South America Essentials: Surviving Altitude Sickness

Coming from Britain, where our tallest mountain is only 1,344 metres (4,409 feet), altitude sickness isn't something we encounter very much in our day-to-day lives. However, having climbed a significant number of volcanoes and mountains on in Latin America, not to mention staying in cities twice as high as our beloved Ben Nevis, we've become pretty used to altitude and the unpleasant effects it can have.

If you're planning a trip to Latin America or South America, and intend on ticking off a number of bucket list items like the Inca Trail or summiting Cotopaxi, you too are going to spend more than a couple of days above 2,500m. Use this guide to increase your chances of avoiding altitude sickness entirely and to prepare yourself so you know what to do should you become unwell.

What is altitude sickness?

Not felt until you surpass 2,500m (8,202 ft), altitude sickness is essentially your body telling you it's not getting enough oxygen.

The higher you go in the world, the thinner the air gets. This means that, as the metres increase, the less oxygen there is for your body to use; altitude sickness is your body's way of letting you know that it hasn't got as much oxygen as it normally requires. 

What a lot of people don't realise, is that you don't have to be climbing a mountain to be affected by the altitude. So many towns in South America (i.e. Quito, Cusco, La Paz, Bogota) are already so high, that merely arriving in them from sea level could cause you to feel unwell.

The symptoms can range from a throbbing headache, loss of appetite and nausea (you may even vomit) to a feeling of tiredness, altered sleep patterns and dizziness. Those that have experienced it frequently compare it to a bad hangover. 

In most instances, this is as bad as it should get. However, in severe but very small number of cases, you could also suffer from significant shortness of breath, confusion, drowsiness, coma and even death.


Who gets it?

Unfortunately, there is absolutely no way to predict who will suffer from altitude sickness - you could be the healthiest guy in the world or a chain-smoker with a beer gut, the sickness does not discriminate.

Additionally, as the symptoms have a lot to do with how quickly your body goes from one altitude to another, just because you didn't suffer it on your last hike where you were properly acclimatised, doesn't mean you won't feel unwell on your arrival to La Paz on a flight from the beach.


Can you prevent Altitude sickness?

The vast majority of us live much closer to sea level than we realise, and if that's the case then you need at least a few days to acclimatise to any significant altitude. Your body needs to get used to functioning properly on less oxygen and that process takes time.

Yeah, you may have just flown into Cusco for a two week trip and want to get out hiking straight away, but this is absolutely the worst thing you can do and a sure fire way to increase your chances of becoming unwell. Give yourself a couple of days whenever you go from sea level to altitude before undertaking any serious activity. If not, you may find yourself out of breath just climbing the stairs to your room or attempting a day sight-seeing.

Secondly, and as boring as it sounds, avoid the booze and cigarettes and drink plenty of water whilst you're at altitude.


How do you treat it?

Should you experience the milder symptoms (nausea, headache, fatigue), the important thing is to recognise that you may be suffering from altitude sickness and for the time being not ascend any higher - if your body is already struggling, going any higher is only going to make you feel more unwell.

If the symptoms occur whilst you are simply in a city at altitude, you have little option but to rest and take as long as necessary for your body to acclimatise. Refrain from putting any extra stress on your body in the meantime and stay hydrated. It is very unlikely that you would become desperately unwell in this situation, but do seek medical assistance should you become concerned.

Should you experience the tell-tale signs whilst you are trekking, you must stop and only continue when you feel well again. If you begin to get worse, you MUST descend to a lower altitude and, if the symptoms do not abate, consider ending the trek.

In Peru, Ecuador and Bolivia, the local people will use coca leaves to ward off the effects of altitude but we found the sweets and tea more pleasant. In fact, when we were at around 5,000m at Cotopaxi, Ecuador, and I began to feel unwell, coca tea is what the guide gave me - I did begin to feel better, but that may have been because we descended shortly after.

Fortunately, the vast majority of people will only experience the milder symptoms of altitude sickness, however, it is hugely important to remember that it CAN kill. If you, or a travelling companion begin to experience shortness of breath, start acting unusually or appear more drowsy you MUST descend and seek medical advice. 


The essentials things to know about altitude sickness

  1. Altitude sickness can strike anywhere above 2,500m - even if you're not up a mountain!
  2. Most common symptoms are a headache, nausea and tiredness.
  3. The best way to prevent it? Give yourself the time to acclimatise and ascend gradually!
  4. If the symptoms do not improve, or get worse, you need to descend immediately.


More information

There is an excellent website designed and contributed to by a number of doctors with a special interest in mountain and expedition medicine and the symptoms and treatment of altitude sickness. For anybody with more than a passing interest in these topics or for those planning on undertaking multi-day hikes at significant altitude, I would strongly recommend visiting their website:


like it? pin it!

If you're planning a trip to South America, altitude sickness is something you must be aware of. Click through to our handy guide to learn what it is, how to prevent it and what to do should you become unwell | Cusco | Machu Picchu | Trekking | Hiking | Peru | Bolivia
If you're planning a trip to South America, altitude sickness is something you must be aware of. Click through to our handy guide to learn what it is, how to prevent it and what to do should you become unwell | Cusco | Machu Picchu | Trekking | Hiking | Peru | Bolivia
Disclaimer: Whilst I am a registered medical practitioner in the UK, I am not a mountain medicine or travel health expert. This article is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. Through this article, provides general information for educational purposes only. The information provided in this article, or through linkages to other sites, is not a substitute for medical or professional care, and you should not use the information in place of a visit, call consultation or the advice of your doctor/travel nurse or other healthcare provider. is not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this article.