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Mahes Visvalingam
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Acid-Base Balance
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Like the body temperature, the body's pH is one indicator of health.  If you feel unwell, this is the first thing you should check and correct. The body cannot assimilate minerals and nutrients when its pH is out of balance. There are cheap and simple remedies for correcting most transient imbalance, the persistence of which can cause diseases needing medical intervention.  There are good resources on the internet. These notes cover:

1.    What is pH

2.    Note why the body can become either acidic or alkaline - causes

3.    Describe how any imbalance can be detected by urine pH testing.  I also list some symptoms of acidity and alkalinity so that you can judge if you need a test.

4.    Explain how the body regulates fluctuations in our pH

5.    Record our experience, which has tended towards acidity

6.    Present some home remedies for acidity

7.    Provide links to alkalising diets

8.    Record some case studies

1.    What is pH? pH stands for potential hydrogen (see http://physiciansnotebook.blogspot.co.uk/2011/01/acidity-and-alkalinity-of-body.html).  It refers to the amount of hydrogen in solution. It is also a measure of cell voltage in millivolts (mV) as explained by Dr Jerry Tennant https://www.youtube.com/watch?v=wKNK6AdDOOc. An acidic solution will have a pH below 7.0 and have a +ve voltage; a basic or alkaline solution will have a pH above 7.0 and have a negative voltage. Arterial blood pH is normally closely regulated to between 7.35 and 7.45; it is slightly alkaline. The body uses bicarbonate, protein and other buffers to maintain the blood pH level at about 7.4 https://courses.lumenlearning.com/boundless-ap/chapter/acid-base-balance/

2.    Causes

Acidosis can result from a deficit of bicarbonates or from an excess of hydrogen in acids.   Prolonged stress, diseases (diabetes, pneumonia etc.), weather and medication can alter the pH balance of cell tissue (See https://patient.info/doctor/acid-base-balance). 

There are different types of acidosis caused by different conditions which lead to a shortage of oxygen. For example, respiratory acidosis can be caused by suffocation or spontaneous arrest during asthma; suppressed respiration by pneumonia, emphysema or morphine, or the inhalation of gases with a lot of carbon dioxide. Diabetics can suffer from acidosis due to a release of keto-acids from the digestion of fats (given their inability to use glucose).  Fasting also causes the digestion of stored fats, causing an acid tide and the pH may drop to 5 after a couple of days.  Like the alkaline tide, this too can cause kidney, ureter and bladder stones formed from excess uric acid as fats and muscles are broken down.  Perhaps this is why naturopaths prescribe fruit intake during fasting.  Diarrhoea and vomiting can cause acidosis through the loss of sodium bicarbonate and other minerals.  Over-eating and improper mastication of food is also said to cause acidosis - see http://www.herballegacy.com/Acidosis.html

Acidosis can also be due to a build-up of lactic acid due to prolonged exercise or the incomplete digestion of carbohydrates.  This is one reason why sportsmen take alkalising revitalising drinks to improve their performance.  Often acidosis results from a faulty diet - the consumption of too many acid-forming foods, like meat, fat and sugar, or other sources of acid and food deficient in base minerals. Elderly people can develop a tendency towards low-grade metabolic acidosis as kidney function declines. A faulty diet can make this worse and cause clinical osteoporosis, loss of muscle bulk, diminished growth hormone secretion and a decline in cognitive function.

Alkalosis may be caused by a loss of acid, a build-up of bicarbonates, or due to a deficit of carbon dioxide in the blood.  Rapid shallow breathing (hyperventilation) by asthmatics causes alkalosis and it is claimed that the Buteyko method of breathing can help.  Apparently, aspirin overdose can also induce hyperventilation and acidosis.  Conversely, shallow breathing can also cause reverse alkalosis, since the kidneys produce bicarbonates to counter the build-up of acid.  

The bicarbonate buffer, which is extremely important in regulation of acid-base balance in the body, is described below.  While sodium bicarbonate has many health and other benefits, you should consult your doctor before taking it since it is contraindicated for certain medical conditions like high blood pressure, tendency towards kidney stones, deficiency of calcium or hydrochloric acid, OR if you are taking medications which cause alkalinity. Sodium bicarbonate reduces the absorption of a number of other drugs taken concomitantly (https://www.medicines.org.uk/emc/medicine/25416).  Alkalising diets (see below) recommend potassium rich fruit and vegetables.   

