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Intramucosal pH, stomach

Published: August 9, 2026Updated: August 16, 2026

This test measures the acidity (pH) at the surface of the stomach lining, usually during an upper endoscopy. It can help assess acid exposure and the condition of the stomach mucosa.

Quick summary

["The result provides information about stomach acidity and may help evaluate reflux-related irritation, inflammation, ulcers, or other mucosal abnormalities."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
76280-7
Short code
Intramucosal pH Stom
Synonyms
Intramucosal pH Stom
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84075
SNOMED
27550007
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What the test measures

Stomach acid has a low pH. Measuring pH directly at the stomach lining shows how acidic the environment is where acid contacts the mucosa.

How the test is performed

During an upper endoscopy, a small probe is placed through the mouth and positioned in the stomach. The probe measures pH at selected locations in the stomach lining.

Why it may be ordered

Clinicians may order this measurement when evaluating persistent indigestion, upper abdominal discomfort, suspected reflux-related injury, gastritis, or ulcers, particularly when standard stomach-acid testing does not provide enough information.

Factors that can affect the result

Recent meals, medications such as acid-reducing drugs, prior endoscopy procedures, and the exact area sampled can influence the measurement. Preparation instructions should therefore be followed carefully.

Reference range

Adult: 44-147 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An abnormal intramucosal pH may indicate excessive or prolonged acid exposure or impaired protective mechanisms in the stomach. Results should be interpreted with symptoms, medication history, endoscopic findings, and other tests because a single measurement cannot establish a diagnosis by itself.

Short name

Stomach intramucosal pH

Frequently asked questions

Does this test require fasting?
Fasting may be required, especially when the test is used with endoscopy. Follow the specific instructions provided by the healthcare facility because eating can temporarily change stomach acidity.
Is stomach intramucosal pH the same as a stomach-acid aspiration test?
No. Intramucosal pH is measured directly against the stomach lining, usually with a probe during endoscopy. Stomach-acid aspiration testing measures or analyzes fluid removed from the stomach.
Does a low pH always mean that medication is needed?
No. A low pH indicates acidity but does not by itself determine the cause of symptoms or the need for treatment. Your clinician should interpret the result alongside your overall condition and other findings.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy