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Water Purification Guide for Trekking in Nepal
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Water Purification Guide for Trekking in Nepal: Safe Drinking Water, SteriPEN, Aquatabs, Aquamira & Sawyer (2026)

Rajesh Rajesh 18 min read

Day three, somewhere above Phakding. Someone in the group fills a bottle from a stream so clear you could count the pebbles, holds it up to the light, and asks the question we hear on every single trek: “Do I really need to treat this?”

Yes. Every time. The real question is how. SteriPEN or tablets? A Sawyer filter or Aquamira drops? Teahouse boiled water or the refill station down the lane? This water purification guide for trekking in Nepal is everything we tell our own trekkers at the pre-trek briefing in Thamel, plus what we learned the hard way at 5,000 meters, when a filter froze, or a battery died, and the next village was three hours away.

⚡ Quick Answer: Can You Drink the Water While Trekking in Nepal?

Not untreated. Tap, stream, and spring water on Nepal’s trekking routes should be boiled, chemically treated, UV-treated, or filtered and then treated before you drink it. For most trekkers, the best setup is two methods: a chemical purifier such as Aquamira or Aquatabs, plus boiled water from teahouses. Add a SteriPEN or Sawyer filter if you want speed or better taste.

Key Takeaways

  • Clear doesn’t mean clean. Most trail water passes villages, lodges, and livestock before it reaches you.
  • A filter alone isn’t enough in Nepal. Most trekking filters, including the Sawyer Squeeze, don’t remove viruses.
  • Always carry two methods. Batteries die, filters freeze, and refill stations close.
  • Cold is the real gear-killer. Keep filters and UV pens in your jacket by day and your sleeping bag by night.
  • Treating your own water is cheaper, lighter, and cleaner than buying bottled water, which costs more the higher you climb.

💧 Is the Water Safe to Drink on Nepal Treks?

Short answer: no, not without treatment. That goes for village taps, glacier streams, springs, and the water in the hotel bathroom in Kathmandu.

Nepal’s trekking routes aren’t empty wilderness. They’re lived-in valleys. The trail to Everest Base Camp passes through Sherpa villages, farms, and lodges, and it’s also a highway for yaks, mules, and porters. The same is true in the Annapurnas, Langtang, and Manaslu. Almost every stream you cross has people or animals somewhere upstream, and water that looks perfect can still carry bacteria, viruses, and parasites like Giardia.

What Actually Makes Trekkers Sick?

Here’s something we’ve learned from years of looking after upset stomachs on the trail: it’s rarely one big gulp from a stream. It’s usually a few small slips. A toothbrush rinsed under the tap. A bottle filled but not given enough treatment time. Unwashed hands at lunch after handling trekking poles, money, and the teahouse cat. Treating your water is essential, but hand hygiene matters just as much. (Keep sanitizer in your hip-belt pocket. Trust us on this one.)

🚰 The Water Sources You’ll Meet on the Trail, and How Far to Trust Each

Getting safe drinking water on Nepal treks is easier than most people expect. On a typical teahouse trek, you won’t carry a whole day’s water from the morning. You’ll top up several times a day from a mix of sources. Here’s how we rate each one.

SourceWhat It Really IsCan You Drink It As-Is?What We Do
Village taps and pipesSpring or stream water piped into the village, untreated❌ NoFill up, then treat with tablets, drops, UV, or a filter plus chemical
Streams and glacier meltOpen water, often cloudy with glacial silt higher up❌ NoLet silt settle, pre-filter, then treat (double chemical dose for cold or cloudy water)
Teahouse boiled waterWater boiled on the lodge stove, sold by the liter or bottle✅ Yes, if properly boiledOur go-to in the evening; add a tablet if you’re unsure
Refill stationsCommunity or lodge-run points selling treated water on some popular routes✅ UsuallyAsk how it’s treated; keep your own method as backup
Bottled waterSealed mineral water, carried up by porters or animals✅ If the seal is intactLast resort; pricey up high and restricted in parts of the Khumbu
20-liter jar water (cities, lower villages)Large refillable jars from local suppliers⚠️ Quality variesOnly from sealed jars of known brands; treat if in doubt

How to Ask About Water in Nepali

Lodge owners are happy to tell you how their water is treated. You just need to ask. A little Nepali goes a long way (and usually earns you a smile):

  • Umaleko pani cha? — Do you have boiled water?
  • Yo pani umaleko ho? — Is this water boiled?
  • Ek litre kati ho? — How much for one liter?