 

3.    Urine pH

It is difficult to get a measure of blood pH as this involves an arterial puncture.  So the changes in body pH are assessed by measuring urine and/or saliva pH. It is not an accurate reflection of body status but is a reasonable indicator if repeated under the same conditions.

A variety of health conditions can be assessed by urine tests, these include the pH of the urine. http://physiciansnotebook.blogspot.com/2011/01/secrets-of-urine-testing.html 

 

One reason why the urine pH is tested is to assess the risk of kidney stones. Urine pH varies during a 24 hour period from about 6.0 to 6.5 on waking to 6.5 to 7.0 in the evening.  There is a suggestion that urine pH should be held at 6.8 in the morning and at 7.0 to 7.2 during the rest of the day and evening. The morning pH is more acidic because our oxygen intake through respiration is reduced during sleep.  Eating a meal causes what is known as an alkaline tide. This lasts for about 2 hours.  So, the best time to test your pH is about one hour before a meal and two hours after a meal.  The alkaline tide may cause cramps and even kidney stones, since calcium phosphate, which is soluble in acid, can become insoluble during the alkaline tide.

As noted above, the body has enough resources to protect or buffer temporary changes in pH.  However, when its resources are in constant demand, due to faulty feeding or some organic malfunction, it cannot perform the buffering function.    So if your urine pH is well outside the range expected, you should always consult your doctor - and should not attempt to correct the problem yourself.

Some symptoms of acidity  premature aging; immune deficiency; hormone-related problems; joint pain and osteoporosis (and fractures).

Obesity and diabetes; bladder/kidney problems (including uric acid stones); yeast/fungal problems; acid reflux, chronic fatigue, disorientation, sleepiness, gasping for breath, bronchitis, abdominal pain.  Tendency towards inflammatory diseases, e.g. cystitis, bronchitis, arthritis, gastritis etc.

Some alkalosis symptoms, which are less common:  light headedness, agitation, dizziness, tingling, twitchy movements.

Please check online resources for more information

4.    Regulation of pH Even daily activities like exercise, breathing, and digestion of food can alter the pH balance which is normalised by the compensating actions of the lungs and kidneys.  Weather, medication and stress can also affect the pH.  Deep breathing has an alkalising effect while shallow rapid breathing causes respiratory acidosis. The kidneys can excrete acidic and alkaline urine to normalise the pH.  According to Dr Khalid, The buffer systems can act within a fraction of a second to prevent excessive changes in hydrogen ion concentration. On the other hand, it takes 1 to 12 minutes for the respiratory system to make acute adjustments and another day or so to make still additional chronic adjustments. Finally, the kidneys, although providing the most powerful of all the acid-base regulatory systems, require many hours to several days to readjust the hydrogen ion concentration. https://www.homeobook.com/regulation-of-acid-base-balance/

·   The Bicarbonate Buffer is explained here: https://www.youtube.com/watch?v=5_S5wZks9v8
This is the primary buffer. The body has quite a large store of bicarbonates which can neutralise acid. Bicarbonate can be produced from the carbon dioxide that we breathe in and bicarbonates can also rapidly revert to carbon dioxide which can be breathed out.  This reversibility of bicarbonates, makes it an excellent buffer, keeping the blood pH within the normal range.  When the bicarbonate store is used up, the body raids the secondary buffers - the bones (for base minerals) and muscles (for nitrogen).

·   Mineral buffers from bone - Just as fat stores excess energy for use during a fast, the body stores vital minerals in the bone.  Acidic conditions lead to a de-mineralisation of the bone and the use of potassium, magnesium and calcium ions to neutralise the excess hydrogen.  The excess unused mineral ions are then excreted through the urine.  Such demineralisation of the bones for acid pH buffering causes osteoporosis. 

·   Protein buffer from muscles - this is because amino acids in protein make good buffers.  Unfortunately, if the body is acidic, muscle tissue is broken down and converted by the kidneys into ammonia by the addition of excess hydrogen which is excreted with urine.

