What is the pH of the human stomach's acid?
Gastric acid
The main constituent of gastric acid is hydrochloric acid which is produced by parietal cells (also called oxyntic cells) in the gastric glands in the stomach. Its secretion is a complex and relatively energetically expensive process. Parietal cells contain an extensive secretory network (called canaliculi) from which the hydrochloric acid is secreted into the lumen of the stomach. The pH of gastric acid is 1.5 to 3.5 in the human stomach lumen, the acidity being maintained by the proton pump H/K ATPase. The parietal cell releases bicarbonate into the bloodstream in the process, which causes a temporary rise of pH in the blood, known as an alkaline tide.
Foveolar cell
The mucus allows the acid at pH above 4 to penetrate lining, but below pH 4 (i.e. when acid is more concentrated) the acid cannot penetrate the mucus. This is called viscous fingering. Thus the foveolar cells can pump out a lot of acid, but acid once in the lumen of the stomach is prevented from returning.
Histidine
The conjugate acid (protonated form) of the imidazole side chain in histidine has a p"K" of approximately 6.0. This means that, at physiologically relevant pH values, relatively small shifts in pH will change its average charge. Below a pH of 6, the imidazole ring is mostly protonated as described by the Henderson–Hasselbalch equation. When protonated, the imidazole ring bears two NH bonds and has a positive charge. The positive charge is equally distributed between both nitrogens and can be represented with two equally important resonance structures. As the pH increases past approximately 6, one of the protons is lost. The remaining proton of the now-neutral imidazole ring can reside on either nitrogen, giving rise to what are known as the N1-H or N3-H tautomers. The N3-H tautomer, shown in the figure above, is protonated on the #3 nitrogen, farther from the amino acid backbone bearing the amino and carboxyl groups, whereas the N1-H tautomer is protonated on the nitrogen nearer the backbone.
Ion trapping
The charge of a molecule depends upon the pH of its solution. In an acidic medium, basic drugs are more charged and acidic drugs are less charged. The converse is true in a basic medium. For example, Naproxen is a non-steroidal anti-inflammatory drug that is a weak acid (its pKa value is 5.0). The gastric juice has a pH of 2.0. It is a three-fold difference (due to log scale) between its pH and its pKa; therefore there is a 1000× difference between the charged and uncharged concentrations. So, in this case, for every one molecule of charged Naproxen, there are 1000 molecules of uncharged Naproxen at a pH of 2. This is why weak acids are better absorbed from the stomach and weak bases from intestine where the pH is alkaline. When pH of a solution is equal to pKa of dissolved drug, then 50% of the drug is ionized, another 50% is unionized. This is described by the Henderson-Hasselbalch equation.
PH
The pH of blood is usually slightly basic with a value of pH 7.365. This value is often referred to as physiological pH in biology and medicine. Plaque can create a local acidic environment that can result in tooth decay by demineralization. Enzymes and other proteins have an optimum pH range and can become inactivated or denatured outside this range.
The calculation of the pH of a solution containing acids and/or bases is an example of a chemical speciation calculation, that is, a mathematical procedure for calculating the concentrations of all chemical species that are present in the solution. The complexity of the procedure depends on the nature of the solution. For strong acids and bases no calculations are necessary except in extreme situations. The pH of a solution containing a weak acid requires the solution of a quadratic equation. The pH of a solution containing a weak base may require the solution of a cubic equation. The general case requires the solution of a set of non-linear simultaneous equations.
Heart rate
Acidosis is a condition in which excess hydrogen ions are present, and the patient’s blood expresses a low pH value. Alkalosis is a condition in which there are too few hydrogen ions, and the patient’s blood has an elevated pH. Normal blood pH falls in the range of 7.35–7.45, so a number lower than this range represents acidosis and a higher number represents alkalosis. Enzymes, being the regulators or catalysts of virtually all biochemical reactions - are sensitive to pH and will change shape slightly with values outside their normal range. These variations in pH and accompanying slight physical changes to the active site on the enzyme decrease the rate of formation of the enzyme-substrate complex, subsequently decreasing the rate of many enzymatic reactions, which can have complex effects on HR. Severe changes in pH will lead to denaturation of the enzyme.
Pachypodium habitats
"Rapanarivo et al." measured the pH levels for the soil in half the sites of "Pachypodium" endemic to Madagascar. The pH ranges approximately from 3.5 to 7. Strictly acid soils that had a pH level of 3.5 to 5 were preferred by "Pachypodium brevicaule", "P. cactiples", "P. densiflorum", "P.eburneum", and "P. rosulatum". The next level, acid to basic soils, with a pH between 4.5 and 7 were suitable for "P. lamerei" and "P. rutenbergianum". On soils with a neutral pH level of 7, "P. meridionale" inhabit. "P. sofiense" grows on calcareous soils but also in acid soils with a pH level of 4. "P. lealii" grows on outcrops of granite in fairly fertile, acid soil.
Hypolimnetic aeration
For the pH of drinking water, the threshold value is 6.5 - 9.5. pH values outside the neutral range (pH 6.5 - 7.5) are principally critical, since they provide an indication of the corrosion behaviour of water. Slightly acidic water (pH 4 - 6.5) usually corrodes galvanized iron pipes, but also copper and asbestos cement pipes. This process is known as acid corrosion. Practical experience has shown that the use of unprotected steel pipes is only possible at neutral pH values. By lower pH values, the removal of the pure zinc layer is promoted. As a result of the dissolved salts and gases, natural cold waters usually show a slightly alkaline reaction. These properties are created by setting the equilibrium concentrations of dissolved carbon dioxide in the form of bicarbonate ions and carbonate ions. Higher alkaline pH values (pH 9 - 14) in the presence of oxygen as an oxidant lead to so-called oxygen corrosion. To avoid the described acid or oxygen corrosion, buffer solutions are added to the raw water for drinking water production. By the pH-stabilizing effect of hypolimnetic aeration, the application of these buffer solutions can be reduced, thus reducing operating costs.
PH
In chemistry, pH () is a logarithmic scale used to specify the acidity or basicity of an aqueous solution. It is approximately the negative of the base 10 logarithm of the molar concentration, measured in units of moles per liter, of hydrogen ions. More precisely it is the negative of the base 10 logarithm of the activity of the hydrogen ion. At 25 °C, solutions with a pH less than 7 are acidic and solutions with a pH greater than 7 are basic. The neutral value of the pH depends on the temperature, being lower than 7 if the temperature increases. Pure water is neutral, pH 7 at (25 °C), being neither an acid nor a base. Contrary to popular belief, the pH value can be less than 0 or greater than 14 for very strong acids and bases respectively.
9-Hydroxyoctadecadienoic acid
9("S")-HODE and with progressively lesser potencies 9("S")-HpODE, a racemic mixture of 9-HODE, 13("S")-HpODE, and 13("S")-HODE directly activate human (but not mouse) GPR132 (i.e. G protein coupled receptor 132 or G2A) in Chinese hamster ovary cells made to express these receptors; 9("S")-HODE was also a more potent stimulator of human G2A than a series of mono-hydroxy arachidonic acid metabolites. GPR132 was initially described as a pH sensing receptor; the role(s) of 9-HODEs as well as other linoleic and arachidonic acid metabolites in activating GPR132 under the physiological and pathological conditions in which it is implicated to be involved(see (see GPR132 for a listing of these conditions) have not yet been determined. This determination, as it might apply to humans, is made difficult by the inability of these HODEs to activate rodent GPR132 and therefore to be analyzed in rodent models.
