The study on natural radionuclides in edible bivalves from the Cochin backwater lagoon, Kerala, employing alpha spectrometry, revealed higher concentrations of 210Po and 210Pb compared to 238U and 232Th. The annual committed effective dose (ACED) for the adult coastal population was calculated at a range of 1494.9 to 5783.4 μSv y−1, with 210Po being the predominant contributor, responsible for about 85 % of the dose. This highlighted significant health risks, underscored by a calculated cumulative mortality and morbidity risk range between 5.23 × 10−3 and 2.02 × 10−2. These findings emphasized the need for further research and the development of regulatory measures to mitigate exposure risks.