Larry has not been feeling well lately. He tells his doctor that
he has discomfort and a burning feeling in his chest, and a sour
taste in his throat and mouth. At times, Larry says he feels
bloated after a big meal, has a dry cough, is hoarse, and sometimes
has a sore throat. He has tried antacids, but they do not bring any
relief.
The doctor tells Larry that he thinks he has acid reflux. At the
top of the stomach there is a valve, the lower esophageal
sphincter, that normally closes after food passes through it.
However, if the valve does not close completely, acid produced in
the stomach to digest food can move up into the esophagus, a
condition called acid reflux. The acid, which is
hydrochloric acid, HCl, is produced in the stomach to kill
bacteria, microorganisms, and to activate the enzymes we need to
break down food. (Figure 1)
If acid reflux occurs, the strong acid HCl comes in contact with
the lining of the esophagus, where it causes irritation and
produces a burning feeling in the chest. Sometimes the pain in the
chest is called heartburn. If the HCl reflux goes high
enough to reach the throat, a sour taste may be noticed in the
mouth. If Larry's symptoms occur three or more times a week, he may
have a chronic condition known as acid reflux disease
orgastroesophageal reflux disease (GERD).
Larry's doctor orders an esophageal pH test in which the
amount of acid entering the esophagus from the stomach is measured
over 24 h. A probe that measures the pH is inserted into the lower
esophagus above the esophageal sphincter. The pHmeasurements
indicate a reflux episode each time the pH drops to 4 or
less.
In the 24-h period, Larry has several reflux episodes and his
doctor determines that he has chronic GERD. He and Larry discuss
treatment for GERD, which includes eating smaller meals, not lying
down for 3 h after eating, making dietary changes, and losing
weight. Antacids may be used to neutralize the acid coming up from
the stomach. Other medications known as proton pump
inhibitors (PPIs), such as Prilosec and Nexium, may be used to
suppress the production of HCl in the stomach (gastric parietal
cells), which raises the pH in the stomach to between 4 and 5, and
gives the esophagus time to heal. Nexium may be given in oral doses
of 40 mg once a day for 4 weeks. In severe GERD cases, an
artificial valve may be created at the top of the stomach to
strength the lower esophageal sphincter.(Figure 2)
Part A
How many grams of Mg(OH)2 are required to neutralize 450. mL of stomach acid HCl with a pH of 1.7?
Express your answer to two significant figures and include the appropriate units.
part A) volume of HCl = 450 mL = 0.450 L
pH = 1.7
[H+] = 10^-1.7 = 0.01995 M
moles of HCl = 0.01995 x 0.450
= 8.98 x 10^-3
Mg(OH)2 + 2 HCl ------------------>MgCl2 + 2H2O
1 mole 2 mole
moles of Mg(OH)2 = 8.98 x 10^-3 / 2 = 4.49 x 10^-3
moles = mass / molar mass
mass = 4.49 x 10^-3 58.3
= 0.26 g
mass of Mg(OH)2 = 0.26 g
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