Urine
The pH normally is within the range of 5.5 to 7 with an average of 6.2. In persons with hyperuricosuria, acidic urine can contribute to the formation of stones of uric acid in the kidneys, ureters, or bladder. Urine pH can be monitored by a physician or at home.
Acid dissociation constant
Assessing the hazard associated with an acid or base may require a knowledge of p"K" values. For example, hydrogen cyanide is a very toxic gas, because the cyanide ion inhibits the iron-containing enzyme cytochrome c oxidase. Hydrogen cyanide is a weak acid in aqueous solution with a p"K" of about 9. In strongly alkaline solutions, above pH 11, say, it follows that sodium cyanide is "fully dissociated" so the hazard due to the hydrogen cyanide gas is much reduced. An acidic solution, on the other hand, is very hazardous because all the cyanide is in its acid form. Ingestion of cyanide by mouth is potentially fatal, independently of pH, because of the reaction with cytochrome c oxidase.
Intrinsic factor
The intrinsic factor is secreted by the stomach, and so is present in the gastric juice as well as in the gastric mucous membrane. The optimum pH for its action is approximately 7. Its concentration does not correlate with the amount of HCl or pepsin in the gastric juice, e.g., intrinsic factor may be present even when pepsin is largely absent. The site of formation of the intrinsic factor varies in different species. In pigs it is obtained from the pylorus and beginning of the duodenum; in human beings it is present in the fundus and body of the stomach.
PH
pH-dependent plant pigments that can be used as pH indicators occur in many plants, including hibiscus, red cabbage (anthocyanin) and red wine. The juice of citrus fruits is acidic mainly because it contains citric acid. Other carboxylic acids occur in many living systems. For example, lactic acid is produced by muscle activity. The state of protonation of phosphate derivatives, such as ATP, is pH-dependent. The functioning of the oxygen-transport enzyme hemoglobin is affected by pH in a process known as the Root effect.
Lactobacillus fermentum
Testing of "Lactobacillus fermentum " against different pH concentration solutions revealed that it has a strong pH tolerance by its ability to grow and survive a few hours after being incubated in a 3-pH level solution. Strains of "Lactobacillus fermentum" have also been tested in different bile concentrations and demonstrated to have good bile tolerance when incubated with 3 g L-1 of bile salt. The pH and bile tolerance that " L. fermentum " demonstrates is significant in terms of its consideration as a probiotic. It has to be strong enough to survive the stresses of the digestive system. The stomach has a pH between 1.5 and 3, and the upper intestine contains 3-5 g L-1 of bile. "Lactobacillus fermentum" has been found to survive in these conditions further supporting the idea that it can act as a probiotic.
Jejunum
The pH in the jejunum is usually between 7 and 9 (neutral or slightly alkaline).
Acidifier
These chemicals increase the level of gastric acid in the stomach when ingested, thus decreasing the stomach pH.
Equine gastric ulcer syndrome
The digestive system of the horse evolved for its grazing lifestyle, where it would almost constantly eat small amounts of roughage throughout the day. Unlike carnivores, who produce stomach acid during meals, horses constantly secrete acid to help digest this source of grass, leading up to 9 gallons produced per day. Unchecked, the stomach acid can lower the pH to levels that will damage the gastric mucosa, leading to ulcers.
Timeline of peptic ulcer disease and Helicobacter pylori
Before the 1950s, there were many microbiological descriptions of bacteria in the stomach and in gastric acid secretions, lending credence to both the infective theory and the hyperacidity theory as being causes of peptic ulcer disease. A single study, conducted in 1954, did not find evidence of bacteria on biopsies of the stomach stained traditionally; this effectively established the acid theory as dogma. This paradigm was altered when Warren and Marshall effectively proved Koch's postulates for causation of PUD by "H. pylori" through a series of experiments in the 1980s; however, an extensive effort was required to convince the medical community of the relevance of their work. Now, all major gastrointestinal societies agree that "H. pylori" is the primary nondrug cause of PUD worldwide, and advocate its eradication as essential to treatment of gastric and duodenal ulcers. Additionally, "H. pylori" has been associated with lymphomas and adenocarcinomas of the stomach, and has been classified by the World Health Organization as a carcinogen. Advances in molecular biology in the late 20th century led to the sequencing of the "H. pylori" genome, resulting in a better understanding of virulence factors responsible for its colonization and infection, on the DNA level.
Drug interaction
Some drugs, such as the prokinetic agents increase the speed with which a substance passes through the intestines. If a drug is present in the digestive tract's absorption zone for less time its blood concentration will decrease. The opposite will occur with drugs that decrease intestinal motility.Certain drugs require an acid stomach pH for absorption. Others require the basic pH of the intestines. Any modification in the pH could change this absorption. In the case of the antacids, an increase in pH can inhibit the absorption of other drugs such as zalcitabine (absorption can be decreased by 25%), tipranavir (25%) and amprenavir (up to 35%). However, this occurs less often than an increase in pH causes an increase in absorption. Such as occurs when cimetidine is taken with didanosine. In this case a gap of two to four hours between taking the two drugs is usually sufficient to avoid the interaction.
Deramciclane
Also important to the pharmacokinetics of a drug is its interactions with food during adsorption because this affects the dosage required. Deramciclane is an acid-labile compound. Acid-labile compounds are more easily broken down in acidic environments, so the decrease in stomach pH as a result of the presence of food could have adverse effects on the bioavailability of deramciclane. Clinical studies investigating the effects of food or lack thereof on deramciclane adsorption show that there is a statistically significant, but not clinically relevant, increase in bioavailability of deramciclane when administered with food because the point of critical instability of deramciclane is relatively low at a pH of 2. The presence of food does not affect deramciclane’s elimination half-life (T1/2) or mean residence time (MRT).
Stomach cancer
"Helicobacter pylori" infection is an essential risk factor in 65–80% of gastric cancers, but only 2% of people with Helicobacter infections develop stomach cancer. The mechanism by which "H. pylori" induces stomach cancer potentially involves chronic inflammation, or the action of "H. pylori" virulence factors such as CagA. It was estimated that Epstein–Barr virus is responsible for 84,000 cases per year. AIDS is also associated with elevated risk.
Hammett acidity function
On this scale, pure HSO (18.4 M) has a "H" value of −12, and pyrosulfuric acid has "H" ~ −15. Take note that the Hammett acidity function clearly avoids water in its equation. It is a generalization of the pH scale—in a dilute aqueous solution (where B is HO), pH is very nearly equal to "H". By using a solvent-independent quantitative measure of acidity, the implications of the leveling effect are eliminated, and it becomes possible to directly compare the acidities of different substances (e.g. using p"K", HF is weaker than HCl or HSO in water but stronger than HCl in glacial acetic acid.)
