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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 ...
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 ...
Acid reflux into the mouth can cause breakdown of the enamel, especially on the inside surface of the teeth. A dry mouth, acid or burning sensation in the mouth, bad breath and redness of the palate may occur. [27] Less common symptoms of GERD include difficulty in swallowing, water brash, chronic cough, hoarse voice, nausea and vomiting. [26]
For example, if the concentration of the conjugate base is 10 times greater than the concentration of the acid, their ratio is 10:1, and consequently the pH is pK a + 1 or pK b + 1. Conversely, if a 10-fold excess of the acid occurs with respect to the base, the ratio is 1:10 and the pH is pK a − 1 or pK b − 1.
[2] 290 mOsm/kg is the presumed stool osmolality, and the measured concentration of sodium and potassium cations is doubled to account for the corresponding anions which must be present. [citation needed] A normal gap is between 50 and 100 mOsm/kg, [3] corresponding to the concentration of other solutes such as magnesium salts and sugars ...