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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.
Gastric acid or stomach acid is the acidic component – hydrochloric acid of gastric juice, produced by parietal cells in the gastric glands of the stomach lining. In humans, the pH is between one and three, much lower than most other animals, but is very similar to that of carrion eating carnivores , needing protection from ingesting pathogens .
Everyone gets reflux sometimes. But how much is too much? Learn what’s normal and what’s not.
μ is the growth rate of a considered microorganism, μ max is the maximum growth rate of this microorganism, [S] is the concentration of the limiting substrate S for growth, K s is the "half-velocity constant"—the value of [S] when μ/μ max = 0.5. μ max and K s are empirical (experimental) coefficients to the Monod equation. They will ...
Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
Autoimmune disorders are also a cause for small bacterial growth in the bowel and a deficiency of Vitamin B-12. These have also proved to be factors of acid secretion in the stomach. [7] Autoimmune conditions can often be managed with various treatments; however, little is known about how or if these treatments effect achlorhydria. [5]
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The gene ATP4B [7] encodes the β subunit of the H + /K + ATPase, which is a ~300-amino acid protein with a 36-amino acid N-terminal cytoplasmic domain, a single transmembrane domain, and a highly glycosylated extracellular domain. Structure of the hydrogen potassium ATPase. The α subunit is shown in pink; the β subunit is shown in blue.
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