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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.
Acid strength is the tendency of an acid, symbolised by the chemical formula, to dissociate into a proton, +, and an anion, . The dissociation or ionization of a strong acid in solution is effectively complete, except in its most concentrated solutions.
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 ...
Example Bjerrum plot: Change in carbonate system of seawater from ocean acidification.. A Bjerrum plot (named after Niels Bjerrum), sometimes also known as a Sillén diagram (after Lars Gunnar Sillén), or a Hägg diagram (after Gunnar Hägg) [1] is a graph of the concentrations of the different species of a polyprotic acid in a solution, as a function of pH, [2] when the solution is at ...
Dr. Vincent M. Pedre III, MD, FMCP, says acid reflux, also known as gastroesophageal reflux disease (GERD), is a condition that affects up to 20 percent of the American population. Some sources ...
C A is the analytical concentration of the acid and C H is the concentration the hydrogen ion that has been added to the solution. The self-dissociation of water is ignored. A quantity in square brackets, [X], represents the concentration of the chemical substance X. It is understood that the symbol H + stands for the hydrated hydronium ion.
The pH at the end-point depends mainly on the strength of the acid, pK a. The pH at the end-point is greater than 7 and increases with increasing concentration of the acid, T A, as seen in the figure. In a titration of a weak acid with a strong base the pH rises more steeply as the end-point is approached. At the end-point, the slope of the ...
depending on whether the electrode is calibrated in millivolts or pH. For convenience the concentration, [H +], is used in place of activity. In a titration of strong acid with strong alkali, the analytical concentration of the hydrogen ion is obtained from the initial concentration of acid, C i and the amount of alkali added during titration.