Gastric lipase
Gastric lipase is an acidic lipase secreted by the gastric chief cells in the fundic mucosa in the stomach. It has a pH optimum of 3–6. Gastric lipase, together with lingual lipase, comprise the two acidic lipases. These lipases, unlike alkaline lipases (such as pancreatic lipase), do not require bile acid or colipase for optimal enzymatic activity. Acidic lipases make up 30% of lipid hydrolysis occurring during digestion in the human adult, with gastric lipase contributing the most of the two acidic lipases. In neonates, acidic lipases are much more important, providing up to 50% of total lipolytic activity.They breakdown triglycerides into monoglycerides and fatty acids.
Acid (disambiguation)
An acid is any chemical compound that, when dissolved in water, gives a solution with a pH of less than 7.0.
Vegetarian and vegan dog diet
Animal protein has a high acidic amino acid content (glutamic and aspartic acid), therefore, its nitrogenous metabolites that are excreted via the urine are acidic that make the normal range of a dog's urine pH 5–7. Plant-based protein is relatively lower in these acidifying amino acids, which can lead to urinary alkalization (pH > 7). Alkaline urine put dogs at an increased risk of developing strive crystals, dysuria, hematuria and obstructing the urinary tract which can have fatal outcomes. Vitamin C, potassium chloride, DL-methionine, cranberry (which promotes overall health of the urinary tract), as well as peas, brown rice, and lentils all promote GI health and urine acidification, and can be used to correct the alkalinity of urine. Acidifying ingredients should be used with caution because over-supplying a dog can lead to metabolic acidosis. Regular monitoring of the acidity of a dog's urine during the transition onto a plant-based diet, changes in the diet, and during periods of illness are recommended.
S. P. L. Sørensen
Søren Peder Lauritz Sørensen (9 January 1868 – 12 February 1939) was a Danish chemist, famous for the introduction of the concept of pH, a scale for measuring acidity and alkalinity.
Bile acid
Prior to secreting any of the bile acids (primary or secondary, see below), liver cells conjugate them with one of two amino acids, glycine or taurine, to form a total of 8 possible conjugated bile acids. These conjugated bile acids are often referred to as bile salts because of their physiologically-important acid-base properties. The pKa of the unconjugated bile acids are between 5 and 6.5, and the pH of the duodenum ranges between 3 and 5, so when unconjugated bile acids are in the duodenum, they are almost always protonated (HA form), which makes them relatively insoluble in water. Conjugating bile acids with amino acids lowers the pKa of the bile-acid/amino-acid conjugate to between 1 and 4. Thus conjugated bile acids are almost always in their deprotonated (A-) form in the duodenum, which makes them much more water-soluble and much more able to fulfil their physiologic function of emulsifying fats.
Stomach disease
In the stomach there is a slight balance between acid and the wall lining which is protected by mucus. When this mucus lining is disrupted for whatever reason, signs and symptoms of acidity result. This may result in upper abdominal pain, indigestion, loss of appetite, nausea, vomiting and heartburn. When the condition is allowed to progress, the pain may become continuous; blood may start to leak and be seen in the stools. If the bleeding is rapid and of adequate volume it may even result in vomiting of bright red blood (hematemesis). When the acidity is uncontrolled, it can even cause severe blood loss (anemia) or lead to perforation (hole) in the stomach which is a surgical emergency. In many individuals, the progressive bleeding from an ulcer mixes with the feces and presents as black stools. Presence of blood in stools is often the first sign that there is a problem in the stomach.
Stomach
About 20,000 protein coding genes are expressed in human cells and nearly 70% of these genes are expressed in the normal stomach. Just over 150 of these genes are more specifically expressed in the stomach compared to other organs, with only some 20 genes being highly specific. The corresponding specific proteins expressed in stomach are mainly involved in creating a suitable environment for handling the digestion of food for uptake of nutrients. Highly stomach-specific proteins include GKN1, expressed in the mucosa; pepsinogen PGC and the lipase LIPF, expressed in chief cells; and gastric ATPase ATP4A and gastric intrinsic factor GIF, expressed in parietal cells.
Stomach disease
Having too little or no gastric acid is known as hypochlorhydria or achlorhydria respectively and are conditions which can have negative health impacts. Having high levels of gastric acid is called hyperchlorhydria. Many people believe that hyperchlorhydria can cause stomach ulcers. However, recent research indicates that the gastric mucosa which secretes gastric acid is acid-resistant.
Hydrochloric acid
Gastric acid acts as a barrier against microorganisms to prevent infections and is important for the digestion of food. Its low pH denatures proteins and thereby makes them susceptible to degradation by digestive enzymes such as pepsin. The low pH also activates the enzyme precursor pepsinogen into the active enzyme pepsin by self-cleavage. After leaving the stomach, the hydrochloric acid of the chyme is neutralized in the duodenum by sodium bicarbonate.
Feline lower urinary tract disease
Urine pH can be made more acid by increasing protein intake from animal and fish sources. Examples include human table scraps such as beef (steak/hamburger) and fish. Low cost urine test for humans can be used for monitoring and verifying that a cat's pH is below 6.8. A syringe can be used to suck up the urine from the floor when a cat urinates inappropriately and then squirted onto the test strip.
Botulism
Low-acid foods have pH values higher than 4.6. They include red meats, seafood, poultry, milk, 
and all fresh vegetables except for most tomatoes. Most mixtures of low-acid and acid foods also 
have pH values above 4.6 unless their recipes include enough lemon juice, citric acid, or vinegar 
to make them acid foods. Acid foods have a pH of 4.6 or lower. They include fruits, pickles, 
sauerkraut, jams, jellies, marmalades, and fruit butters.
Soil pH
Soil pH is a measure of the acidity or basicity (alkalinity) of a soil. pH is defined as the negative logarithm (base 10) of the activity of hydronium ions ( or, more precisely, ) in a solution. In soils, it is measured in a slurry of soil mixed with water (or a salt solution, such as 0.01 M ), and normally falls between 3 and 10, with 7 being neutral. Acid soils have a pH below 7 and alkaline soils have a pH above 7. Ultra-acidic soils (pH < 3.5) and very strongly alkaline soils (pH > 9) are rare.
Polycarbophil calcium
The human stomach presents a mild acidic environment due to the presence of HCl. Polycarbophil absorbs about ten times its own weight of water under acidic conditions, but the swelling ratio markedly increases at above pH 4.0 and reaches 70 times the initial weight under pH-neutral conditions. The swelling of polycarbophil is not affected by non-ionic osmolarity, but by ionic strength, showing a decrease with increase of ionic strength. Monovalent metal ions such as sodium and potassium ions in gastrointestinal fluid do not reduce the equilibrium swelling of polycarbophil, but divalent ions such as calcium and magnesium ions do. However, calcium ions only slightly reduce the equilibrium swelling under sodium-rich conditions.
Acid–base homeostasis
Acid–base imbalance occurs when a significant insult causes the blood pH to shift out of the normal range (7.32 to 7.42). An abnormally low pH in the ECF is called an acidaemia and an abnormally high pH is called an alkalaemia.
