Esophageal pH A healthy esophagus has a pH of about 7.0. When acid reflux occurs, stomach acid (which has pH ranging from 1.0 to 3.0) flows backward from the stomach into the esophagus. When the pH of the esophagus is less than 4.0, the episode is called "clinical acid reflux" and can cause ulcers and damage the lining of the esophagus. The graph shows esophageal pH for a sleeping patient with acid
reflux. During what time interval is the patient considered to have an episode of clinical acid reflux?