Stomach acid test

Toggle: English / Spanish

Definition

The stomach acid test is used to measure the amount of acid in the stomach. It also measures the level of acidity in stomach contents.

Alternative Names

Gastric acid secretion test

How the test is performed

The test is done after a period of not eating so that fluid is all that remains in the stomach. Stomach fluid is removed through a tube that is inserted into the stomach through the esophagus (food pipe).

To test the ability of the cells in the stomach to release acid, a hormone called gastrin may be injected into your body. The stomach contents are then removed and analyzed.

How to prepare for the test

You will be asked not to eat or drink for 4 - 6 hours before the test.

How the test will feel

You may have some discomfort or a gagging feeling as the tube is passed through your nose or mouth, and down your esophagus.

Why the test is performed

Your doctor may recommend this test for the following reasons:

  • To check if anti-ulcer medications are working
  • To check if material is coming back up from the small intestine
  • To test for the cause of ulcers

Normal Values

Normally the volume of the stomach fluid is 20 to 100 mL and the pH is acidic (1.5 to 3.5). These numbers are converted to actual acid production in units of milliequivalents per hour in some cases.

Note: Normal value ranges may vary slightly depending on the lab doing the test. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

  • Increased levels of gastrin can cause increased release of acid and may lead to ulcers (Zollinger-Ellison syndrome).
  • The presence of in the stomach indicates material is backing up from the small intestine ( ). This may be normal. It may also happen after part of the stomach is removed with surgery.

What the risks are

There is a slight risk of the tube being placed through the windpipe and into the lungs instead of through the esophagus and into the stomach.

Special considerations

References

Scubert ML, Kaunitz JD. Gastric secretion. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 49.

Version Info

  • Last reviewed on 10/8/2012
  • George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch)

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2013 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

This page was last updated: April 14, 2014

         
Average rating (6)