Human digestive system
The stomach is a major organ of the gastrointestinal tract and digestive system. It is a consistently J-shaped organ joined to the esophagus at its upper end and to the duodenum at its lower end.
Gastric acid (informally "gastric juice"), produced in the stomach plays a vital role in the digestive process, and mainly contains hydrochloric acid and sodium chloride. A peptide hormone, gastrin, produced by G cells in the gastric glands, stimulates the production of gastric juice which activates the digestive enzymes. Pepsinogen is a precursor enzyme (zymogen) produced by the gastric chief cells, and gastric acid activates this to the enzyme pepsin which begins the digestion of proteins. As these two chemicals would damage the stomach wall, mucus is secreted by innumerable gastric glands in the stomach, to provide a slimy protective layer against the damaging effects of the chemicals on the inner layers of the stomach.
Amino acid
Because all amino acids contain amine and carboxylic acid functional groups, they share amphiprotic properties. Below pH 2.2, the predominant form will have a neutral carboxylic acid group and a positive α-ammonium ion (net charge +1), and above pH 9.4, a negative carboxylate and neutral α-amino group (net charge −1). But at pH between 2.2 and 9.4, an amino acid usually contains both a negative carboxylate and a positive α-ammonium group, as shown in structure (2) on the right, so has net zero charge. This molecular state is known as a zwitterion, from the German "" meaning "hermaphrodite" or "hybrid". The fully neutral form (structure (1) on the left) is a very minor species in aqueous solution throughout the pH range (less than 1 part in 10). Amino acids exist as zwitterions also in the solid phase, and crystallize with salt-like properties unlike typical organic acids or amines.
Proton pump
Humans (and probably other mammals) have a gastric hydrogen potassium ATPase or H/K ATPase that also belongs to the P-type ATPase family. This enzyme functions as the proton pump of the stomach, primarily responsible for the acidification of the stomach contents (see gastric acid).
Gastric acid
Gastric acid, gastric juice, or stomach acid, is a digestive fluid formed in the stomach and is composed of hydrochloric acid (HCl), potassium chloride (KCl), and sodium chloride (NaCl). The acid plays a key role in digestion of proteins, by activating digestive enzymes, and making ingested proteins unravel so that digestive enzymes break down the long chains of amino acids.
Gastric acid is produced by cells in the lining of the stomach, which are coupled in feedback systems to increase acid production when needed. Other cells in the stomach produce bicarbonate, a base, to buffer the fluid, ensuring that it does not become too acidic. These cells also produce mucus, which forms a viscous physical barrier to prevent gastric acid from damaging the stomach. The pancreas further produces large amounts of bicarbonate and secretes bicarbonate through the pancreatic duct to the duodenum to completely neutralize any gastric acid that passes further down into the digestive tract.
Mucus
The ionic charges of mucin are mainly provided by acidic amino acids including aspartic acid (pKa=3.9) and glutamic acid (pKa=4.2). The charges of acidic amino acids will change with environmental pH value due to acid dissociation and association. Aspartic acid, for example, has a negative side chain when the pH value is above 3.9, while a neutrally charged side chain will be introduced as pH value drops below 3.9. Thus, the number of negative charges in mucus is influenced by the pH value of surrounding environment. That is, the polyelectrolyte effect of mucus is largely affected by the pH value of solution due to the charge variation of acidic amino acid residues on the mucin backbone. For instance, the charged residue on mucin is protonated at a normal pH value of the stomach, approximately pH 2. In this case, there is scarcely polyelectrolyte effect, thereby causing compact mucus with little swelling capacity. However, a kind of bacteria, "Helicobacter pylori", is prone to producing base to elevate the pH value in stomach, leading to the deprotonation of aspartic acids and glutamic acids, i.e., from neutral to negative-charged. The negative charges in the mucus greatly increase, thus inducing the polyelectrolyte effect and the swelling of the mucus. This swelling effect increases the pore size of the mucus and decreases mucus' viscosity, which allows bacteria to penetrate and migrate into the mucus and cause disease.
Pepsin
In the stomach, chief cells release pepsinogen. This zymogen is activated by hydrochloric acid (HCl), which is released from parietal cells in the stomach lining. The hormone gastrin and the vagus nerve trigger the release of both pepsinogen and HCl from the stomach lining when food is ingested. Hydrochloric acid creates an acidic environment, which allows pepsinogen to unfold and cleave itself in an autocatalytic fashion, thereby generating pepsin (the active form). Pepsin cleaves the 44 amino acids from pepsinogen to create more pepsin.
Jesse Francis McClendon
Jesse Francis McClendon (December 21, 1880 – November 22, 1976) was an American chemist, zoologist, and physiologist known for the first pH measurement of human stomach "in situ".
Infectious causes of cancer
"H. pylori" causes over 63% of all stomach cancers, which corresponds to more than 5.5% of all cancers in the world. As reviewed by Chang and Parsonnet, chronic "H. pylori" infection in the human stomach is characterized by chronic inflammation. This is accompanied by epithelial cell release of reactive oxygen species (ROS) and reactive nitrogen species (RNOS), followed by the assembly of activated macrophages at the stomach site of infection. The macrophages also release ROS and RNOS. Levels of 8-oxo-2'-deoxyguanosine (8-OHdG), one of the predominant forms of free radical-induced oxidative DNA damages, are increased more than 8-fold in DNA after infection by "H. pylori", especially if the "H. pylori" are cagA positive. The increase in 8-OHdG likely increases mutation. In addition, oxidative stress, with high levels of 8-OHdG in DNA, also affects genome stability by altering chromatin status. Such alterations can lead to abnormal methylation of promoters of tumor suppressor genes.
Aluminium hydroxide
Under the generic name "algeldrate", aluminium hydroxide is used as an antacid in humans and animals (mainly cats and dogs). It is preferred over other alternatives such as sodium bicarbonate because Al(OH), being insoluble, does not increase the pH of stomach above 7 and hence, does not trigger secretion of excess acid by the stomach. Brand names include Alu-Cap, Aludrox, Gaviscon or Pepsamar. It reacts with excess acid in the stomach, reducing the acidity of the stomach content, which may relieve the symptoms of ulcers, heartburn or dyspepsia. Such products can cause constipation, because the aluminium ions inhibit the contractions of smooth muscle cells in the gastrointestinal tract, slowing peristalsis and lengthening the time needed for stool to pass through the colon. Some such products (such as Maalox) are formulated to minimize such effects through the inclusion of equal concentrations of magnesium hydroxide or magnesium carbonate, which have counterbalancing laxative effects.
Alkaline diet
Advocates propose that since the normal pH of the blood is slightly alkaline, the goal of diet should be to mirror this by eating a diet that is alkaline producing as well. These advocates propose that diets high in acid-producing elements will generally lead the body to become acidic and thereby foster disease. This proposed mechanism, in which the diet can significantly change the acidity of the blood, goes against "everything we know about the chemistry of the human body" and has been called a "myth" in a statement by the American Institute for Cancer Research because it is "virtually impossible" to create a less acidic environment in the body. While a selectively alkaline diet may change the pH level in the urine, it has not been shown to elicit a sustained change in blood pH levels, nor to provide the clinical benefits claimed by its proponents. Because of the body's natural regulatory mechanisms, which do not require a special diet to work, eating an alkaline diet can, at most, change the blood pH minimally and transiently.
