What If You Get Sick on Kilimanjaro? | Hike Kilimanjaro Guide
Learn what happens if you get sick during your Mount Kilimanjaro climb. Discover how Hike Kilimanjaro handles altitude sickness, safety protocols, and emergency evacuation.

What Happens If You Get Sick While Climbing Kilimanjaro?
Mount Kilimanjaro is Africa’s tallest mountain and a bucket-list adventure for thousands of trekkers each year. While most climbers reach the summit safely, the high altitude and physical challenge can sometimes lead to illness. So, what happens if you get sick while climbing Kilimanjaro?
At Hike Kilimanjaro, your safety is our highest priority. Here’s what you need to know about getting sick on the mountain and how we handle it.
Common Illnesses on Kilimanjaro
Most cases of illness during the climb are related to altitude sickness (also known as Acute Mountain Sickness or AMS). Symptoms may include:
- Headaches
- Nausea
- Fatigue
- Dizziness
- Shortness of breath
- Loss of appetite
Mild symptoms are common and manageable. But in rare cases, AMS can develop into more serious conditions like:
High Altitude Pulmonary Edema (HAPE) – fluid in the lungs
High Altitude Cerebral Edema (HACE) – swelling in the brain
Both conditions are life-threatening and require immediate descent.
How We Monitor Your Health
Our certified mountain guides are WFR-trained (Wilderness First Responders) and conduct twice-daily health checks during your Kilimanjaro trek. These checks include:
- Oxygen saturation level (with a pulse oximeter)
- Heart rate
- Symptom questionnaire
This allows our team to detect any early signs of AMS and act before things become serious.

What Happens If You Show Symptoms?
If you begin to show symptoms of altitude sickness or any other illness, here’s how the situation is handled:
Rest and Hydrate
Mild symptoms are usually treated with rest, hydration, and medications like acetazolamide (Diamox) or ibuprofen.Acclimatization Strategy
Our longer itineraries, like the Lemosho or Northern Circuit, are designed to help your body adjust gradually to altitude.Immediate Descent
If symptoms worsen or become dangerous, you’ll be escorted down the mountain with a personal guide and, if necessary, a stretcher evacuation or even a helicopter rescue from approved zones.Oxygen Supply
Hike Kilimanjaro provides emergency oxygen and first aid kits on every trek for situations requiring extra support.
Helicopter Rescue on Kilimanjaro
Yes, it’s possible. In recent years, helicopter evacuations have become available from high-altitude zones like Shira Plateau or Barranco Camp. To qualify:
You must be in an area with landing access
You’ll need travel insurance that covers high-altitude trekking and evacuation
We always recommend travelers purchase a comprehensive insurance plan before their Kilimanjaro trek
Prevention Is Key
To minimize your risk of getting sick on Kilimanjaro:
- Choose longer routes (7+ days) for better acclimatization
- Stay well-hydrated
- Avoid alcohol and smoking
- Go slowly pole pole (slowly, slowly) is a golden rule
- Listen to your guide
Final Thoughts
Getting sick on Mount Kilimanjaro isn’t the end of your journey, especially when you’re in the hands of a trained and prepared team. At Hike Kilimanjaro, we take your health seriously, providing expert care, responsive decisions, and a well-planned safety net every step of the way.
Ready to climb? Contact us today and let’s plan your safe, successful Kilimanjaro adventure.
📧 info@hike-kilimanjaro.com
🌐 www.hike-kilimanjaro.com
📞 WhatsApp: +255 692 406 444
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Traveler Reviews
These full and frank reviews are from travelers who have traveled with Hike Kilimanjaro previously. The reviews and experiences shown here are from reputable travel websites like TripAdvisor, Google, Facebook, and Trust Pilot, etc.
EXCELLENT Based on 78 reviews Walter Begay2025-06-23Verified "This 3-day luxury safari combined with a Kilimanjaro hike exceeded all my expectations. "This 3-day luxury safari combined with a Kilimanjaro hike exceeded all my expectations. The accommodations were elegant and comfortable, and the guides were knowledgeable and friendly. The safari offered incredible wildlife photography opportunities, and climbing Kilimanjaro was a true test of endurance and strength, but the stunning vistas made it all worthwhile. An exceptional journey that I will cherish forever." Walter Corey2025-06-22Verified "My entire expectations were surpassed by climbing Kilimanjaro. "My entire expectations were surpassed by climbing Kilimanjaro. When one reaches Uhuru Peak, the sensation of accomplishment is indescribable. Because of the well-planned logistics, the amiable crew, and the breathtaking environment, the entire hike was easy and fun. It is a very remarkable event that I would gladly repeat. For adventurers, it's a must. Sebastian Campbell2025-06-16Verified Tanzania truly offers a world-class experience. "My trek up Mount Kilimanjaro in Tanzania exceeded all my expectations. The stunning scenery, from lush rainforests to icy glaciers, was awe-inspiring. The local guides and porters were incredibly supportive and professional, ensuring a safe and enjoyable climb. It was challenging but incredibly rewarding. Tanzania truly offers a world-class experience for anyone looking to conquer Africa’s highest peak." Sanzi Jeroge2025-06-15Verified I feel accomplished and thankful. Kilimanjaro climbing was satisfying and difficult at the same time. Along the way, there was breathtaking natural splendour and a variety of diverse habitats. The guiding team's assistance was outstanding and got us through some really difficult times. After completing this amazing journey, I feel accomplished and thankful. Langh Donát2025-06-08Verified Thanks to their knowledgeable advice. From beginning to end, Hike Kilimanjaro offered a smooth and well-planned trip. Their staff made sure we were at ease and ready by being helpful and considerate. Thanks to their knowledgeable advice, climbing Kilimanjaro was difficult but incredibly gratifying. They are the ones I would most certainly pick again for excursions in the future. Jack Bennett2025-06-04Verified "An amazing and well-planned adventure. "An amazing and well-planned adventure! The climb was fun and safe because of the team's experience and upbeat demeanour. I was encouraged by the journey and pleased to have reached the top of Africa. Kristján Víglundsson2025-05-25Verified Highly recommended this tour agency. Wonderful experience! We had a fantastic trip and enjoyed the entire team; we always felt very protected and taken care of. Highly recommended. I want to thank Keddy in particular; you were the best mentors . Valdemar Lauridsen2025-05-22Verified "My Kilimanjaro trek was an extraordinary experience. "My Kilimanjaro trek was an extraordinary experience. The route was well-organized, and the staff was attentive and encouraging throughout the climb. The sense of accomplishment upon standing on the summit was overwhelming. The scenery, the challenge, and the sense of connection with nature made this hike truly special. I highly recommend it to anyone looking for a once-in-a-lifetime adventure." Markku Piili2025-05-20Verified Well Organized and Unforgettable. Hiking Kilimanjaro with a well-run tour company was an incredible experience. The crew was courteous and made sure we were fed, acclimated, and inspired at every stage. The support from porters and guides, as well as the companionship among hikers, helped to make the difficult days bearable. It was weird to be at the top above the clouds. Undoubtedly a life-long accomplishment I will always treasure. Mayase J2024-08-18Verified Top notch safari The customer service is on point. Drivers were there to pick us up on time. We saw all the big 5 in Serengeti /Ngorongoro Crater.The accommodation booked Embalakai had great food and staff.Couldn't have asked for a better safari experience. Top notch
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