5.    In our experience, our bodies seem to be more prone to acidity.  Correcting an acidic constitution improves general wellbeing and raises energy levels. Many bacterial, viral and fungal infections thrive in an acidic environment and can induce acidic states causing a vicious cycle.  For example, COVID-19 induces non-respiratory hypoxia – a shortage of oxygen in the blood which appears to be unrelated to breathing. During the 1918 flu pandemic, those who took bicarbonate of soda did not get infected and those who had been infected were treated with bicarbonate of soda.

Bicarbonate of soda rapidly resolved long-standing problems which have stumped the medical profession. My husband had complex medical conditions, including severe oozing oedema, poor circulation, bleeding varicose veins and eczema, constipation caused by fractures, and medication and a lack of energy etc.  Within two years of stopping all medication and use of complementary therapies which included bicarbonate of soda treatment, all these conditions resolved. Much of the acidosis was caused by the medication, which included the diuretic DIAMOX (acetazolamide) which causes acidosis.  It also affected his heart – so we stopped all medication when a pacemaker was implanted.  He is nearly 80 – and this shows that, given time and patience, the body is capable of recovering from what seems like a hopeless deteriorating condition.

There are several ways of increasing the pH of the body, e.g. through diet and deep breathing which are advised by many complementary therapies.  My father (who died aged 93) and several others who passed over in their 90s and when over 100 years used to take bicarbonate of soda.  Please see my link to Edna Boone’s testimony in Bsoda.pdf, which is updated to provide links to recent scientific research findings on many medicinal uses of bicarbonate of soda.

6.    Home Remedies for Acidity

a.    Bicarbonate intake
The easiest and quickest way to replenish a depleted bicarbonate buffer is to take half teaspoon of bicarbonate of soda fully dissolved in half a cup of cool water when the stomach is empty. Avoid taking this antacid with meals since it can impair digestion. Bicarbonate of soda can taste a bit soapy.  When I have time, I make the following alkalising drink. Note that this should be taken on an empty stomach either on waking or at bed time. 

1.    Dissolve a few grains of Epsom Salt (Magnesium Sulphate) in a little very hot water with half tsp of sugar.  Epsom Salt is a laxative at a higher dose – so just add a few grains.

2.    When dissolved add some cool water to about a third to half tumbler of water.

3.    Add third to half tsp of bicarbonate of soda. Stir until dissolved. Older generations used to take ˝ to 1 tsp of bicarbonate a day.

4.    Squeeze in a little lime/lemon juice to remove the soapy taste.  This will make the drink fizz as the reaction changes the bicarbonate into carbonate and releases carbon dioxide.  It is better to take the bicarbonate and citrus juice separately to maximise the bicarbonate.

5.    Drink it immediately.

6.    Drink plenty of water. Urination not only removes many of the cellular waste products, it also controls both the amount and the composition of the extracellular fluid in the body. 

It goes without saying that you should not take sodium bicarbonate if you are on a sodium-restricted diet, e.g. for high blood pressure.  Antacids also interact with some prescription drugs.  Do not over-dose – even excessive water intake can kill. It is better to correct the diet before it leads to more serious, often difficult to treat, chronic inflammatory diseases than to rely on antacids. 

b.    Remember that deep belly breathing, which is alkalising, is promoted by all healing therapies.  The Wim Hof Breathing method is said to acutely increase pH up to 7.8, and apparently urine pH also goes up after a session of WHM breathing. https://www.wimhofmethod.com/breathing-exercises 
However, rapid breathing can make you feel dizzy and can be dangerous to some.  So, as with any exercise you need to work up to it and not over-do it.  Please read the warnings when practising the Wim Hof method. Even traditional Qigong and Yogic breathing, which are well established and safe, warn that they are contraindicated, e.g. for those with hypertension (high blood pressure). They instead include a rrange of breathing practices for different reasons.

c.    An alkalising diet also helps. There are several online resources on this.  One should not rely on antacids, like sodium bicarbonate, to buffer an unhealthy diet, since there are side-effects of doing so.

d.    This page includes some alkalising home remedies for treating urinary tract infections. - https://nursestutorial.blogspot.com/2016/07/10-home-remedies-for-uti.html.  WARNING: some herbs (e.g. ginger and turmeric) and bicarbonate of soda should not be used in medicinal dosages if you have high blood pressure, itchiness etc.

