Traveling with luggage in Machu Picchu region and avoiding altitude sickness

It seems to me you’re worrying too much. 🙂

If you want to see the sunrise at Machu Picchu, which is highly advised, you’ll have to stay the previous night in Aguas Calientes. I would advise against staying two or more nights as the village has very little to offer.

You might indeed get altitude sickness. To minimise the effects, take it easy.

So, it seems to me that the most effective trip would be to stay your first night in Cuzco, head out to Aguas Calientes on your second day, come back to Ollantaytambo on your third and return to Cuzco the day after.

Though officially, Inca Rail specifies that only hand luggage is allowed, I was on a train last year where plenty of passengers had regular-sized backpacks with them.

That said, if you only stay in Aquas for one night, it should be no problem to leave your main bag at the ho(s)tel you’d be staying at in Ollantaytambo.

I have to disagree with the suggestion that it depends on your health and fitness condition. I had a severe case of altitude sickness while in Atacama in Chile for a week. Together with two others who in their professional life were well-trained soldiers. I wouldn’t say I am a master example of well trained body, but the soldiers definitely were. I think it is quite similar to sea sickness, in the sense that some are more susceptible to it then others.

In my opinion there are some thing you can say about altitude sickness

1. Don’t listen to tour operators their main objective is to sell tours and they hardly ever have returning customers.
2. As already said, don’t compare to fellow travelers.

I think it is the lonely planet that said that when you experience altitude sickness, there are three things you should do:

1. Going down,
2. Going down
3. Going down.

Altitude is something you can not really prepare for with a trip of the length you are undertaking. Climbers spend several weeks walking into basecamp areas and several more weeks hanging at the base to slowly acclimatise themselves. Spending one or two nights at middle altitudes will not make any real difference. You might as well go straight to Cusco.

Each person reacts differently to higher altitudes and the only real test is going there. I have led bicycle tours in Tibet, where our lowest altitude is 3300 m and we reach points over 5000 m. I have had riders from Florida who had no issues and folks who live high in the Rockies who suffer.

Go to Cusco and enjoy the trip of a lifetime, just be prepared to accept that fact that you might have to bail out for lower altitudes if your body doesn’t like the thin air.

It’s actually pretty common to sleep at Cusco your first night. My brother, for example, flew from Lima to Cusco. It’s not ideal and you’re likely to have a headache, but it’s uncommon for anything too serious.

You definitely want a full day (two nights) based in Aguas Calientes if you want the full experience. The reason being if you want to be on the first buses up to MP, you need to be at the line around 3.30am. It hurts, but it’s totally worth it. And then assuming you want a full day up there, the train isn’t going to leave until the next day, first thing in the morning (there are a couple of options).

So working back, you could arrive in Cusco at 10am, as you suggest. Check into accommodation. IF you haven’t booked your Machu Picchu yet, which is entirely fine, you can organise a tour from many, many places here, which includes a guide, train from Ollyntaytambo, accommodation for two nights in Aguas Calientes, and train back, plus tickets to MP. It’s a very common option. We bought ours the day before (October) and it was very straightforward.

Then you have the day in Cusco. If you really want, you could go to Ollyntaytambo this night, I guess, the tours would be able to help you with that – it doesn’t take long to get there, but I didn’t stay there or go to the Sacred Valley, so this is where I’m sketchy.

Luggage-wise, you could easily store them in a hostel for the day, they often have luggage rooms, even if you’re not staying there – they could for a small amount store your bags. So that’s easy enough. That covers storage in Cusco and presumably your night in ‘Olly as you’ll have accom. The train – I had a big backpack and a daypack, and had no problem taking that with me on the train, and obviously stored it in Aguas Calientes for the next two nights.

So it’s entirely possible, it’s pretty easy as so many people do it, that Cusco is set up to help you even if planned at the last minute.

One final warning, because I can’t talk about altitude without it – altitude is only really noticeable above 2500m, most people will tell you. However, I can from personal experience assure you that you want to be really careful. Don’t take stuff to hide the symptoms, because you may not realise you’re worse than you think. Often the only cure is to go to a lower altitude. If you do arrive in Cusco from a low altitude, be careful, don’t have a big night, and drink plenty of fluids.

Finally, enjoy – it’s one of my favourite few days of travel, the region is spectacular – not just Machu Picchu, but that train ride is awesome!

From personal experience, it is not as bad as it may seem, but then again it probably depends on your health and fitness level.

I am 37, my wife is 33, neither of us is very fit, but not we are not couch potatoes either. We flew from Lima (sea level) to Cusco and stayed there for 5 days.

Before the trip we had similar concerns as you had, and we also had more luggage with us than you will have. Our only previous experience with similar altitude was spending an hour or so at various mountains in Switzerland at around 4km, so we kind of knew how it would feel like. At the end we decided to go for it.

In Cusco it was hard to get enough oxygen at the beginning and for example climbing the stairs to 2nd floor felt like having to climb to 6th, but a cup or two of coca tea and a good sleep worked wonders for us and we got used to the altitude pretty fast.