death]] due to [[respiratory distress]] or [[brain]] [[swelling]] ([[cerebral edema]]).
 
In remote locations, emergency evacuation may not be possible, or [[treatment]] may be delayed. These conditions could adversely affect the outcome.


==Possible complications==
==Possible complications==
*[[Coma (patient information)|Coma]]
*[[High altitude cerebral edema]] (brain swelling)
*[[Pulmonary edema (patient information)|Pulmonary edema]]


==Sources==
==Sources==
 
* http://www.nlm.nih.gov/medlineplus/ency/article/000133.htm
 
{{SIB}}
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{{WH}}
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[[Category:Patient Information]]
 
[[Category:Patient information]]
[[Category:Disease]]
[[Category:Mountaineering]]
[[Category:Emergency medicine]]
[[Category:Pulmonology]]
[[Category:Neurology]]

Latest revision as of 20:52, 1 February 2013

For the WikiDoc page for this topic, click here

Altitude sickness

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

When to seek urgent medical care?

Diagnosis

Treatment options

Where to find medical care for Altitude sickness?

What to expect (Outlook/Prognosis)?

Possible complications

Altitude sickness On the Web

Ongoing Trials at Clinical Trials.gov

Images of Altitude sickness

Videos on Altitude sickness

FDA on Altitude sickness

CDC on Altitude sickness

Altitude sickness in the news

Blogs on Altitude sickness

Directions to Hospitals Treating Altitude sickness

Risk calculators and risk factors for Altitude sickness

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor(s)-in-Chief: Alexandra M. Palmer

Overview

Altitude sickness, also called acute mountain sickness, is an illness that can affect mountain climbers, hikers, skiers, or travelers at high altitude (typically above 8,000 feet or 2,400 meters).

What are the symptoms of Altitude sickness?

Symptoms generally associated with mild to moderate altitude sickness include:

Symptoms generally associated with more severe altitude sickness include:

What causes Altitude sickness?

Altitude sickness is brought on by the combination of reduced air pressure and lower oxygen concentration that occur at high altitudes. Symptoms can range from mild to life-threatening, and can affect the nervous system, lungs, muscles, and heart.

In most cases the symptoms are mild. In severe cases fluid collects in the lungs (pulmonary edema) causing extreme shortness of breath. This further reduces how much oxygen enters the bloodstream and reaches vital organs and tissue. Brain swelling may also occur (cerebral edema). This can cause confusion, coma, and, if untreated, death.

Approximately 20% of people will develop mild symptoms at altitudes between 6,300 to 9,700 feet, but pulmonary and cerebral edema are extremely rare at these heights. However, above 14,000 feet, a majority of people will experience at least mild symptoms. Some people who stay at this height can develop pulmonary or cerebral edema.

Who is at highest risk?

The chance of getting altitude sickness increases the faster a person climbs to a high altitude. How severe the symptoms are also depends on this factor, as well as how hard the person pushes (exerts) himself or herself. People who normally live at or near sea level are more prone to altitude sickness.

When to seek urgent medical care?

Call your health care provider if you have or had symptoms of altitude sickness, even if you felt better when you returned to a lower altitude.

Call 911 or your local emergency number, or seek emergency medical assistance if severe difficulty breathing develops, or if you notice a lower level of consciousness, coughing up of blood, or other severe symptoms. If unable to contact emergency help, descend immediately, as rapidly as is safely possible.

Diagnosis

A doctor will listen to the chest with a stethoscope (auscultation). This reveals sounds called crackles (rales) in the lung, which can mean pulmonary edema.

A chest x-ray may also be performed.

Treatment options

The main form of treatment for all forms of altitude sickness is to climb down (descend) to a lower altitude as rapidly and safely as possible. Extra oxygen should be given, if available.

People with severe altitude sickness may be admitted to a hospital.

Acetazolamide (Diamox) is a drug used to stimulate breathing and reduce mild symptoms of altitude sickness. This drug can cause increased urination. When taking this medication, make sure you drink plenty of fluids and do not drink alcohol.

Pulmonary edema, the build-up of fluid in the lungs, is treated with oxygen, the high blood pressure medicine nifedipine or phosphodiesterase inhibitors (sildenafil), and, in severe cases, a breathing machine (respirator).

The steroid drug dexamethasone (Decadron) may help reduce swelling in the brain (cerebral edema).

Portable hyperbaric chambers have been developed to allow hikers to simulate their conditions at lower altitudes without moving from their location on the mountain. These new devices are very important if bad weather or other factors make climbing down the mountain impossible.

Where to find medical care for Altitude sickness?

Directions to Hospitals Treating Altitude sickness

What to expect (Outlook/Prognosis)?

Most cases are mild, and symptoms improve promptly with a return to lower altitude. Severe cases may result in death due to respiratory distress or brain swelling (cerebral edema).

In remote locations, emergency evacuation may not be possible, or treatment may be delayed. These conditions could adversely affect the outcome.

Possible complications

Sources

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