7.   Alkalising diet
The pH of the food is not the same as its effect on the pH of body fluids after digestion.  For example, lemons and cider vinegar, which are used as natural remedies, are very acidic in their raw state.  But, the body mops up the acids and excretes the excess, leaving minerals (ions of calcium, magnesium, potassium and phosphates) which make the body alkaline.  Be aware that much of the citric acid used in convenience food and drinks are synthetically derived from black mould, found on some fruits and vegetables (http://en.wikipedia.org/wiki/Citric_acid). Some people are intolerant of this industrially produced citric acid (See http://lifestyle.iloveindia.com/lounge/citric-acid-intolerance-13807.html).

There are many different charts posted online, which give some conflicting classifications of the acid-base residue of food items. I do not know whether this page is reliable but it seems to match our experience of some common fruit and vegetables.  https://acidalkalinediet.net/acid-alkaline-food-chart.php. You need to monitor how your own urine pH - i.e. how your body - responds to what you eat.  Also, be aware that people like me, whose immune system has been compromised by DDT and medication, are intolerant of some food.  Some people use the Coca Test (or Pulse test) to identify potential allergens which can also upset the body's biochemistry. I use a pendulum to assess whether the item is beneficial or harmful to me through a muscular response from the body itself.  One man’s food is another man’s poison.

The advice is that one should consume 70-80% alkaline and only at most 20-30% acidic food.  In my experience the body can deal with a moderate amount of most food. https://www.myamericannurse.com/perfecting-your-acid-base-balancing-act-2/

Vegetable broths with onions, carrots, celery, ginger, garlic and parsley and other vegetables and herbs are alkalising and mineralising.  You could include bones and some cider vinegar or citrus if you wish to increase the mineral content.  An English friend who died when she was 103 told me that they used to have a lot of bone broth and the Chinese are fond of sweet and sour ribs. So-called potassium broths, include seaweed, like kombu.  Only the sick need daily doses of these potassium rich broths - too much potassium can upset the electrolyte balance of the body.   

Many of these items are expensive - but they are cheaper than prescription and over-the-counter medicines.  Our ancestors did not indulge in super-foods and such expensive items need not be a part of routine diet.  Equally, our ancestors did not live in centrally heated houses nor have all the mod-cons we have.  They laboured hard and walked miles to school, work etc.  They needed more protein and fat, and in general more food, than we do.  Unfortunately, indulging in eating has become an unhealthy social habit.  Enjoy it if your body can cope - but if starts to struggle, you can probably recover if you promptly moderate your eating habits.

Acid-forming foods. People who consume a lot of meat, fish and shellfish, dairy, cereals, white flour products and sugar (especially artificial sweeteners and canned drinks) etc. tend towards acidity. 

Peppermint and parsley are often recommended for acidity. Peppermint is antispasmodic and peppermint creams are often sucked after meals.  But, be aware that peppermint antidotes homeopathic medicines and those sweets can rot the teeth. It is very easy to grow parsley, especially the flat leaf variety, in deep pots.

Incidentally, urinary tract infections (UTI) can be caused by bacteria thriving in acidic or alkaline urine.  In the latter case, friends have found vitamin C or juice made with fresh or dried cranberries (acidic substances) helpful.  You may wish to look these up.

8.   Some case notes on acidity

·   Gastritis - This was brought on by very cold windy weather.  Homeopathic remedies (Nat Phos 6c) give relief - but they did not completely cure my gastritis.  The home treatment for chest and head congestion led to steady improvement in acid-base balance.  I suspect that it was mainly due to the Alkalising Drink, although I stopped having it.  I find that the daily half cup of Ginger tea is doing me a world of good.  In 2020, we restarted taking the Alkalising Drink on alternate days as a potential protection against COVID-19.

·   Pleurisy and bronchitis - Initially brought on by stress and exposure to chemical sprays in the confined space of air cabins.  This was probably compounded by an infection.  Resolved by similar home remedies.