Acid–base homeostasis
The normal pH in the fetus differs from that in the adult. In the fetus, the pH in the umbilical vein pH is normally 7.25 to 7.45 and that in the umbilical artery is normally 7.18 to 7.38.
Gut flora
Due to the high acidity of the stomach, most microorganisms cannot survive there. The main bacterial inhabitants of the stomach include: "Streptococcus", "Staphylococcus", "Lactobacillus", "Peptostreptococcus", and types of yeast. "Helicobacter pylori" is a gram-negative spiral bacterium that establishes on gastric mucosa causing chronic gastritis and peptic ulcer disease and is a carcinogen for gastric cancer.
Pepsin
Pepsin is most active in acidic environments between 37 °C and 42 °C. Accordingly, its primary site of synthesis and activity is in the stomach (pH 1.5 to 2). Pepsin will digest up to 20% of ingested amide bonds by cleaving preferentially at the C-terminal side of aromatic amino acids such as phenylalanine, tryptophan, and tyrosine. Pepsin exhibits preferential cleavage for hydrophobic, preferably aromatic, residues in P1 and P1' positions. Increased susceptibility to hydrolysis occurs if there is a sulfur-containing amino acid close to the peptide bond, which has an aromatic amino acid. Pepsin cleaves PheVal, GlnHis, GluAla, AlaLeu, LeuTyr, TyrLeu, GlyPhe, Phe in the insulin B chain. Pepsin exhibits maximal activity at pH 2.0 and is inactive at pH 6.5 and above, however pepsin is not fully denatured or irreversibly inactivated until pH 8.0. Therefore, pepsin in solution of up to pH 8.0 can be reactivated upon re-acidification. The stability of pepsin at high pH has significant implications on disease attributed to laryngopharyngeal reflux. Pepsin remains in the larynx following a gastric reflux event. At the mean pH of the laryngopharynx (pH = 6.8) pepsin would be inactive but could be reactivated upon subsequent acid reflux events resulting in damage to local tissues.
Wooden reed care
Normally, saliva is slightly acidic and has a pH less than 7, but it can vary between 6 and 8. The pH inside the mouth depends on the salival flow rate because the higher the flow rate of saliva the more salival bicarbonates are present. Bicarbonates in the saliva raise the pH inside the mouth. When there is no or low saliva flow, also known as xerostomia, the pH inside the mouth is around 6. When salival flow rate is high the pH is about 8. During a concert, if a musician is suffering from xerostomia, also known as dry mouth, the saliva pH is expected to be acidic.
Esophageal pH monitoring
In assessment of distal esophageal pH, the sensor is placed 5 cm above upper border of the lower esophageal sphincter (LES) determined by esophageal manometry. To measure proximal esophageal acid exposure the second sensor is placed 1-5 below the lower border of the upper esophageal sphincter (UES). The Bravo pH capsule is placed either transnasally based on manometric measurements, or following endoscopy. In transnasal placement the capsule is placed 5 cm above upper border of the LES, and in endoscopic placement 6 cm above gastroesophageal junction. The same applies to OMOM pH monitoring capsule.
Achlorhydria
Risk of particular infections, such as "Vibrio vulnificus" (commonly from seafood) is increased. Even without bacterial overgrowth, low stomach acid (high pH) can lead to nutritional deficiencies through decreased absorption of basic electrolytes (magnesium, zinc, etc.) and vitamins (including vitamin C, vitamin K, and the B complex of vitamins). Such deficiencies may be involved in the development of a wide range of pathologies, from fairly benign neuromuscular issues to life-threatening diseases.For practical purposes, gastric pH and endoscopy should be done in someone with suspected achlorhydria. Older testing methods using fluid aspiration through a nasogastric tube can be done, but these procedures can cause significant discomfort and are less efficient ways to obtain a diagnosis.
Human feces
The Fecal pH test for healthy humans is a pH of 6.6.
Metabolic acidosis
Although blood gas sampling is not always essential for the diagnosis of acidosis, a low pH (in either a venous or arterial sample) does support the diagnosis. If the pH is low (under 7.35) and the bicarbonate levels are decreased (<24 mmol/L), metabolic acidemia is present, and metabolic acidosis is presumed. If the patient has other coexisting acid-base disorders, the pH may be low, normal or high in the setting of metabolic acidosis. If a setting of a cause for metabolic acidosis being noted in the patient's history, a low serum bicarbonate indicates metabolic acidosis even without measurement of serum pH.
Citric acid
Because it is one of the stronger edible acids, the dominant use of citric acid is as a flavoring and preservative in food and beverages, especially soft drinks and candies. Within the European Union it is denoted by E number E330. Citrate salts of various metals are used to deliver those minerals in a biologically available form in many dietary supplements. Citric acid has 247 kcal per 100 g. The buffering properties of citrates are used to control pH in household cleaners and pharmaceuticals. In the United States the purity requirements for citric acid as a food additive are defined by the Food Chemicals Codex, which is published by the United States Pharmacopoeia (USP).
Hyperuricemia
Hyperuricemia is an abnormally high level of uric acid in the blood. In the pH conditions of body fluid, uric acid exists largely as urate, the ion form. The amount of urate in the body depends on the balance between the amount of purines eaten in food, the amount of urate synthesised within the body (e.g., through cell turnover), and the amount of urate that is excreted in urine or through the gastrointestinal tract. In humans, the upper end of the normal range is 360 µmol/L (6 mg/dL) for women and 400 µmol/L (6.8 mg/dL) for men.
Citric acid
Citric acid is normally considered to be a tribasic acid, with pK values, extrapolated to zero ionic strength, of 5.21, 4.28 and 2.92 at 25 °C. The pKa of the hydroxyl group has been found, by means of C NMR spectroscopy, to be 14.4. 
The speciation diagram shows that solutions of citric acid are buffer solutions between about pH 2 and pH 8. In biological systems around pH 7, the two species present are the citrate ion and mono-hydrogen citrate ion. The SSC 20X hybridization buffer is an example in common use. Tables compiled for biochemical studies are available.
5-Hydroxyindoleacetic acid
5-HIAA is tested by 24-hour urine samples combined with an acidic additive to maintain pH below 3. Certain foods and drugs are known to interfere with the measurement. 5-HIAA levels can vary depending on other complications, including tumors, renal malfunction, and small bowel resection.
Uric acid
Humans. The normal concentration range of uric acid (or hydrogen urate ion) in human blood is 25 to 80 mg/L for men and 15 to 60 mg/L for women (but see below for slightly different values). An individual can have serum values as high as 96 mg/L and not have gout. In humans, about 70% of daily uric acid disposal occurs via the kidneys, and in 5–25% of humans, impaired renal (kidney) excretion leads to hyperuricemia. Normal excretion of uric acid in the urine is 250 to 750 mg per day (concentration of 250 to 750 mg/L if one litre of urine is produced per day — higher than the solubility of uric acid because it is in the form of dissolved acid urates).
