Acute mountain sickness

Table of Contents

Alternative Names

High altitude cerebral edema; Altitude anoxia; Altitude sickness; Mountain sickness; High altitude pulmonary edema


Symptoms

Symptoms range from mild to life-threatening, and can affect the nervous system, lungs, muscles, and heart.

In most cases, the symptoms are mild. Symptoms generally associated with mild to moderate acute mountain sickness include:

  • Difficulty sleeping
  • Dizziness or light-headedness
  • Fatigue
  • Headache
  • Loss of appetite
  • Nausea or vomiting
  • Rapid pulse (heart rate)
  • Shortness of breath with exertion

Symptoms generally associated with more severe acute mountain sickness include:

  • Bluish discoloration of the skin (cyanosis)
  • Chest tightness or congestion
  • Confusion
  • Cough
  • Coughing up blood
  • Decreased consciousness or withdrawal from social interaction
  • Gray or pale complexion
  • Inability to walk in a straight line, or to walk at all
  • Shortness of breath at rest

Signs and tests

Listening to the chest with a stethoscope (auscultation) reveals sounds called crackles (rales) in the lung, which may be a sign of fluid in the lungs.

A chest x-ray may be performed.



Review Date: 01/05/2011
Reviewed By: Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)