Should You See a Doctor for High-Altitude Symptoms?

Should I see a doctor?

Hello Doctor, about 7 or 8 years ago, I started experiencing tinnitus whenever I traveled through higher altitude areas (such as Central Cross-Island Highway, Southern Cross-Island Highway, or Shanlin Creek).
Now, in the past 3 to 4 years, it has progressed to severe headaches, eye pain, jaw pain, tooth pain, neck pain, and ear pain whenever the vehicle is going downhill.
Sometimes I also experience chest tightness.
Should I see a doctor for this condition? If so, which specialist should I consult? Thank you for your response.

fanny, 40~49 year old female. Ask Date: 2008/09/01

Dr. Cai Dongqi reply Family Medicine

It could be mild altitude sickness; please consult a neurologist.

Reply Date: 2008/09/01

More Info

When it comes to experiencing symptoms related to high altitude, such as severe headaches, ear ringing, and pain in various parts of the body while descending from elevated areas, it is essential to take these symptoms seriously. High-altitude sickness, also known as acute mountain sickness (AMS), can occur when you ascend to high altitudes too quickly without allowing your body to acclimatize. Symptoms can range from mild to severe and may include headaches, nausea, dizziness, fatigue, and in more severe cases, complications like high-altitude pulmonary edema (HAPE) or high-altitude cerebral edema (HACE).

Given your history of experiencing these symptoms during travel in high-altitude areas, it is advisable to consult a healthcare professional. The symptoms you describe, particularly the severe headaches and pain in various areas, warrant a thorough evaluation. It is crucial to rule out any underlying conditions that may be exacerbated by altitude changes, such as sinus issues, migraines, or even cardiovascular problems.

You should consider visiting a primary care physician or a family medicine doctor first. They can perform an initial assessment and determine if your symptoms are indeed related to altitude sickness or if there might be another underlying cause. If necessary, they may refer you to a specialist, such as an ear, nose, and throat (ENT) doctor for your ear-related symptoms, or a neurologist for your headaches.

In addition to seeking medical advice, there are several preventive measures you can take when traveling to high-altitude areas. Gradual ascent is key; allow your body time to acclimatize by ascending slowly and taking breaks. Staying hydrated and avoiding alcohol can also help mitigate symptoms. If you know you will be traveling to high altitudes frequently, your doctor may discuss medications that can help prevent AMS, such as acetazolamide (Diamox).

Furthermore, if you experience severe symptoms such as chest pain or difficulty breathing, it is critical to seek immediate medical attention, as these could indicate more serious conditions.

In summary, yes, you should see a doctor for your high-altitude symptoms. Start with a primary care physician who can evaluate your condition and guide you on the next steps. It is essential to address these symptoms proactively to ensure your safety and well-being during your travels.

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