Lactic Acidosis: What It Is and How to Deal With It

If you’ve ever felt an unusual rush of tiredness, rapid breathing, or a strange burning feeling in your muscles, you might wonder if something more serious is going on. One possible cause is lactic acidosis – a condition where too much lactic acid builds up in the blood and makes the body’s pH drop.

In simple terms, lactic acid is a normal by‑product when cells turn sugar into energy without enough oxygen. Most of the time your body clears it quickly. When clearance slows down or production spikes, the acid can pile up and cause trouble.

What Triggers Lactic Acidosis?

There are several everyday situations that can push lactic acid levels too high. Intense exercise is a common one – especially if you’re not used to it. Your muscles work hard, use oxygen fast, and produce extra lactic acid.

Medical conditions also play a big role. Severe infections, heart failure, liver disease, or kidney problems can all limit how well your body removes the acid. Certain medicines, like metformin (often used for diabetes), have been linked to rare cases of lactic acidosis when kidneys don’t work properly.

Alcohol bingeing is another trigger. Alcohol interferes with how the liver processes lactate, and heavy drinking can quickly raise levels.

Spotting the Signs

The symptoms can appear suddenly or develop over a few hours. Look out for:

  • Rapid breathing (your body tries to blow off extra acid)
  • Weakness or feeling unusually tired
  • Nausea, vomiting, or stomach pain
  • A metallic taste in the mouth
  • Confusion or headache

If you notice several of these together, especially after heavy exercise, illness, or drinking, it’s wise to get medical help right away.

How Doctors Diagnose It

A quick blood test measuring lactate levels is the main tool. Levels above 5 mmol/L usually point to lactic acidosis, but doctors also check your blood pH and look for underlying causes.

They’ll ask about recent activities, medications, and any health conditions you have. This helps them figure out why the acid built up in the first place.

Managing Lactic Acidosis

Treatment focuses on two things: lowering lactate levels and fixing what caused the rise.

If the condition is mild, simply resting, drinking water, and stopping intense exercise can help your body clear the acid. For more serious cases, hospitals may give intravenous (IV) fluids to boost blood flow and improve kidney function.

Sometimes a breathing support device is needed if your breathing rate isn’t enough to get rid of excess carbon dioxide. In rare situations, medications that buffer acidity, like sodium bicarbonate, are used under close supervision.

Prevention Tips You Can Use Today

Most people can keep lactic acidosis at bay with a few practical habits:

  • Pace yourself during workouts. Gradually increase intensity rather than jumping into a sprint.
  • Stay hydrated. Water helps kidneys flush out lactate.
  • Watch your alcohol intake. Limit binge drinking, especially if you have liver or kidney issues.
  • Talk to your doctor about meds. If you take metformin or other drugs that affect the kidneys, regular check‑ups are key.
  • Manage chronic illnesses. Keep diabetes, heart disease, and infections under control with proper treatment.

By understanding what lactic acidosis is and spotting it early, you can act fast and avoid serious complications. If anything feels off after a hard workout or an illness, don’t ignore it – get checked out. Simple steps today can keep your body’s chemistry balanced tomorrow.