Health and medicine
- Meet the gastrointestinal tract!
- Small intestine 1: Structure
- Small intestine 2: Digestion
- Small intestine 3: Absorption
- Hepatic lobule
- Biliary tree
- Exocrine pancreas
- Endocrine pancreas
- Colon, rectum, and anus
- Control of the GI tract
Created by Raja Narayan.
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- if the sphincter muscles doesn't allow food to move back then how do we vomit?(27 votes)
- Exposure to chemicals, infectious agent, physical stimulation in the posterior pharynx, and even cognitive stimulation can lead to reversal of peristalsis (rhythmic contraction of smooth muscle that propels food forward the stomach) in the process of emesis (vomiting)(4 votes)
- At1:00, Sal says that the upper esophageal sphincter is under voluntary control.
I don't think I feel or can control anything beyond my tongue.
Can someone explain where exactly is that sphincter and how can we feel it and voluntarily control it ?(12 votes)
- Great question! The upper esophageal sphincter is right at the beginning of the esophagus. We can feel it, although we probably don't notice it (everyone likes food, right?). If you think about it, we can voluntarily control when we swallow (when the UES opens) after the food has been mashed into a bolus. For example, you can hold the bolus right before the opening of the UES (quite an uncomfortable position) or swallow it, showing that you can determine the opening of the upper esophageal sphincter (with the aid of skeletal muscle- voluntary control). If you have any further questions, feel free to ask! :)(19 votes)
- At1:38he mentions how the diaphragm is actually the lower esophageal "sphincter". Does breathing affect whether the "sphincter" is open or closed? Does it only open when bolus is being propelled down the esophagus, or perhaps it is more complicated than this?
Also, when a hiatal hernia (2:48) forms, does it affect whether this "sphincter" is open or closed, and this is why gastric acid can reflux up into the esophagus and cause heartburn? Or does the movement of this "sphincter" leave exposed parts of the esophagus to the gastric acid of the stomach?(9 votes)
- Is the heart the only structure in our bodies that is made of cardiac muscle?(4 votes)
- Cardiac basically means
1. relating to the heart.
2. relating to the part of the stomach nearest the esophagus.(2 votes)
- I have read that the top 1/3 of the esophagus is completely voluntary with 100% skeletal muscle, the middle 1/3 is partly voluntary, and the bottom 1/3 is completely involuntary with 100% smooth muscle. But why is the esophagus like this? Is there any advantage to this versus a completely involuntary esophagus?(5 votes)
- So.....when we get sick, our esophagus sphincters will open and allow food with any virus out?
If so that's pretty clever to have a virus ejecting system.(2 votes)
- it's pretty cool huh? :) expulsion of most of the stomach contents is really the "aim" because depending on how much digestion has happened up to this point, any or all of the stomach contents could really contain the virus!(2 votes)
- At2:50you start talking about heartburn. Is it possible to reduce or eliminate heartburn by simply strengthening the abdominal muscles? Is that at all possible?(1 vote)
- I am quite sure it is not possible to relieve heart burn by strengthening your abdominal muscles. It is the lower esophageal sphincter that would need the strengthening, and my understanding it is not under our voluntary control.
Dietary changes however may help. See http://en.wikipedia.org/wiki/Gastroesophageal_reflux_disease and lifestyle.(4 votes)
- How does the heart pump and makes noise when it pumps?(1 vote)
- The pumping action is done by the cardiac muscles in the heart walls. The sounds you hear are the valves closing after every pump.(3 votes)
- 2:43( The diaphragm is actually lower esophageal sphincter), is the diaphragm that? I am confused now.(2 votes)
Voiceover: After the food is swallowed, it leaves the mouth and then goes next to the esophagus. So, let's focus on that. And just to make sure, we all know kind of how far the esophagus goes, I'm gonna draw in some lines right here, to show where it starts up here, and then it ends right about there. And kind of where I've drawn the lines, as well, there are sphincters that sit to make sure food only flows in one way. Up here, we have the upper esophageal sphincter. Esophageal sphincter. And so, just to reiterate, a sphincter is just a circular localization of muscle, so just a bunch of muscle that sits in a ring right here, that makes sure that it's closed unless we tell that muscle to relax so we can pass food along. And so, when I say that we're going to tell the muscle to relax, that implies then, that this muscle here, is under our control. So it's composed primarily of skeletal muscle. Skeletal muscle, so it's under voluntary control. And down here, I'll draw a squiggly line, we have the lower esophageal sphincter. So this is a little tricky because we call it a sphincter, you know, it smells like a sphincter, looks like a sphincter, but it doesn't actually work like a sphincter. So it's sort of, I guess, a scientific joke, if you'd like to call it that. Because we don't have a ring of muscle that sits here that opens and closes whenever our body deems it's an appropriate time to. What do we have instead? Well, we actually have a sheet that kind of sits right here. There's a sheet of muscle that lines the connection between the thoracic cavity and the abdominal cavity. So you can imagine that you have a thoracic cavity above, Things that would sit here would be your lungs and your heart. And then below, and I'll draw that right here, you have an abdominal cavity. So the abdominal cavity that's gonna have most of the GI tract. And this muscle that we have, that sits here, that's going to be the diaphragm. You've probably heard of this. This is voluntary skeletal muscle that contracts to pull downwards to help us breathe. When it moves downward, the lungs inflate with air. So the diaphragm sits here and it actually makes a ring around this lower esophageal sphincter. And the diaphragm is actually lower esophageal sphincter because it just sits there holding the esophagus in place. And that's why over time, we can have what's called a hiatal hernia. The esophagus can move upward and downward through this lower esophageal sphincter and we'll have gastric acid from the stomach reflux upward and give us heartburn, or Gastroesophageal reflux disease, G.R.D. So that's why we have heartburn but rodents or horses don't. Rodents and horses actually have their own true sphincter that sit here. So instead they have an actual, dedicated ring of muscle, rather than a sheet. Now the other thing about the esophagus, which is pretty interesting, is that it works as a passageway for food, it doesn't do much. The only process that it can kind of claim to have any stake in, is what's referred to as peristalsis. Peristalsis, and this is going to be an important term for the discussion of the rest of the GI tract. Peristalsis is just the wave-like propulsion of food. Wave-like propulsion. I'll just write that for now. Because, you'll have the contraction of the esophagus at on point up here, like so. And by doing that, it relaxes down here. It relaxes here. And so when it relaxes here and contracts up here, that means that if you have a bolus of food, like a little circle that's right there, it's more inclined to move this way, directly ahead. And that's peristalsis. And the way we control that is kind of in three parts along the esophagus. Because the esophagus is not just skeletal muscle all the way or not even just smooth muscle. It's split up into thirds. So I'll draw three parts of the esophagus here. So the first part that we have is actually just skeletal muscle. So it's under our voluntary control. Skeletal muscle. And so that's 1/3, I'll say the top 1/3 of the esophagus. In the middle right here, we actually have a mix. We have skeletal under our control, plus smooth muscle. And they kind of work together. So it's sort of in our control, but also not really. So that's going to be the middle 1/3 of the esophagus. The middle 1/3. And kind of, as the progression goes, finally when we get to the end right here, this last 1/3 of the esophagus is going to be smooth muscle. So that's our last 1/3. And so that's how the esophagus is split up into three parts. Skeletal at the top 1/3. Skeletal and smooth for the middle 1/3. and then smooth entirely for the last 1/3. And that's how our esophagus works, as well.