Altitude Sickness Risk Estimator

Estimate your AMS risk for high-altitude destinations based on ascent rate, altitude, age and fitness level.

Enter starting and destination altitude to estimate your AMS risk

Altitude reference for popular Indian trekking destinations

DestinationAltitude (m)StateAMS Risk
Shimla2,200Himachal PradeshLow
Mussoorie2,000UttarakhandLow
Manali2,050Himachal PradeshLow
Leh3,500LadakhModerate
Rohtang Pass3,978Himachal PradeshModerate
Kaza (Spiti)3,800Himachal PradeshModerate
Nubra Valley3,048LadakhModerate
Khardung La Pass5,359LadakhHigh
Pangong Lake4,350LadakhHigh
Kedarnath Temple3,583UttarakhandModerate
Hemkund Sahib4,329UttarakhandHigh
Goecha La (Sikkim)4,940SikkimHigh

Frequently asked questions

What is Acute Mountain Sickness (AMS)?

AMS is the body's response to reduced oxygen at altitude. It typically begins 6–12 hours after arriving at high altitude. Symptoms include headache, nausea, fatigue, dizziness, and loss of appetite. Most cases are mild and resolve with rest and acclimatisation.

How do I prevent altitude sickness?

Ascend gradually (maximum 300–500m per day above 2,500m). Schedule acclimatisation days (rest days) every 2–3 days. Stay hydrated. Avoid alcohol in the first 48 hours. Consider Diamox (acetazolamide) as prescribed by a doctor. Do not fly directly to altitudes above 3,500m without a rest day.

Does fitness level affect AMS risk?

Surprisingly, high cardiovascular fitness provides limited protection against AMS. The key factor is the rate of ascent, not fitness. Even elite athletes can get AMS if they ascend too fast. However, good fitness helps you manage the physical exertion better.

When should I descend immediately?

Descend immediately if you experience: severe headache not relieved by pain relief, vomiting, loss of coordination (ataxia), confusion or altered mental state, or shortness of breath at rest. These are signs of High Altitude Cerebral Edema (HACE) or High Altitude Pulmonary Edema (HAPE), which are life-threatening.

Is Leh safe to visit by flight?

Flying directly to Leh (3,500m) from sea-level cities is common but carries AMS risk. Rest completely for the first 24–48 hours after arrival. Avoid alcohol, exertion and sleeping pills. Drink plenty of water. Most healthy adults acclimatise within 2–3 days if they rest adequately.