I was asked to include Stewart acid-base chemistry into a lecture I have and then I became very confused when I tried to read about it. It is there stated that it is the ion gap between positive and negative ions that creates pH changes by interacting with water. A negative value will for example lead to that H+ is donated from water to neutralize the charge difference. What I do not understand here is that it is impossible to take H+ from water without creating OH- at the same time. This would violate the law pH+pOH=14 and it will also not help to neutralize the charge difference. Is there anyone else that understands where OH- go in this case? Is it going to neighboring tissues?