Will I Suffer from Altitude Sickness When Taking the Tibet Train?

Since the Tibet train travels through high-altitude areas, with an average elevation of over 4,000 meters, altitude sickness may occur during the journey. However, there's no need to worry—most travelers only experience mild symptoms, and the train is equipped with oxygen supplies to help manage the altitude.

In this guide, we’ll address all your concerns about altitude sickness, explain what it is, and share useful tips on how to manage it while ensuring a smooth and comfortable trip. Read on to gain a better understanding of altitude sickness.

Altitude Sickness Can Occur on the Tibet Train

What is Altitude Sickness and What Are the Symptoms?

Altitude sickness, also known as acute mountain sickness (AMS), usually occurs when your body doesn’t get enough oxygen due to being at a high altitude. Altitude sickness can happen to anyone, regardless of age, gender, or whether they are otherwise healthy.

The symptoms of altitude sickness can range from mild to severe and typically begin to manifest within a few hours of arriving at high altitudes. Common symptoms include headache, nausea and vomiting, dizziness, fatigue, and shortness of breath.

Why Taking the Tibet Train Poses a Risk of Altitude Sickness?

Many travelers believe that the Tibet train gradually rises to higher elevations, leaving enough time for them to acclimatize, so they won’t feel any discomfort. However, this is a common misconception because most of the areas the train passes through are high-altitude plateaus with elevations over 4,000 meters. As a result, many passengers will face the risk of altitude sickness.

On the way to Tibet, the stretch between Golmud and Lhasa is the most challenging part, with elevations higher than 4,500 meters. Additionally, the highest point on the railway is Tanggula Pass, which stands at 5,072 meters (16,640 feet) above sea level. The possibility of experiencing altitude sickness is higher in these areas.

The Qinghai-Tibet-Railway passes through high-altitude plateaus with elevations over 4,000 meters.

Rest Assured: Most Passengers Only Experience Mild Symptoms

Despite the potential for altitude sickness, it’s important to note that most passengers experience only mild discomfort. In most circumstances, the symptoms can be managed with simple measures like drinking plenty of water and getting enough rest. In addition, the Tibet train runs for more than 20 hours from Xining to Lhasa, allowing passengers to gradually acclimatize to the high altitude.

Oxygen Supply on the Tibet Train Helps Ease Altitude Sickness

What Kinds of Oxygen Supply Systems Are Available on Tibet Train?

To ensure passengers’ comfort and safety, all Tibet trains are equipped with two types of oxygen supply systems: the dispersion (automatic) oxygen system and the private oxygen outlets.

The dispersion oxygen system is the main oxygen supply system on the train. It works by blending oxygen into the air circulated through the air-conditioning system, helping to maintain a proper oxygen level throughout each carriage. With this system in place, the air in the carriages can ensure a basic level of comfort for passengers.

The private oxygen outlets are independent and are provided free of charge for all passengers. They are located either on the wall near your berth or under your seat. This oxygen supply system is especially helpful if you continue to experience altitude sickness despite the support of the main oxygen system on the train.

Passengers can use the private oxygen outlet if they feel symptoms of altitude sickness.

When and How to Use the Oxygen Supply Systems?

The dispersion oxygen system will begin to operate automatically after the train passes through Golmud Station. As for the private oxygen outlet, you can use it any time you feel uncomfortable due to the high altitude.

You can easily find the individual outlets, as they usually have a red cover labeled “Oxygen Outlet” in the sleeper cabins. To use one, first request an oxygen tube from the train staff, then insert one end of the tube firmly into the port and place the other end in your nostrils. After completing these steps, you should be able to breathe normally and gradually feel better.

Medical Service on the Tibet Train Further Ensures Safety

For added peace of mind, the Tibet train is equipped with a professional medical team on board. If any travelers have severe symptoms of altitude sickness or other health-related issues, the doctor and nurse will first conduct a basic medical examination to assess their condition and offer medication if needed.

After that, they will also continue monitoring your physical condition to ensure that you get better and will offer further advice on dealing with altitude sickness and managing the rest of your journey.

Every Tibet train is equipped with a professional medical team for your health and safety.

How Passengers Can Prevent and Treat Altitude Sickness?

Before the Trip

It's highly recommended to arrive early in Xining to help your body acclimatize. As the starting point of the Qinghai-Tibet Railway, Xining has an average altitude of about 2,260 meters, making it the second highest provincial capital in China—just after Lhasa. If possible, arrive in Xining a few days before your departure. Spending a day or two there will allow your body to adjust gradually to the increased altitude.

Before embarking on the Tibet train journey, it’s also a good idea to consult your doctor, especially if you have a history of altitude sickness or any medical conditions. Your doctor can provide advice on how to prevent altitude sickness and may prescribe medications to help you acclimatize to higher altitudes.

In preparation for the journey, always remember to pack some preventive medication. The most commonly used medicines for altitude sickness are acetazolamide (Diamox) and Rhodiola rosea supplements. They can help your body adjust more smoothly to higher elevations.

During the Train Journey

During your Tibet train journey, staying hydrated is crucial. Drinking plenty of water throughout the journey can help keep your body well-hydrated, so you can better cope with high-altitude conditions. Free hot water is supplied in each carriage so you just need to bring your own thermos.

Moreover, sleeping is a good way to conserve energy, allowing your body to focus on adjusting to the altitude. If you want to do something to pass the time on the train, avoid any strenuous activities such as frequently climbing up and down from your berth or rushing around the carriage. Instead, choose relaxing activities like watching movies or listening to music.

Additionally, if you start feeling dizzy or short of breath, don’t hesitate to use the individual oxygen outlet. Taking short breaks to breathe oxygen can help you feel more comfortable.

After Arrival in Lhasa

Once you arrive in Lhasa, the provincial capital of Tibet, especially during the first day or two, your body will still need time to adapt to the high-altitude environment. So always remember to avoid strenuous activities or rushing into sightseeing. Instead, you can take short walks to explore the city. In addition, eat light meals and avoid alcohol during the first few days.

Conclusion

Though altitude sickness can affect any passenger traveling to Tibet by train, there's no need to worry too much, as most passengers only experience mild symptoms. Moreover, the Tibet train is well-equipped with oxygen supplies and medical services to ensure your safety. By taking preventive measures before the trip, staying hydrated during the journey, and allowing time for rest upon arrival, you can greatly reduce the likelihood of altitude sickness.

With these precautions in place, you can enjoy the unforgettable experience of traveling through Tibet's stunning landscapes without the worry of altitude sickness. If you still have any other questions about altitude sickness, don't hesitate to contact us—we’re happy to help!