Are Refill Stations on Nepal Treks Safe?

Generally, yes. Parts of popular routes, especially in the Annapurna region, have community-run refill points where you pay a small fee per liter for treated water. They’re one of the best things to happen to Himalayan trails, because every refill is one less plastic bottle hauled up and never carried down.

That said, we treat them as a bonus, not a plan. Stations can be closed out of season, the treatment method varies, and the next one may be further than you think. Ask how the water was treated, and keep tablets in your pocket either way.

🔬 Filter vs Purifier: The Difference That Matters in Nepal

This is the single most important idea in this guide, and the one most gear shops skip.

A filter physically blocks bacteria and protozoa (like Giardia and Cryptosporidium). Most trekking filters, including the popular Sawyer Squeeze, don’t remove far smaller viruses.

A purifier also deals with viruses. Chemical treatments like Aquatabs and Aquamira, UV pens like the SteriPEN, purifier bottles like the Grayl GeoPress, and properly boiled water all fall into this group.

Why does this matter so much for water purification in Nepal? In remote wilderness where few people live, some hikers get by with a filter alone. In Nepal, trails run through villages, so human-borne viruses like hepatitis A and norovirus are a real concern. If you bring a filter, pair it with a chemical or UV purifier.

🧪 Water Purification Methods Compared

MethodTypeHandlesWait TimeWeak Spots in NepalOur Verdict
SteriPEN (UV light)PurifierBacteria, viruses, protozoa incl. Giardia & CryptoAbout a minute per half literNeeds clear water; batteries fade in the cold; electronics can failGreat main method, never your only one
Aquatabs (chlorine tablets)PurifierBacteria, viruses, Giardia (not proven vs Crypto)30 min; double dose for cold or cloudy waterTablets come in different sizes (1 L vs 20 L)Cheap, light, our favorite backup
Aquamira (chlorine dioxide drops)PurifierBacteria, viruses, Giardia, Crypto5 min mix + 15–30 min; up to 4 hrs for CryptoTwo-part mixing is fiddly with cold fingersBest all-round chemical option
Sawyer Squeeze (0.1-micron filter)FilterBacteria, protozoaInstantNo virus protection; freezing can damage it; clogs with glacial siltBest taste and speed, but pair it with a chemical
Teahouse boiled waterPurifierEverything, if properly boiledCool-down timeCosts more the higher you go; uses fuelPerfect for evenings
Iodine tabletsPurifierBacteria, viruses, Giardia (weak vs Crypto)About 30 minStrong taste; not suitable for everyone, including pregnant trekkers or people with thyroid conditionsAn old-school option we no longer recommend

🔍 SteriPEN vs Aquatabs vs Aquamira vs Sawyer: Our Honest Take

We’ve watched trekkers use all four of these, in every season and at every altitude. Here’s what works, what doesn’t, and exactly how to use each one on the trail.

SteriPEN: Fast, Tasteless, and a Little Fragile in the Cold

Press the button, stir, and in about a minute your water is treated, with no chemical taste at all. Trekkers love it, and so do we, until it’s -10°C in Gorak Shep.

Here’s the honest part. UV light can’t get through cloudy water, and many glacier-fed streams higher up run milky grey. Cold drains batteries fast, and charging a rechargeable model at a high-altitude teahouse costs extra. It’s also an electronic device, so if it fails, it simply fails. Katadyn now makes SteriPEN and has retired some older models, so check which model you’re buying and what batteries it takes.

How to use a SteriPEN on the trail:

  1. Fill a wide-mouth bottle with the clearest water you can find. If it’s cloudy, let it settle or pour it through a buff first.
  2. Switch the pen on and select the volume (usually half a liter or one liter).
  3. Put the lamp in the water and stir gently until the indicator shows treatment is complete.
  4. Wipe any untreated drops off the bottle threads before drinking.

Aquatabs: The Tiny Tablet We Never Leave Behind

Aquatabs are chlorine-based tablets. They’re light, cheap, and leave very little taste. A strip of them weighs almost nothing, which is exactly why every one of our guides carries some.

Two things to know. First, Aquatabs haven’t been proven effective against Cryptosporidium. Second, check the tablet size. Some Aquatabs treat 1 liter, and others treat 20 liters. They look similar, but the dosing is completely different.

