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Measures bicarbonate, the main buffer that keeps your blood at the right acid level. Used to look at kidney function, fluid balance and breathing-related changes in acid and base balance.
Bicarbonate is a form of carbon dioxide carried in the blood. It works as a buffer, soaking up or releasing acid to keep blood pH within a very narrow range. The kidneys control how much bicarbonate is kept or passed out in urine, while the lungs control how much carbon dioxide is breathed out, so both organs influence the result.
Bicarbonate is often measured with sodium, potassium and chloride as part of an electrolyte assessment. Together they help clinicians understand whether the body has too much acid or too much alkali, and why. Changes can follow prolonged vomiting or diarrhoea, kidney disease, poorly controlled diabetes, lung conditions or some medicines, including certain diuretics. The price includes the blood sample taken at our Chiswick clinic, analysis at the Randox accredited laboratory, a review of your result with an Omnia practitioner and a GP feedback report on request.
Your report shows your bicarbonate result with the laboratory reference range. A low level can point to a build-up of acid in the body, for example with kidney disease, prolonged diarrhoea or uncontrolled diabetes, or it can reflect fast breathing. A high level may follow prolonged vomiting, some diuretics or long-term lung conditions where carbon dioxide is retained.
Bicarbonate is always read alongside other electrolytes and your symptoms. Anyone who feels very unwell, confused or short of breath should seek urgent care rather than book a test. A value beyond the range is a reason for a closer look, not a diagnosis.
No fasting is needed for bicarbonate. Drink water as normal, and tell us about any recent illness, vomiting or diarrhoea and the medicines you take, including diuretics and antacids.
Bicarbonate is best interpreted with other kidney and electrolyte markers, which are included in our Kidney and Electrolytes (U&E) tests. For a much broader review, see Omnia Signature. Visit our page of every blood test and price in Chiswick.
A bicarbonate blood test costs £49 at Omnia. The price includes your sample at our Chiswick clinic, analysis at an accredited laboratory, a practitioner review and a GP feedback report on request.
Baking soda is sodium bicarbonate, a chemical relative. In the blood, bicarbonate is made and controlled by your body, mainly through the kidneys, and is not related to what you cook with.
Comparing bicarbonate with sodium, potassium and chloride helps work out the cause of an acid and base imbalance, which a single result cannot show.
Large or frequent doses of bicarbonate-containing antacids can raise the level, so let us know if you take them.