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Published on: 2/5/2026
Drinking baking soda for an alkaline cleanse is dangerous, with women increasingly hospitalized from severe sodium overload and metabolic alkalosis that can trigger blood pressure spikes, heart rhythm problems, seizures, and other emergencies. There are several factors to consider, including hidden sodium doses, who is most at risk, warning symptoms, and safer alternatives. See below for the complete details and guidance on what to do now and when to seek urgent care.
In recent years, social media has popularized so‑called "alkaline cleanses," with baking soda (sodium bicarbonate) often promoted as a cheap, natural way to "detox," improve digestion, or balance the body's pH. While this trend may sound harmless, hospitals and poison control centers are seeing a different reality. Drinking baking soda for health purposes has led to serious medical emergencies, particularly among women, including heart rhythm problems, seizures, and dangerous shifts in blood chemistry.
This article explains why this trend is unsafe, how it affects sodium intake, what alkalosis really is, and how to protect your safety without fear‑based messaging or false promises.
Baking soda is a chemical compound called sodium bicarbonate. In medicine, it has limited, carefully controlled uses—such as treating severe acid buildup in critical care settings. Outside of medical supervision, however, ingesting it regularly or in large amounts is risky.
The "alkaline diet" movement claims that modern diets make the body too acidic and that adding alkaline substances restores balance. This idea is not supported by credible medical science.
According to established physiology:
What baking soda can do is overwhelm these systems, especially when consumed repeatedly or in high doses.
One of the biggest risks of drinking baking soda is extreme sodium intake.
To put this into perspective:
This means someone can unknowingly consume an entire day's worth of sodium—or more—in a single glass.
High sodium intake can cause:
Women may be particularly vulnerable due to differences in body size, hormonal influences, and higher rates of dieting behaviors that involve extreme restrictions or "cleanses."
A major medical risk of ingesting baking soda is metabolic alkalosis—a condition where the blood becomes abnormally alkaline.
Alkalosis occurs when:
Baking soda directly introduces a strong alkaline substance into the bloodstream, especially when taken in water on an empty stomach.
In severe cases:
These are not rare or theoretical outcomes. Emergency physicians and toxicologists have documented numerous hospitalizations related to baking soda ingestion, some requiring intensive care.
Medical reports and emergency data suggest women are disproportionately affected by this trend. Possible reasons include:
Importantly, many women hospitalized for alkalosis report that they believed baking soda was safe because it is common, inexpensive, and found in the kitchen.
"Natural" does not mean harmless.
The body already has a highly effective detox system:
There is no credible evidence that drinking baking soda improves these processes. In fact, it often disrupts them.
Trusted medical organizations such as poison control centers, nephrology associations, and emergency medicine societies consistently warn against home ingestion of baking soda except in very limited, doctor‑directed circumstances.
If you are experiencing symptoms like bloating, heartburn, or fatigue, it's understandable to look for relief. Safer, evidence‑based options include:
If you're concerned about digestive symptoms or any unusual health changes, you can get personalized guidance using a Medically approved LLM Symptom Checker Chat Bot that helps assess your symptoms and recommends appropriate next steps based on evidence‑based medical information.
This can be a helpful starting point—but it should never replace professional medical care.
You should speak to a doctor or seek urgent care if you or someone else has:
Anything that could be life‑threatening or serious deserves prompt medical attention.
Health should never rely on extreme or unproven practices. True wellness is built on safety, balance, and credible medical guidance, not viral trends.
If something feels off, trust that instinct—and speak to a doctor.
(References)
* Doolittle, D. J., & Ringenberg, J. K. (2018). Sodium bicarbonate overdose: a case series. *The American Journal of Emergency Medicine*, *36*(7), 1324-1326.
* Ghasemian, M., & Kazemi, S. (2017). Severe metabolic alkalosis from sodium bicarbonate ingestion. *Saudi Journal of Kidney Diseases and Transplantation: An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia*, *28*(5), 1198-1200.
* Huang, Y. C., Huang, T. P., & Lin, C. C. (2017). Oral ingestion of sodium bicarbonate for detoxification causing severe hypernatremia and metabolic alkalosis: A case report. *Clinical Case Reports*, *5*(10), 1629-1631.
* Choe, K. H., Ko, C. M., & Kim, C. H. (2016). Spontaneous gastric rupture due to massive ingestion of sodium bicarbonate: A case report. *Journal of Surgical Case Reports*, *2016*(10), rjw187.
* Pervaiz, F., Riaz, I., Hameed, M. K., & Khan, I. A. (2020). Sodium Bicarbonate Toxicity: A Case of Metabolic Alkalosis, Hypokalemia, and Profound Hypocalcemia. *Cureus*, *12*(5), e8206.
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