How to use Aquatabs on the trail:

  1. Check that the tablet matches your bottle size.
  2. Drop it in and close the lid. Use two tablets if the water is very cold or cloudy, as the label advises.
  3. After a few minutes, loosen the cap and tip the bottle so treated water runs over the threads.
  4. Wait at least 30 minutes before drinking.

Aquamira: The Best Chemical Option for Nepal

Aquamira uses chlorine dioxide in two small bottles, Part A and Part B. It covers the widest range of bugs of any chemical option here, including Cryptosporidium if you give it enough time. That’s why it’s our top pick for the high, cold sections of a trek.

The downsides: it’s fiddly with gloves on, and the bottles can leak. Pack them in a zip-lock bag and follow the drop count on your label, since it differs between versions.

How to use Aquamira on the trail:

  1. Mix the drops of Part A and Part B in the cap, using the count on your label.
  2. Wait five minutes until the mix turns yellow.
  3. Add it to your water and shake gently.
  4. Wait at least 15 minutes (30 in very cold water), or up to four hours if Cryptosporidium is a concern.

Sawyer Squeeze: Best Water Filter for Nepal Trekking, With One Big Catch

If you’re after the best water filter for a Nepal trek, the Sawyer Squeeze is hard to beat for speed, weight, and taste. Fill the pouch, squeeze, drink. It lasts for years, and on lower sections of the Annapurna and Langtang trails, where streams run clear, it’s a joy to use.

The catch is that it doesn’t remove viruses, and it can’t freeze. Sawyer’s own advice is that a filter that may have frozen should be replaced, and you can’t see the damage. Nights above about 3,500 meters often drop below freezing, and glacial silt will clog it unless you backflush regularly. Our rule: Sawyer plus Aquatabs or Aquamira, never the Sawyer alone.

What About LifeStraw, Grayl and Other Options?

A basic LifeStraw works like the Sawyer. It’s a filter, not a purifier, so pair it with a chemical treatment. A Grayl GeoPress is a purifier bottle that handles viruses too. It’s heavier and slower to fill, but some trekkers love having everything in one bottle. Whatever you choose, the same rule applies: carry a lightweight backup.

🎒 Our Water Purification Guide for Trekking in Nepal: Choosing Your Setup

There’s no single best method, only the best combination for your trek. Work through these four questions:

  1. Will you sleep above 3,500 meters? If yes, plan around freezing nights. Chemicals and boiled water don’t care about the cold; filters and batteries do.
  2. Do you hate the taste of treated water? A SteriPEN or Sawyer (paired with a chemical) will make you happier.
  3. Is your route remote, with long gaps between villages? Bring more backup, and never rely on refill stations.
  4. Are you watching your budget? Tablets or drops plus boiled water is the cheapest reliable system.
SetupBest ForHandles Viruses?Handles Crypto?Weight
Aquamira + teahouse boiled waterMost trekkers, especially high and cold routes✅✅ (with a long wait)Very light
Aquatabs + teahouse boiled waterBudget trekkers, first-timers✅❌Very light
SteriPEN + Aquatabs backupPeople who hate chemical taste✅✅Light
Sawyer + Aquatabs or AquamiraFrequent stream refills on lower trails✅✅Light
Filter + chemical + boilingRemote and camping treks✅✅Moderate

Quick Answer: Our Water Purification Guide for Trekking in Nepal in 30 Seconds

Carry two methods. Use a chemical purifier (Aquamira if you want Crypto covered) plus teahouse boiled water in the evenings. Add a SteriPEN or Sawyer if you want speed or better taste. Keep anything that can freeze or run on batteries inside your jacket by day and your sleeping bag by night. That’s it. That’s the whole system.

🥤 How Much Water Should You Drink While Trekking in Nepal?

Aim for around 3–4 liters a day at altitude, and more on long, hot, or dry days. Up high, you lose water with every breath of thin, dry air, and the cold tricks you into feeling less thirsty than you are. Our guides ask about water at every tea stop, and yes, we’ll keep asking.

Signs you’re not drinking enough:

  • Dark yellow urine (the easiest check, no gear needed)
  • A dull headache that eases after a liter of water
  • Unusual tiredness or dizziness on easy sections

Does Drinking More Water Prevent Altitude Sickness?