Akadama
pH=6.9 EC=0.052 ms/cm
Citric acid
On the other hand, the pH of a 1 mM solution of citric acid will be about 3.2. The pH of fruit juices from citrus fruits like oranges and lemons depends on the citric acid concentration, being lower for higher acid concentration and conversely.
Cider
The acids in cider play a vital role in both the cider making process and in the final flavour of a finished cider. They are present in both apples and cider, and add a sour taste and a pungent odor to these respective substances. Acids also serve as a preservative in the cider since microbes grow less in lower pH environments and contribute to the fermentation process. Most ciders have a pH of between 3.3 and 4.1. The primary acid found in apples is malic acid which accounts for around 90% of the acid content in apples. Malic acid contributes to the tart and sour flavours found in cider, and typically between 4.5 and 7.5 grams of malic acid per liter of cider is preferred. Malic acid is also used to determine apple ripeness for harvesting, as its concentration decreases as the fruit ripens. Lactic acid is also commonly found in cider, and it is mainly formed from malo-lactic fermentation, a process that converts malic acid into lactic acid. This process rounds out the flavour of the cider while reducing a lot of the acidity and producing carbon dioxide as well. Other acids such as citric acid can be used to add taste after fermentation, but these acids are not typically found in high concentration in apples naturally.
Alkaline mucus
Mucus that serves a protective function against acidic environments generally has a high viscosity, though the thickness and viscosity of the mucus layer can vary due to several factors. For example, alkaline mucus in the stomach increases in thickness when the stomach is distended. The pH level of the mucus also plays a role in its viscosity, as higher pH levels tend to alter the thickness of the mucus, making it less viscous. Because of this, invading agents such as "Helicobacter pylori", a bacterium that causes stomach ulcers, can alter the pH of the mucus to make the mucus pliable enough to move through. Exposure to atmospheric air also tends to increase the pH level of alkaline mucus.
Arsenic
In 2008, based on its ongoing testing of a wide variety of American foods for toxic chemicals, the U.S. Food and Drug Administration set the "level of concern" for inorganic arsenic in apple and pear juices at 23 ppb, based on non-carcinogenic effects, and began blocking importation of products in excess of this level; it also required recalls for non-conforming domestic products. In 2011, the national "Dr. Oz" television show broadcast a program highlighting tests performed by an independent lab hired by the producers. Though the methodology was disputed (it did not distinguish between organic and inorganic arsenic) the tests showed levels of arsenic up to 36 ppb. In response, FDA tested the worst brand from the "Dr." "Oz" show and found much lower levels. Ongoing testing found 95% of the apple juice samples were below the level of concern. Later testing by Consumer Reports showed inorganic arsenic at levels slightly above 10 ppb, and the organization urged parents to reduce consumption. In July 2013, on consideration of consumption by children, chronic exposure, and carcinogenic effect, the FDA established an "action level" of 10 ppb for apple juice, the same as the drinking water standard.
Carcinogen
Stomach cancer is the fourth most common cancer [990,000 cases (7.8%), 738,000 deaths (9.7%)]. "Helicobacter pylori" infection is the main causative factor in stomach cancer. Chronic gastritis (inflammation) caused by "H. pylori" is often long-standing if not treated. Infection of gastric epithelial cells with "H. pylori" results in increased production of reactive oxygen species (ROS). ROS cause oxidative DNA damage including the major base alteration 8-hydroxydeoxyguanosine (8-OHdG). 8-OHdG resulting from ROS is increased in chronic gastritis. The altered DNA base can cause errors during DNA replication that have mutagenic and carcinogenic potential. Thus "H. pylori"-induced ROS appear to be the major carcinogens in stomach cancer because they cause oxidative DNA damage leading to carcinogenic mutations. Diet is thought to be a contributing factor in stomach cancer - in Japan where very salty pickled foods are popular, the incidence of stomach cancer is high. Preserved meat such as bacon, sausages, and ham increases the risk while a diet high in fresh fruit and vegetables may reduce the risk. The risk also increases with age.
Alkaline diet
Urinary and/or saliva testing for acidity has been proposed as a way to measure the body's acidity level and therefore the level of risk for diseases. However, there is no correlation between the urinary pH and the acidity of the body.
Rumen
Microbes in the reticulorumen eventually flow out into the omasum and the remainder of the alimentary canal. Under normal fermentation conditions the environment in the reticulorumen is weakly acidic and is populated by microbes that are adapted to a pH between roughly 5.5 and 6.5; since the abomasum is strongly acidic (pH 2 to 4), it acts as a barrier that largely kills reticulorumen flora and fauna as they flow into it. Subsequently, microbial biomass is digested in the small intestine and smaller molecules (mainly amino acids) are absorbed and transported in the portal vein to the liver. The digestion of these microbes in the small intestine is a major source of nutrition, as microbes usually supply some 60 to 90% of the total amount of amino acids absorbed. On starch-poor diets, they also provide the predominant source of glucose absorbed from the small intestinal contents. Under conditions of ruminal acidosis, when the environment of the reticulorumen has become too acidic (usually due to excessive fermentation of starches and sugars into VFA and lactate), microbes that favor a lower pH may start to dominate the ecosystem of the reticulorumen. This gives rise to rumen acidosis and often feed intake of the ruminant will drop.
ISO 31-8
pH has no fundamental meaning; its official definition is a practical one. However, in the restricted range of dilute aqueous solutions having amount-of-substance concentrations less than 0.1 mol/L, and being neither strongly alkaline nor strongly acidic (2 < pH < 12), the definition is such that
Alkaline diet
While diets avoiding meat, poultry, cheese, and grains can be used in order to make the urine more alkaline (higher pH), difficulties in effectively predicting the effects of these diets have led to medications, rather than diet modification, as the preferred method of changing urine pH. The "acid-ash" hypothesis was once considered a risk factor for osteoporosis, though the current weight of scientific evidence does not support this hypothesis.
Digestion
Digestion is a complex process controlled by several factors. pH plays a crucial role in a normally functioning digestive tract. In the mouth, pharynx and esophagus, pH is typically about 6.8, very weakly acidic. Saliva controls pH in this region of the digestive tract. Salivary amylase is contained in saliva and starts the breakdown of carbohydrates into monosaccharides. Most digestive enzymes are sensitive to pH and will denature in a high or low pH environment.
Amphetamine
In general, there is no significant interaction when consuming amphetamine with food, but the pH of gastrointestinal content and urine affects the absorption and excretion of amphetamine, respectively. Acidic substances reduce the absorption of amphetamine and increase urinary excretion, and alkaline substances do the opposite. Due to the effect pH has on absorption, amphetamine also interacts with gastric acid reducers such as proton pump inhibitors and H antihistamines, which increase gastrointestinal pH (i.e., make it less acidic).
Fecal pH test
A fecal pH test is one where a specimen of feces is tested for acidity in order to diagnose a medical condition. Human feces is normally acidic. An acidic stool can indicate a digestive problem such as lactose intolerance or a contagion such as "E. coli" or rotavirus, or overgrowth of the acid producing bacteria (such as lactic acid bacteria for instance).
The average pH for a healthy person is a pH of 6.6.
