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Phbifl

Published: July 31, 2026Updated: August 16, 2026

A bile fluid pH test measures the acidity or alkalinity of bile, a digestive fluid produced by the liver and stored in the gallbladder.

Quick summary

{"Bile pH test measures how acidic or alkaline your bile fluid is","Abnormally low pH may indicate bile reflux or gallbladder dysfunction","The test requires a sample of bile fluid collected during a medical procedure","Results help doctors diagnose digestive system problems"}

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

Key facts at a glance

LOINC
53653-2
Short code
BILEPH
Synonyms
pH Bifl
Category
chemistry
Sample
serum
Container
Sterile specimen container, preferably amber or light-protected container to prevent pH changes from light exposure
Units
not specified
Ref low
7
Ref high
8
Critical range
6 not specified – 9 not specified
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Potentiometry using pH electrode
CPT
83990
SNOMED
271435004
Specimen volume
Minimum 1-2 mL of bile fluid
Stability
Bile specimens should be analyzed promptly. If delay is unavoidable, store at 2-8°C for up to 24 hours. Do not freeze bile specimens as this may alter pH readings.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
2–24 hours
Order
routine

What is this test?

The bile fluid pH test measures the hydrogen ion concentration in bile, a greenish-yellow fluid produced by your liver to help digest fats. Bile is normally slightly alkaline (pH around 7.6-8.6). This test helps doctors evaluate how bile flows through your digestive system and identify potential problems.

How is the sample collected?

Bile fluid is collected during a medical procedure called endoscopic retrograde cholangiopancreatography (ERCP) or during gallbladder drainage. A thin tube (catheter) is used to collect bile from the bile ducts or gallbladder. This is not a routine blood test and requires special procedures.

Why might I need this test?

Your doctor may order this test if you have symptoms such as persistent abdominal pain, nausea, vomiting, jaundice (yellowing of skin or eyes), or unexplained weight loss. It helps diagnose conditions affecting bile flow and gallbladder function.

Reference range

7.0-8.0not specified

Specimen: serum

No special preparation required; specimen obtained via biliary drain, T-tube, or ERCP

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings3

Frequently asked questions

Is the bile pH test painful?
The procedure to collect bile fluid may cause some discomfort, but sedation or anesthesia is typically used during procedures like ERCP to minimize pain.
How long does it take to get results?
Results are usually available within a few days to a week, depending on the laboratory.
Do I need to fast before this test?
Follow your doctor's specific instructions. You may need to fast for several hours before the procedure if bile collection is planned.
What conditions are associated with abnormal bile pH?
Abnormal bile pH may be associated with bile reflux disease, cholangitis (bile duct infection), gallbladder inflammation, or postoperative complications.
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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