No, and this is one of the most common myths we hear. Water can’t prevent or cure acute mountain sickness (AMS). A slow ascent, proper acclimatization days, and heading down when symptoms get worse are what protect you. Dehydration can make headaches and fatigue worse, though, and it makes AMS symptoms harder to read. If a headache doesn’t ease with water and rest, tell your guide straight away. The Himalayan Rescue Association runs seasonal aid posts in Pheriche and Manang, and their afternoon altitude talks are well worth attending.

Electrolytes and ORS: Worth Packing?

Yes, especially for long climbing days and if your stomach gets upset. Pharmacies across Nepal sell cheap oral rehydration salts. Look for Jeevan Jal, the local brand every Nepali household knows. One important tip: add electrolyte or flavored powders only after your chemical treatment time is up. Some flavorings, especially those with vitamin C, can weaken chlorine-based treatments.

🕐 A Water Day on the Trail: How We Plan Refills

People often ask how much water to carry. The real answer is “enough to reach the next reliable refill,” which on most teahouse treks means 1.5–2 liters at a time. Here’s how a typical day flows for our groups.

Evening before: We fill bottles with boiled water or treat them with Aquamira before bed, so they’re ready at dawn. Breakfast: Top up anything that isn’t full, and drink a cup of hot tea (chiya counts toward your total). Mid-morning tea stop: Refill from the lodge and treat it while you rest your legs. Lunch: Refill again, because the afternoon climb is usually the steepest and driest part of the day. Arrival: Drink a liter within your first hour at the lodge, then prepare tomorrow’s water. Simple, repeatable, and no one carries four liters uphill for nothing.

🌦️ How Water Planning Changes by Season

SeasonThe Water ChallengeWhat Changes in Your Kit
Spring (March–May)Warm, dusty lower trails; busy lodges; you’ll sweat more than you expectExtra electrolytes; one more liter on hot, low days
Monsoon (June–August)Streams run cloudy after rain, which is bad news for UV pens and filtersLet water settle or pre-filter; rely more on chemicals and boiled water
Autumn (September–November)Clear skies and steady conditions, but nights up high start to freeze by late autumnStandard setup; protect filters from November onward
Winter (December–February)Bottles, bladder tubes, and filters freeze; some high lodges closeInsulated bottles; chemicals over filters; boiled water as your main source

For up-to-date forecasts before you set off, check the Department of Hydrology and Meteorology.

Everest Base Camp Trek

Lodges are frequent, so you’ll rarely go long without a refill. The challenges are the cold nights above Namche, milky glacier water around Lobuche and Gorak Shep, and restrictions on single-use plastic bottles in parts of the Khumbu. Chemicals plus boiled water is our standard here. If this sounds like your kind of challenge, check out our Everest Base Camp Trek.

Annapurna Base Camp and Poon Hill

Villages sit close together, and refills are easy on most days. A Sawyer paired with tablets works well on the lower, warmer sections. Take a warm bottle for the pre-dawn climb to Poon Hill. You’ll be standing still for a while watching the sunrise over Dhaulagiri. See our Annapurna Base Camp Trek.

Annapurna Circuit

The Circuit changes character as you walk. It’s green and warm at the start, then dry and windy around Manang, and properly cold at Thorong Phedi and High Camp. Drink more than you think you need in the rain shadow, and switch from filters to chemicals before the pass. Explore our Annapurna Circuit Trek.

Langtang, Manaslu and More Remote Routes

On Langtang, lodges are well spaced and boiled water is easy to find. On quieter routes like the Manaslu Circuit, Upper Mustang, or anything with camping days, villages can be further apart and services more basic. Refill before leaving every stop, carry an extra liter, and bring a full backup method. On the driest trails, like Upper Mustang, you’ll need more water than the effort suggests.

🏔️ Altitude, Cold and Glacier Silt: Where Gear Fails

Cloudy Glacier Water

Around Lobuche and Gorak Shep, the water can look like weak milk tea. Let it settle in your bottle for a while, pour off the clearer top, or strain it through a buff or bandana. Then treat it, using the double dose for chemicals as the label says.

