The day before we started our trek to Machu Picchu we met with our tour guide for a quick question and answer session. Our excitement slowly turned to a subtle anxiety with each carefree joke he made about the dangers of such a hike. He smiled as he told us he was sick, while swishing around a power drink, Peruvian Gatorade so to speak, in his left hand. With each sway of the bottle my stomach turned, an inevitable foreshadowing of what was to come. Still he assured us that we will be fine, leaving us awkwardly laughing and bewildered by his dark humor and self deprecating demeanor. Is he serious? Wait so my brain can hemorrhage if I don’t drink enough water? How is this funny again?
The bit of anxiety was probably for the better because before that moment I was feeling a false sense of security. Pshh we’ll be fine. High altitude sickness is for pansies. It’s different when heeding the advice of an expert versus reading a guidebook. Suddenly your inflated sense of self subsides and the reality of the situation (hiking for days at high altitude) starts to sink in.

After instilling a tiny bit of fear, our guide gave us some advice on what we need to bring for the trip. I created a list of his suggestions, combined with some things I felt were useful for me on the trek.
Water is very important. In order to prevent altitude sickness, you must keep hydrated, sipping water every 15 minutes or so when you are feeling sick. On organized trips such as ours, water is provided. Don’t worry they boil it in order to prevent sickness. I would suggest you avoid drinking from any stream you find along the trail. It looks tempting, however our guide told us a story about a group of his who decided to take a shower in a stream a long the way, and they all ended up stranded in the mountains, fighting off various sicknesses. I don’t know about you, but I’d rather stay dirty.
Flashlights and headlights are very useful for rummaging around at night. A headlight may seem weird, but when you are looking for something in the middle of the night in freezing weather, you won’t care how ridiculous you look. You can tie up a flashlight in your tent in order to make it easier for moving around. It isn’t completely pitch black outside, however, we were able to benefit from the clear skies and light of the moon.
Toilet paper is your friend. I do not need to emphasize that there is no bathrooms or running water along the way. You will be 3 days in the great outdoors. Bring that paper.
Disposable plastic bags are necessary in order to store things in them. I didn’t think I would need them, but they ended up being useful. Also keep in mind that you can’t just throw away your garbage on the trail. You have to carry everything with you, or give your trash to the guides on the trip with you. Bags make everything easier.
Sunscreen is necessary if you don’t want to get burned from walking in direct sunlight for hours. A hat will also help.
Sleeping bags are provided for an extra cost. Rent the bags. Who wants to be lugging around sleeping bags.
Sleeping bag sacks or liners are great because they keep you extra warm and they also shield you from directly touching the sleeping bags you rent. I suggest getting a silk liner because the threading is much more tight, and harder for bed bugs to get into. Cotton is cheaper, but more things can pass through.
Snacks, especially chocolate, give you energy and prevent altitude sickness. If you start to feel light headed you should have some sort of sugar. Our guide gave us lemon drops whenever we started to feel sick.
You will need to carry a daypack with you. The mules and other guides will be carrying your regular bags and backpacks (there is a weight limit) and they will speed ahead of you. Everything you need easy access to (medicine, camera) should be in your daypack. Don’t make it too heavy because you have to carry it.
Travel towel in order to clean your face and wash up. There are many different kinds of towels that are made to dry quickly.
Warm clothes and jacket will probably be one of the most important things to bring. Because of the high altitude the temperatures can drop significantly. If you travel during the rainy season it will also be colder. A warm hiking jacket will be the best for you.
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