Altitude Sickness in Lijiang: Common Mistakes to Avoid

Lijiang, with its ancient cobblestone streets, stunning views of the Jade Dragon Snow Mountain, and rich Naxi culture, has become one of Yunnan’s most sought-after destinations. Travelers from around the world flock to this UNESCO World Heritage Site, eager to explore its history, cuisine, and breathtaking high-altitude landscapes. However, many visitors overlook a silent challenge that lurks behind the beauty: altitude sickness.

Situated at approximately 2,400 meters (7,900 feet) above sea level, Lijiang is high enough to cause discomfort for those unaccustomed to such elevations. The thinner air means less oxygen, which can lead to symptoms ranging from mild headaches and fatigue to severe nausea and dizziness. Unfortunately, amid the excitement of traveling, many tourists make simple yet dangerous mistakes that turn their dream vacation into a difficult experience.

Understanding Altitude Sickness

Altitude sickness, also known as acute mountain sickness (AMS), occurs when your body hasn’t had enough time to adjust to lower oxygen levels at high elevations. Lijiang itself isn’t the highest place in Yunnan—nearby destinations like Shangri-La soar above 3,000 meters—but it serves as a gateway for many high-altitude adventures. This makes it a common place where people first encounter AMS.

Who Is at Risk?

Contrary to popular belief, altitude sickness does not discriminate based on fitness level or age. Even the healthiest individuals can be affected. Factors like rapid ascent, previous history of AMS, and underlying health conditions can increase susceptibility. What matters most is how you prepare and how you allow your body to acclimatize.

Common Mistakes Tourists Make in Lijiang

Mistake 1: Underestimating Lijiang’s Elevation

Many travelers assume that because Lijiang isn’t as high as Tibet or some parts of Nepal, they won’t be affected. This overconfidence leads to poor preparation. You might feel fine upon arrival, but symptoms often appear within 6–12 hours. Climbing the steps of Lion Hill or wandering through the Old Town can suddenly become exhausting.

Mistake 2: Ascending Too Quickly

A classic error is flying directly from low-altitude cities like Beijing or Shanghai to Lijiang and immediately engaging in strenuous activities. Your body needs time—usually 24 to 48 hours—to adapt. Rushing to visit the Jade Dragon Snow Mountain (which has elevations reaching 4,600 meters at the glacier park) on your first day is a recipe for trouble.

Mistake 3: Ignoring Hydration and Diet

The dry mountain air and increased respiratory rate at high altitude accelerate dehydration. Some tourists forget to drink enough water, opting instead for sugary drinks or alcohol. Similarly, heavy, oily meals can worsen nausea. Local delicacies like Lijiang baba (a type of bread) are delicious, but your stomach may rebel if you’re not careful.

Mistake 4: Overexertion Too Soon

Hiking, cycling, or even long walking tours on the first day can overwhelm your body. Symptoms like shortness of breath, dizziness, and headache are warning signs. Pushing through them, especially when planning to go higher, increases the risk of developing more severe forms of altitude sickness.

Mistake 5: Relying Solely on Medication Without Prevention

Some travelers bring acetazolamide (Diamox) but take it only after symptoms arise. While medication can help, it’s most effective when used preventively and under medical guidance. Moreover, pills are not a substitute for gradual acclimatization.

Mistake 6: Misreading the Symptoms

Mild AMS is often mistaken for fatigue, a cold, or hangover. Travelers might ignore headaches or nausea, assuming they’ll go away. In rare cases, this can progress to high-altitude pulmonary edema (HAPE) or cerebral edema (HACE), which are life-threatening.

How to Prevent Altitude Sickness in Lijiang

Acclimatize Gradually

Spend your first day in Lijiang taking it easy. Avoid intense activities. Relax in the Old Town, enjoy a cup of local Yunnan coffee, and let your body adjust. If possible, arrive via land from a lower-altitude city like Kunming to give your system more time to adapt.

Stay Hydrated and Eat Light

Drink plenty of water—aim for 3–4 liters per day. Herbal teas and electrolyte drinks can also help. Eat carbohydrate-rich, easy-to-digest foods such as noodles, rice, and steamed vegetables. Avoid excessive alcohol and caffeine, especially in the first few days.

Consider Medication and Natural Remedies

Consult a doctor before your trip about preventive medications. Natural aids like coca tea (though not readily available in Lijiang) or ginger tea for nausea can provide relief. Some travelers find oxygen cans helpful for short-term relief, but they are not a long-term solution.

Listen to Your Body

If you feel unwell, rest. Don’t push yourself to keep up with your itinerary. Descend to a lower altitude if symptoms persist or worsen. Many guesthouses and hotels in Lijiang are aware of AMS and can provide assistance or recommendations.

Beyond Altitude: Other Travel Tips for Lijiang

Lijiang offers more than just high-altitude scenery. Embrace the local culture respectfully. The Naxi people have a rich heritage—visit the Dongba Culture Museum or enjoy a performance of Naxi ancient music. Remember that sustainable travel matters: avoid plastic waste, support local businesses, and be mindful of cultural norms.

Also, note that weather in Lijiang can change rapidly. Layered clothing is essential, as temperatures drop significantly in the evening. Sun protection is crucial too—the high-altitude sun is stronger and can cause sunburns even on cloudy days.

Final Thoughts

Lijiang is a destination that rewards the prepared traveler. By understanding the risks of altitude sickness and avoiding common mistakes, you can fully immerse yourself in the magic of this ancient town without compromising your health. Take it slow, stay informed, and prioritize your well-being. Your journey through Lijiang’s timeless landscapes and vibrant culture will be all the more memorable when you travel smart.