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In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
A smaller H + concentration means a greater OH − concentration and, therefore, a greater K b and a greater pH. NaOH (s) (sodium hydroxide) is a stronger base than (CH 3 CH 2) 2 NH (l) (diethylamine) which is a stronger base than NH 3 (g) (ammonia). As the bases get weaker, the smaller the K b values become. [1]
The pH of a solution is defined as the negative logarithm of the concentration of H +, and the pOH is defined as the negative logarithm of the concentration of OH −. For example, the pH of a 0.01 in moles per litreM solution of hydrochloric acid (HCl) is equal to 2 (pH = −log 10 (0.01)), while the pOH of a 0.01 M solution of sodium ...
A low stool osmotic gap suggests secretory diarrhea, wherein the digestive tract is hyperpermeable and losing electrolytes, while a high gap suggests osmotic diarrhea, wherein the digestive tract is unable to absorb solutes from the chyme, either because the digestive tract is hypopermeable (e.g. due to inflammation), or non-absorbable ...
Hyperparathyroidism – can cause hyperchloremia and increase renal bicarbonate loss, which may result in a normal anion gap metabolic acidosis. Patients with hyperparathyroidism may have a lower than normal pH, slightly decreased PaCO2 due to respiratory compensation, a decreased bicarbonate level, and a normal anion gap. [3]
This principle is exploited to regulate the pH of the extracellular fluids (rather than just buffering the pH). For the carbonic acid-bicarbonate buffer, a molar ratio of weak acid to weak base of 1:20 produces a pH of 7.4; and vice versa—when the pH of the extracellular fluids is 7.4 then the ratio of carbonic acid to bicarbonate ions in ...
The impedance–pH monitoring diagnostic test determines the frequency of reflux episodes and the time relationship of reflux episodes and symptoms. The impedance–pH monitoring test determines if the patient's symptoms are related to acid reflux, related to nonacid reflux, or not related to reflux of any type. A positive GERD diagnosis is ...
The pH of a solution is equal to the decimal cologarithm of the hydrogen cation concentration; [note 2] the pH of pure water is close to 7 at ambient temperatures. The concentration of hydroxide ions can be expressed in terms of pOH, which is close to (14 − pH), [note 3] so the pOH of pure water is also close to 7. Addition of a base to water ...