Frozen Bottles, Tubes, Filters and Batteries

  • Filters and UV pens: Keep them in an inside pocket by day and in your sleeping bag at night.
  • Bottles: Carry them upside down in your pack. Water freezes from the top, so this stops the lid from freezing shut.
  • Hydration bladders: The tube freezes long before the reservoir. After each sip, blow the water back into the bladder, or switch to insulated bottles above 4,000 meters.
  • Batteries: Lithium batteries hold up better in the cold than regular alkaline ones. (Your future self at 5 a.m. will thank you.)

Does Boiling Still Work at Altitude?

Yes. Water boils at a lower temperature up high, but a proper rolling boil still kills the bugs that matter. Health agencies suggest boiling for about three minutes above 2,000 meters instead of one.

🏙️ Water Safety in Kathmandu and Pokhara

Your trek really starts in the city, and plenty of stomach bugs start there too. A few habits we suggest to everyone:

  • Don’t drink the tap water, and use treated or bottled water to brush your teeth.
  • Ask your hotel for filtered refills. Many good hotels and cafés in Thamel and Lakeside offer them, which saves money and plastic.
  • Be choosy with ice, fresh juice, and raw salads. In reputable places they’re usually fine, but they’re common sources of trouble elsewhere.
  • Treat your first days as practice. Use your purifier in Kathmandu, so you know exactly how it works before you’re tired and cold on the trail.

For vaccines and general food and water advice, see the CDC’s Nepal travel health page, and for permits and travel updates, the Nepal Tourism Board.

💰 What Does Drinking Water Cost on a Nepal Trek?

Everything above the roadhead is carried up by porters, mules, or yaks, so water gets more expensive with every day you climb. Boiled water costs more too, because every liter uses fuel someone hauled uphill. Prices change by season and lodge, so message us for current rates on your route, but the pattern never changes:

OptionUpfront CostOngoing Cost on the TrailPlastic Waste
Bottled water onlyNoneHighest, and rises steeply with altitudeA lot
Teahouse boiled waterNoneModerate, higher above 4,000 mNone
Refill stationsNoneLow to moderate, where availableNone
Tablets or dropsLowVery lowAlmost none
Sawyer filter or SteriPENModerateAlmost nothing after purchaseNone

On a two-week trek, a filter or a few strips of tablets usually pays for itself within days. It also means one less bottle left behind in the mountains, which matters more than people think.

🛒 Buying Water Purification Gear in Nepal

You’ll find tablets, drops, and filters in the gear shops of Thamel in Kathmandu and Lakeside in Pokhara, and some pharmacies stock purification tablets. But be careful: copies of big-brand gear are common. Check seals, packaging, and expiry dates. For a SteriPEN or Sawyer filter, we recommend buying from an authorized retailer before you fly, so you know it’s genuine and hasn’t been frozen in someone’s storeroom.

⚠️ The Water Mistakes We See Every Season

  1. Treating the water but not the bottle threads. Untreated drops on the rim end up in your mouth. Let treated water run over the threads.
  2. Adding flavor powder too early. Wait until the treatment time is up.
  3. Using a SteriPEN in cloudy water. UV can’t reach bugs hiding behind silt.
  4. Leaving the Sawyer in the pack overnight. One frozen night can quietly ruin it.
  5. Grabbing the wrong Aquatabs. A 20-liter tablet in a 1-liter bottle is a very strong drink. A 1-liter tablet in a 20-liter jug does almost nothing.
  6. Assuming the lodge jug is boiled. Ask. It takes two seconds.
  7. Waiting until you’re thirsty. Up high, thirst shows up late. Sip all day steadily.

✅ Water Packing Checklist

ItemWhy It Matters
2 × 1 L reusable bottles (wide-mouth, hard plastic or insulated)Takes boiling water and is easy to fill from taps. Two bottles give you a spare if one leaks
Main purification method (SteriPEN, Sawyer, or Aquamira)Your everyday system
Backup tablets (Aquatabs or similar)For when batteries die or filters freeze
Buff or bandanaPre-filters silty glacier water
Electrolytes or ORS sachetsReplaces salts on long days and helps if your stomach gets upset
Insulated bottle sleeveStops freezing above 4,000 m
Spare lithium batteries or a power bankKeeps UV pens running in the cold
Hand sanitizerPrevents more “water” illness than any filter

📓 Field Note from the Team

Two seasons ago in Lobuche, a trekker in our group proudly pulled out a brand-new SteriPEN, pressed the button, and got nothing but a blinking light. The cold had drained the batteries overnight. Our guide just smiled, handed over a strip of Aquatabs, and ordered him a ginger lemon honey tea while he waited. He still calls it the best 30 minutes of the trek.