Digestion
In the small intestines, the duodenum provides critical pH balancing to activate digestive enzymes. The liver secretes bile into the duodenum to neutralize the acidic conditions from the stomach, and the pancreatic duct empties into the duodenum, adding bicarbonate to neutralize the acidic chyme, thus creating a neutral environment. The mucosal tissue of the small intestines is alkaline with a pH of about 8.5.
Fecal pH test
Unhealthy individuals with a higher or lower pH rate have been observed having a higher mortality rate. A high alkaline pH rating being associated with the body's inability to create enough acid along with undigested food.
Equine gastric ulcer syndrome
The stomach is divided into 2 main sections: a squamous region at the upper 1/3 of the stomach near the cardiac sphincter, and a lower glandular region. These 2 regions are separated by a band of tissue called the margo plicatus. The pH of the stomach contents varies by location. The most dorsal part of the stomach has the highest pH, usually close to 7, dropping to a pH of 3.0–6.0 near the margo plicatus, and reaching as low as 1.5–4.0 in the glandular regions. In foals, pH is uniform since all gastric contents are liquid, and pH rises for a around one hour after milk ingestion.
Lipase
Most lipases act at a specific position on the glycerol backbone of a lipid substrate (A1, A2 or A3)(small intestine). For example, human pancreatic lipase (HPL), which is the main enzyme that breaks down dietary fats in the human digestive system, converts triglyceride substrates found in ingested oils to monoglycerides and two fatty acids.
Enceladus
A model suggests that Enceladus's salty ocean (-Na, -Cl, -CO) has an alkaline pH of 11 to 12. The high pH is interpreted to be a consequence of serpentinization of chondritic rock that leads to the generation of H, a geochemical source of energy that can support both abiotic and biological synthesis of organic molecules such as those that have been detected in Enceladus's plumes.
Albendazole
The absorption also largely depends on gastric pH. People have varying gastric pHs on empty stomachs, and thus absorption from one person to another can vary wildly when taken without food. Generally, the absorption in the GI tract is poor due to albendazole's low solubility in water. It is, however, better absorbed than other benzimidazole carbamates. Food stimulates gastric acid secretion, lowering the pH and making albendazole more soluble and thus more easily absorbed. Oral absorption is especially increased with a fatty meal, as albendazole dissolves better in lipids, allowing it to cross the lipid barrier created by the mucus surface of the GI tract. To target intestinal parasites, albendazole is taken on an empty stomach in order to stay within the gut.
Carlsberg Laboratory
The Carlsberg Laboratory was known for isolating "Saccharomyces carlsbergensis", the species of yeast responsible for lager fermentation, as well as for introducing the concept of pH in acid-base chemistry. The Danish chemist Søren Peder Lauritz Sørensen introduced the concept of pH, a scale for measuring acidity and basicity of substances. While working at the Carlsberg Laboratory, he studied the effect of ion concentration on proteins, and understood the concentration of hydrogen ions was particularly important. To express the hydronium ion (H3O+) concentration in a solution, he devised a logarithmic scale known as the pH scale.
Acid dissociation constant
At pH less than about 5 both the carboxylate group and the amino group are protonated. As pH increases the acid dissociates according to
PH
Pure water is neutral. When an acid is dissolved in water, the pH will be less than 7 (25 °C). When a base, or alkali, is dissolved in water, the pH will be greater than 7. A solution of a strong acid, such as hydrochloric acid, at concentration 1 mol dm has a pH of 0. A solution of a strong alkali, such as sodium hydroxide, at concentration 1 mol dm, has a pH of 14. Thus, measured pH values will lie mostly in the range 0 to 14, though negative pH values and values above 14 are entirely possible. Since pH is a logarithmic scale, a difference of one pH unit is equivalent to a tenfold difference in hydrogen ion concentration. 
The pH of neutrality is not exactly 7 (25 °C), although this is a good approximation in most cases. Neutrality is defined as the condition where [H] = [OH] (or the activities are equal). Since self-ionization of water holds the product of these concentration [H]×[OH] = K, it can be seen that at neutrality [H] = [OH] = , or pH = pK/2. pK is approximately 14 but depends on ionic strength and temperature, and so the pH of neutrality does also. Pure water and a solution of NaCl in pure water are both neutral, since dissociation of water produces equal numbers of both ions. However the pH of the neutral NaCl solution will be slightly different from that of neutral pure water because the hydrogen and hydroxide ions' activity is dependent on ionic strength, so K varies with ionic strength.
Hammett acidity function
where "a" is the activity, and the γ are thermodynamic activity coefficients. In dilute aqueous solution (pH 0-14) the predominant acid species is HO and the activity coefficients are close to unity, so H is approximately equal to the pH. However beyond this pH range, the effective hydrogen-ion activity changes much more rapidly than the concentration. This is often due to changes in the nature of the acid species; for example in concentrated sulfuric acid, the predominant acid species ("H+") is not HO but rather HSO which is a much stronger acid. The value H = -12 for pure sulfuric acid must not be interpreted as pH = -12 (which would imply an impossibly high HO concentration of 10 mol/L in ideal solution). Instead it means that the acid species present (HSO) has a protonating ability equivalent to HO at a fictitious (ideal) concentration of 10 mol/L, as measured by its ability to protonate weak bases.
Human viruses in water
The pH of most natural water is between 5-9. Enteric viruses are stable in these conditions. On the other hand, many enteric viruses are more stable at pH 3-5 than at pH 9 and 12. Enteroviruses can survive at pH 11-11.5 and 1-2, but for only short periods. Adenoviruses and rotaviruses are delicate to a pH of 10 or greater and leads to inactivation.
Amphetamine
The oral bioavailability of amphetamine varies with gastrointestinal pH; it is well absorbed from the gut, and bioavailability is typically over 75% for dextroamphetamine. Amphetamine is a weak base with a p"K" of 9.9; consequently, when the pH is basic, more of the drug is in its lipid soluble free base form, and more is absorbed through the lipid-rich cell membranes of the gut epithelium. Conversely, an acidic pH means the drug is predominantly in a water-soluble cationic (salt) form, and less is absorbed. Approximately of amphetamine circulating in the bloodstream is bound to plasma proteins. Following absorption, amphetamine readily distributes into most tissues in the body, with high concentrations occurring in cerebrospinal fluid and brain tissue.
Alkaline diet
Alkaline diet (also known as the alkaline ash diet, alkaline acid diet, acid ash diet, and acid alkaline diet) describes a group of loosely related diets based on the misconception that different types of food can have an effect on the pH balance of the body. It originated from the acid ash hypothesis, which primarily related to osteoporosis research. Proponents of the diet believe that certain foods can affect the acidity (pH) of the body and that the change in pH can therefore be used to treat or prevent disease. Due to the lack of credible evidence supporting the claimed mechanism of this diet, it is not recommended by dietitians or other health professionals, though some have noted that eating unprocessed foods as this diet recommends may have incidental health benefits unrelated to bodily pH.
PH
The pH of different cellular compartments, body fluids, and organs is usually tightly regulated in a process called acid-base homeostasis. The most common disorder in acid-base homeostasis is acidosis, which means an acid overload in the body, generally defined by pH falling below 7.35. Alkalosis is the opposite condition, with blood pH being excessively high.