·   Unknown cause of abdominal pain - A very thin lady had severe abdominal pain from Feb 2013 to November 2013.  She had various blood and urine tests and various types of scans - all negative.  During this time she had lost a stone in weight, which suggested loss of bone mass.  The colonoscopy in November 2013 also showed a healthy colon.  I suggested that the problem might be due to acidosis outside her tolerance range, which could cause inflammations and spasms, besides encouraging Candida Albicans.  There is a detailed article on Systemic Candida at : https://janus.net.pl/en/2018/01/22/candida-fungi/. Similar information was covered in a book by Leon Chaitow, first published in 1987, which led me to try Acidophilus with success in 1988 and which led to rejecting antibiotics and other unnecessary medication and researching Complementary Therapies instead.  You can control parasitic Candida, which can destroy mucosa and cause inflammations - but be aware that Candida die-off can be nasty since it releases toxins into the blood stream.  So, you may have to pace your treatment.  There are many online resources on Candida die-off.

She tried Ginger Tea and the Alkalising Drink above. After just 4 days of home treatment, her urine pH which had been out of range, normalised and she was pain free and started to put on weight.  Six weeks later, she was still pain free, had put on 10 pounds and said her energy levels were rising.  She felt that there was nothing wrong with her although she had occasional pain, which was manageable.  Her urine pH had normalised and she cut back on the home cures to twice a week.  Since she was very thin to begin with, the loss of weight could have been due to a loss of bone.

·   Blepharitis The alkalising drink had another unexpected beneficial effect.  She had been seeing hospital consultants about her dry and inflamed eyes for several years and had been wearing wrap round glasses to create a more humid environment and keep dust off her eyes and used eye drops as prescribed.  This developed into blepharitis, which was managed with castor oil, since my husband cleared his blepharitis with this home remedy.  When I visited her on the 22 December 2013, she showed me her eyes - there was no swelling or redness and they were not bothering her as much.  Since blepharitis could be due to systemic fungal infection, this again suggested that correcting the extracellular pH had created a hostile environment for the fungus which was naturally dying off.  So, this shows that when the body's pH is outside the normal range (in her case mainly due to stress), it can cause very unpleasant, even if not life threatening, symptoms, e.g. fungal pneumonia.  She now cleans her eyes with the alkalising formula.  Please note that the consultant we saw when my husband had blepharitis did suggest bicarbonate of soda for an eye wash - but this topical treatment did not help.  So, it does look like there is a need to correct the body’s pH.

·   Fatigue and symptoms of fungal infections - someone I knew had ME for more than 27 years and had never felt well since.  She had reflux and fungal infections from time to time.  She had a need to have a nap in the afternoons and generally felt tired.  Over the years she had tried homeopathy, acupuncture and other therapies when prescription medicines had not helped her recover her energy levels.  She did not test the urine pH but had the alkalising drink and felt that her energy levels were up.  Although she still felt tired, she could go out everyday and enjoy herself without a need for naps.   Having noticed the change in her, her friend was going to try the remedy.  After 6 months, my friend reports that she is going through a good spell and has increased the number of hours she works for a charity.

·   Diabetic with no energy - A diabetic friend had Candida explosion in Nov 2013 after he had antibiotics in Malta for a viral infection he picked up there. He started taking the Alkalising Drink in January when he felt that his energy level had become really low.  He was then mis-diagnosed and treated for cancer - but felt that the alkalising drink had helped him regain his normal energy level.  The so-called cancer (which was actually Candida Albicans) disappears when he applies Castor Oil but keeps coming back.  He has systemic Candida due to his diabetes, which is difficult to control.

 

·   Adverse reaction to medication. We have cut a long story short. It started with Cosopt eye drops for glaucoma which impaired circulation; the addition of Brimonidine Tartarate caused Charles Bonnet type hallucinations (normally attributed to impaired vision). Oral medication for glaucoma resulted in engorged varicose veins in both legs, especially over the ankles. When Travatan was added to arrest worsening glaucoma, it resulted in varicose vein bleeds two weeks later.  When Vistamethosone (a corticosteroid) was injected after eye surgery on two occasions, there was body wide rash and severe oedema from waist down.  By this time the patient was totally blind. Diuretics caused brachycardia (slow pulse rate of just 31) and heart arrest, needing a pacemaker.  We decided to stop all medication and over a period of two years the body has recovered.  Although totally blind, the patient has not had a single hallucination.  The patient still takes the alkalising drink on alternate days. 

 

© Mahes Visvalingam 17 Jun 2006
 Last updated on
28/06/2021