The short version: three of the most asked questions, answered in a line each. The rest of the page goes into detail.
- Is altitude sickness a risk on Pikey Peak? It is uncommon but not impossible, particularly if you rush.
- What should I do if I feel breathless on the summit climb? Even at 4,065 m the air has about 60 percent of sea level oxygen, so go slowly on the summit morning and drink water.
- How cold does it get before sunrise? At the summit before dawn it can be about minus five degrees or colder, even when village days are 12 to 20 degrees in spring and autumn.
Is altitude sickness a risk on Pikey Peak?
It is uncommon but not impossible, particularly if you rush. The summit is about 4,065 m and the highest sleeping height is near 3,000 m. Walk slowly, drink water, and tell your guide about headache or unusual tiredness.
What should I do if I feel breathless on the summit climb?
Even at 4,065 m the air has about 60 percent of sea level oxygen, so go slowly on the summit morning and drink water. If you feel unusually breathless or dizzy, stop and descend. The summit stay is short anyway, because the wind can be cold.
How cold does it get before sunrise?
At the summit before dawn it can be about minus five degrees or colder, even when village days are 12 to 20 degrees in spring and autumn. Bring a warm jacket in your day pack, a hat and gloves, and a head torch for the early start.
Is the trail easy to follow without a guide?
The trail is signed, but in thick forest it is easy to miss a turn. Stay on the main path and confirm the next day's route with your lodge owner each evening. If you are unsure, walk with an operator or local guide.
Who should talk to a doctor first?
Anyone who is older or has a heart or lung condition should consult a doctor before the trek. The altitude is moderate, but conditions can still be affected. Tell your guide about any medication or health concerns before you begin.
How do I handle leeches in the monsoon?
Leeches live on the lower trail in the wet, cloudy monsoon, and views are poor, so most people avoid it. If you go, wear leech socks and a rain jacket, check your legs at every stop, and carry salt or insect repellent.
Where is the nearest medical help?
Phaplu has a hospital, an airstrip and shops, so it is the best base for medical help at the start and end of the trek. Higher up, care is basic, so carry a first-aid kit and make sure your insurance covers emergency evacuation.