PH (disambiguation)
pH is a measure of acidity or alkalinity.
Hammett acidity function
The Hammett acidity function (H) is a measure of acidity that is used for very concentrated solutions of strong acids, including superacids. It was proposed by the physical organic chemist Louis Plack Hammett and is the best-known acidity function used to extend the measure of Brønsted–Lowry acidity beyond the dilute aqueous solutions for which the pH scale is useful.
Carbonated water
The acid gives carbonated water a slightly tart flavor. The pH level between 3 and 4 is approximately in between apple juice and orange juice in acidity, but much less acidic than the acid in the stomach. A normal, healthy human body maintains pH equilibrium via acid–base homeostasis and will not be materially adversely affected by consumption of plain carbonated water. Alkaline salts, such as sodium bicarbonate, potassium bicarbonate, or potassium citrate, will increase pH.
Blood
Blood pH is regulated to stay within the narrow range of 7.35 to 7.45, making it slightly basic. Blood that has a pH below 7.35 is too acidic, whereas blood pH above 7.45 is too basic. Blood pH, partial pressure of oxygen (pO), partial pressure of carbon dioxide (pCO), and bicarbonate (HCO) are carefully regulated by a number of homeostatic mechanisms, which exert their influence principally through the respiratory system and the urinary system to control the acid-base balance and respiration. An arterial blood gas test measures these. Plasma also circulates hormones transmitting their messages to various tissues. The list of normal reference ranges for various blood electrolytes is extensive.
Proton-pump inhibitor
Decreasing the acid in the stomach can aid the healing of duodenal ulcers and reduce the pain from indigestion and heartburn. However, stomach acids are needed to digest proteins, vitamin B, calcium, and other nutrients, and too little stomach acid causes the condition hypochlorhydria.
Indometacin
Besides, indometacin has logarithmic acid dissociation constant pKa of 3 to 4.5. Since the physiologic body pH is well above the pKa range of indometacin, most of the indometacin molecules will be disscociated into ionised form, leaving very little unionised form of indometacin to cross a cell membrane. If the pH gradient across a cell membrane is high, most of the indometacin molecules will be trapped in one side of the membrane with higher pH. This phenomenon is called "ion trapping". The phenomenon of ion trapping is particularly prominent in the stomach as pH at the stomach mucosa layer is extremely acidic, while the parietal cells are more alkaline. Therefore, indometacin are trapped inside the parietal cells in ionised form, damaging the stomach cells, causing stomach irritation. This stomach irritation can reduce if the stomach acid pH is reduced.
Digestion
The gastric phase takes 3 to 4 hours. It is stimulated by distension of the stomach, presence of food in stomach and decrease in pH. Distention activates long and myenteric reflexes. This activates the release of acetylcholine, which stimulates the release of more gastric juices. As protein enters the stomach, it binds to hydrogen ions, which raises the pH of the stomach. Inhibition of gastrin and gastric acid secretion is lifted. This triggers G cells to release gastrin, which in turn stimulates parietal cells to secrete gastric acid. Gastric acid is about 0.5% hydrochloric acid (HCl), which lowers the pH to the desired pH of 1–3. Acid release is also triggered by acetylcholine and histamine.
Alkaline diet
These diets have been promoted by alternative medicine practitioners, who propose that such diets treat or prevent cancer, heart disease, low energy levels, and other illnesses. Human blood is maintained between pH 7.35 and 7.45 by acid–base homeostasis mechanisms. Levels above 7.45 are referred to as alkalosis and levels below 7.35 as acidosis. Both are potentially serious. The idea that these diets can materially affect blood pH for the purpose of treating a range of diseases is not supported by scientific research and makes incorrect assumptions about how alkaline diets function that are contrary to human physiology.
Antacid
Under the generic name algeldrate, aluminium hydroxide is used as an antacid. Aluminium hydroxide is preferred over other alternatives such as sodium bicarbonate because Al(OH), being insoluble, does not increase the pH of stomach above 7 and hence, does not trigger secretion of excess stomach acid. Brand names include Alu-Cap, Aludrox, Gaviscon, and Pepsamar. In 2016 Gaviscon was one of the biggest selling branded over-the-counter medications sold in Great Britain, with sales of £62 million. It reacts with excess acid in the stomach, reducing the acidity of the stomach content, which may relieve the symptoms of ulcers, heartburn or dyspepsia. Such products can cause constipation, because the aluminum ions inhibit the contractions of smooth muscle cells in the gastrointestinal tract, slowing peristalsis and lengthening the time needed for stool to pass through the colon. Some such products are formulated to minimize such effects through the inclusion of equal concentrations of magnesium hydroxide or magnesium carbonate, which have counterbalancing laxative effects.
Acidosis
In the fetus, the normal range differs based on which umbilical vessel is sampled (umbilical vein pH is normally 7.25 to 7.45; umbilical artery pH is normally 7.20 to 7.38). In the fetus, the lungs are not used for ventilation. Instead, the placenta performs ventilatory functions (gas exchange). Fetal respiratory acidemia is defined as an umbilical vessel pH of less than 7.20 and an umbilical artery PCO of 66 or higher or umbilical vein PCO of 50 or higher.
Distal renal tubular acidosis
The pH of patient's blood is highly variable, and acidemia is not necessarily characteristic of sufferers of dRTA at any given time. One may have dRTA caused by alpha intercalated cell failure without necessarily being acidemic; termed "incomplete dRTA," which is characterized by an inability to acidify urine, without affecting blood pH or plasma bicarbonate levels. The diagnosis of dRTA can be made by the observation of a urinary pH of greater than 5.3 in the face of a systemic acidemia (usually taken to be a serum bicarbonate of 20 mmol/l or less). In the case of an incomplete dRTA, failure to acidify the urine following an oral acid loading challenge is often used as a test. The test usually performed is "the short ammonium chloride test", in which ammonium chloride capsules are used as the acid load. More recently, an alternative test using furosemide and fludrocortisone has been described.
Renal tubular acidosis
The word "acidosis" refers to the tendency for RTA to cause an excess of acid, which lowers the blood's pH. When the blood pH is below normal (7.35), this is called "acidemia". The metabolic acidosis caused by RTA is a normal anion gap acidosis.
Oneida Number Three Tunnel
The pH of the water being discharged from the Oneida Number Three Tunnel ranges from 3.9 to 4.7. The average pH of the waters is 4.53. The concentration of acidity in the tunnel's waters is 17.35 milligrams per liter and the daily load of acidity is . The acidity load requires an 89 percent reduction to meet its total maximum daily load requirements. The alkalinity concentration of its waters is 7.40 milligrams per liter and the load of alkalinity is per day. The net concentration of acidity is 15.8 milligrams per liter.
Hyperchlorhydria
In humans, the normal pH is around 1 to 3, which varies throughout the day. The highest basal secretion levels are in the late evening (around 12 A.M. to 3 A.M.). Hyperchlorhydria is usually defined as having a pH less than 2. It has no negative consequences unless other conditions are also present such as gastroesophageal reflux disease (GERD).