Avoiding diarrhoea
Make sure that your hygiene is as good as possible to avoid picking up a stomach upset. Needless to say, a bout of diarrhoea can make a long, strenuous trek unpleasant or even impossible. On the treks, we make sure that your food is pure and uncontaminated, and that all of your water is boiled. Before and after your trek, though, you will have to protect yourself.
Make sure you follow these simple rules at all times:
- If you aren’t absolutely certain water is pure, do not drink it.
- Wash your hands thoroughly after using the toilet, and before eating or handling food of any kind.
- Do not eat raw vegetables or salads. Cooked, preferably boiled veggies only.
- Avoid any cold drinks, and ice of any kind.
Water from sealed bottles is generally fine, as are fizzy drinks, wine and beer. Hot tea and coffee are good, as they have just been boiled.
If you do get diarrhoea, the most important thing you can do is to stay hydrated. The best thing to drink is a rehydration solution like Dioralyte. Read more about dehydration below.
Over the counter medicines like Immodium (or anything containing loperamide) are only for short term, mild diarrhoea. Some doctors recommend taking a single, 500mg dose of Ciprofxin, or any ciprofloxacin antibiotic in an emergency situation. This is a prescription medicine, and you should discuss it with your doctor before your trip.
Preventing dehydration
Even if you avoid diarrhoea, you can easily become dehydrated at high altitudes or in humid weather. The lower air pressure forces you to breathe more quickly and deeply, and you lose a lot of water through your lungs. You will also be exerting yourself, and sweating.
The upshot is, as you might expect, that you’ll have to drink more water. You need to drink at least 3 litres of fluids every day while trekking. Even when you don't feel thirsty you have to drink this amount as a minimum - preferably more.
You should drink at least ½ litre (preferably a whole litre) before you set off. Every morning we will provide you with boiled water to fill your own water bottles or hydration bladder. However, you may wish to bring your own water purification system so you can top up your water from natural springs whilst trekking.
Stay on the look-out for signs of dehydration in yourself and your fellow trekkers. The most common symptoms include thirst, dry lips, nose or mouth, headache and feeling fatigued or lethargic. If you think you may be dehydrated, there are two ways to tell:
- The colour of your urine. Clear or light straw-coloured urine means you are probably not dehydrated. Yellow or orange wee means you haven’t been drinking enough, and you need to up your fluid intake quickly.
- Pinch or press firmly on an area of exposed skin. If it doesn’t spring back instantly, or stays pale and bloodless for more than a second or two, you are probably dehydrated.
Sunburn and UV Protection
While a mountainous trek is hardly a day at the seaside, you will be vulnerable to sunburn if not properly protected. The three most important things you can do to avoid sunburn are:
- Apply SPF 30 or higher sunscreen to your face, nose and ears at least 30 minutes before going out into the sun, and reapply regularly. High SPF lip balm is also a must.
- Wear a wide-brimmed hat that shades your face, nose and ears.
- Wear UV-protective sunglasses, category 2-4.
At higher altitudes the sun's rays are intensified and even on a cloudy day they can penetrate through and still burn you. And don’t forget that the sun is at its strongest between 10:00-14:00 hours each day.
Eating well
Many trekkers experience loss of appetite at high altitudes. This is a real problem, as you will be burning an extra 2000 or more calories a day, and not replacing them can cause real problems.
Just like staying hydrated, you have to eat heartily even if you aren’t hungry. Meals heavy in carbohydrates are best, because they are easier to digest at high altitudes and provide long-term energy. Our cooks are used to feeding hungry trekkers, so you should have you energy needs well met without too much effort.
Snacks should be chosen carefully. Take favourite treats to make it easier to eat when you don’t feel hungry. Chocolate, nuts and seeds, biscuits, savoury snacks and boiled sweets are generally the best choices.
Body temperature
Every mountain has its own climate, and the Rwenzoris generally have a warm, wet climate, with weather systems rolling in from around 10am each day. Conditions can change very quickly, and a clear sky can be replaced by thick mist extremely quickly. Wearing a layered outfit is generally the wisest way to make sure you stay healthy and reasonably comfortable in all conditions.
Above all, make sure to wear warm, wind-and water-proof, breathable clothing on your trek. Get high quality gear too, as this is definitely ‘the real thing’. Storms, high winds and cold temperatures must be expected, and poor quality equipment will fail.