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Quick answers

Annapurna Panorama Trek: altitude, safety and staying healthy

2 min readUpdated 2 Nov 2026By the Base Camp Hikes trek team

The short version: three of the most asked questions, answered in a line each. The rest of the page goes into detail.

  • What should I do if I get a headache at Ghorepani? Rest, drink water and watch whether it eases.
  • How can I protect my knees on the way down to Ghandruk? Shorten your stride, take the stone steps slowly and use trekking poles.
  • What happens if snow blocks the trail near Ghorepani? In winter, snow can block the Ghorepani trail for a day and the weather can change quickly.

Do I need to worry about altitude sickness at Poon Hill?

Only a little. Poon Hill is about 3,210 m, the highest point of the trek, so altitude is mild for most people. A slight headache is the most likely symptom. Drink plenty of water, ascend steadily and tell your guide how you feel.

What should I do if I get a headache at Ghorepani?

Rest, drink water and watch whether it eases. Ghorepani is at about 2,860 m. If the headache persists, stay an extra night there instead of pushing on. If it gets worse or you feel sick or unsteady, descend and tell your guide straight away.

How can I protect my knees on the way down to Ghandruk?

Shorten your stride, take the stone steps slowly and use trekking poles. The descent from Tadapani at about 2,630 m to Ghandruk at about 1,940 m is steep and mostly downhill, which tires the knees. Regular stair training beforehand helps, and a knee support is sensible if you have had problems.

Is travel insurance really needed for a short foothill trek?

Yes. Our treks require travel insurance with high altitude and helicopter evacuation cover, and it is wise on any trek. Even at modest altitude, a twisted ankle, a bad fall on wet stairs or sudden illness can mean a costly evacuation. Check your policy wording before you pay.

What happens if snow blocks the trail near Ghorepani?

In winter, snow can block the Ghorepani trail for a day and the weather can change quickly. Your guide will decide whether to wait or turn back. Check forecasts, carry warm layers and build a spare day into your plan so a delay does not cost you your flight home.

Is the water on the trail safe to drink?

Do not drink untreated tap or stream water. Buy bottled water or, better, treat water with purification tablets or a filter to cut plastic waste. Hot tea and boiled water in the lodge are also reliable choices. Avoid ice and raw salads if you have a sensitive stomach.

What should be in my first-aid kit for this trek?

Keep it small: blister plasters, simple painkillers, rehydration salts, antiseptic wipes, a crepe bandage and any personal medicines. Blisters are the most common problem on long staircases. Your guide usually carries a group kit, but check this with your operator before you start.

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