🧭 Local Pro-Tip: Let the Night Do the Waiting

Aquamira can take up to four hours to deal with Cryptosporidium. That’s annoying at lunch but perfect overnight. Before bed, fill your bottles, treat them with Aquamira, and ask your teahouse host for a liter of umaleko pani (boiled water) in a hard bottle to put in your sleeping bag as a hot water bottle. By morning, you’ll have fully treated water and a bottle that didn’t freeze. Tuck your Sawyer or SteriPEN in there too.


🍵 A Final Word from the Team

If you take one thing from this water purification guide for trekking in Nepal, make it this: carry two methods, and keep them warm. Nobody comes to Nepal dreaming about water treatment. You come for the passes, the sunrises, and the dal bhat you’ll crave for months. But get your water right, and all of that gets to shine, without three days lost to a teahouse bathroom.

Still deciding between a SteriPEN and Aquatabs, or wondering which trek fits you best? Just ask. We’re always happy to chat, with no pressure and no sales pitch. Reach us through intrekking.com, or say hi on Facebook and Instagram, where our guides share trail updates every season.

See you on the trail. 🏔️


About the author: This guide was written by Rajesh and team, the guides and trek leaders who carry the bags, check the pulse oximeters, and treat a lot of water on Nepal’s trails every season.

Frequently asked questions

Can you drink tap water in Nepal?

No. Tap water in Kathmandu, Pokhara, and trekking villages should be boiled, filtered and treated, or chemically treated before drinking. Use treated water to brush your teeth, too.

Is stream or glacier water safe to drink on Nepal treks?

Not untreated. Even crystal-clear streams can carry bacteria, viruses, and parasites from villages and animals upstream. Let cloudy glacier water settle, then treat it.

What is the best water purification method for trekking in Nepal?

Two methods together: a chemical purifier like Aquamira or Aquatabs, plus tea-house boiled water. Add a SteriPEN or Sawyer filter for speed and taste.

Is a Sawyer water filter enough on its own in Nepal?

No. The Sawyer Squeeze removes bacteria and protozoa but not viruses. Pair it with Aquatabs or Aquamira, and never let it freeze.

Does a SteriPEN work at high altitude?

Yes, but only in clear water, and cold drains batteries quickly. Keep it warm, carry spare lithium batteries, and always pack tablets as a backup.

Aquatabs or Aquamira: which is better for Nepal?

Aquamira covers more (including Cryptosporidium with a long wait) but is more fiddly. Aquatabs are simpler and cheaper but aren’t proven against Crypto. Many of our guides carry both.

Is teahouse boiled water safe to drink?

Yes, if it has been properly boiled. Ask “Yo pani umaleko ho?” (Is this water boiled?), and add a tablet if you’re unsure.

Are there water refill stations on Nepal treks?

Yes, on parts of some popular routes, especially in the Annapurna region. You pay a small fee per liter for treated water. Don’t rely on them alone, since they can be closed or far apart.

Can I buy bottled water on the Everest Base Camp trek?

In many places, yes, but it gets expensive higher up, and parts of the Khumbu restrict single-use plastic bottles. A reusable bottle with treatment is cheaper and cleaner.

How much water should I drink per day while trekking?

Around 3–4 liters a day at altitude, and more on long, hot, or dry days. Pale yellow urine is a good sign you’re drinking enough.

Does drinking more water prevent altitude sickness?

No. Hydration helps you feel better, but only gradual ascent and proper acclimatization protect against AMS. Tell your guide about any headache that doesn’t ease with water and rest.

What should I do if my water filter freezes?

Assume it may be damaged and stop relying on it. Switch to chemical treatment or boiled water for the rest of the trek, and replace the filter when you get home.

Can I buy water purification tablets in Kathmandu?

Yes, in Thamel and Pokhara’s Lakeside gear shops and some pharmacies. Check packaging and expiry dates carefully, since copies are common. If you can, bring them from home.

What should I do if I get sick from water on the trek?

Rest, drink treated water with oral rehydration salts, and tell your guide straight away. If you have a high fever, blood in your stool, or can’t keep fluids down, see a health post or doctor as soon as possible.

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