Digestive System Notes Alimentary Canal (Gastrointestinal Tract) The continuous tube through which food passes, allowing digestion and absorption of nutrients. Organs Included: 1. Mouth: • Entry point for food. • Mechanical digestion via chewing (teeth). • Chemical digestion begins with saliva containing amylase. 2. Pharynx: • Passageway for food, fluids, and air. 3. Esophagus: • Propels food to the stomach using peristalsis. 4. Stomach: • Function: Temporary storage tank for food. • Mixes food with gastric juices for breakdown into chyme. • Secretes pepsin (breaks down proteins). 5. Small Intestine: • Divisions: • Duodenum. • Jejunum. • Ileum. • Primary site of nutrient absorption. • Receives bile (from liver) and pancreatic juices (from pancreas) to aid digestion. 6. Large Intestine: • Divisions: • Cecum, appendix, colon (ascending, transverse, descending, sigmoid), rectum, anal canal. • Functions: • Absorbs water. • Houses bacterial flora for vitamin synthesis. • Forms and eliminates feces. 7. Rectum and Anal Canal: • Stores feces for elimination. Accessory Digestive Organs These organs assist the alimentary canal by producing or storing substances necessary for digestion. Organs Included: 1. Teeth: • Primary Teeth: 20 deciduous teeth erupt between 6 and 24 months. • Permanent Teeth: 32 permanent teeth appear between 6 and 12 years. • Classifications: • Incisors: For cutting and nipping. • Canines: Fang-like for tearing and piercing. • Premolars (Bicuspids) and Molars: Broad crowns for grinding and crushing. 2. Tongue: • Mostly skeletal muscle. • Functions: • Contains taste buds to analyze nutrient content of food. • Mixes food with saliva to form a bolus. • Aids in swallowing. 3. Salivary Glands: • Function: Produce and secrete saliva (water-based liquid containing amylase) for chemical digestion. • Types: • Parotid glands. • Submandibular glands. • Sublingual glands. • Fun Fact: Mumps infect the parotid glands. 4. Liver: • Secretion: Produces bile, a greenish liquid (pH 7.6–8.6) essential for fat digestion. • Functions of Hepatocytes: • Produce bile. • Process nutrients from blood. • Store fat-soluble vitamins. • Detoxify harmful substances. 5. Gallbladder: • Thin-walled muscular sac on the liver’s ventral surface. • Functions: • Stores and concentrates bile. • Releases bile into the duodenum to emulsify fats. • Disorders: • Gallstones causing blockages and pain. • Extreme cases can result in gallbladder rupture. 6. Pancreas: • Exocrine Function: • Produces pancreatic juice containing enzymes for digesting carbohydrates, proteins, and lipids. • Endocrine Function: • Secretes insulin to regulate blood glucose levels. • Disorders: Malfunction can cause diabetes. Important Notes About Digestive System Processes 1. Ingestion: Intake of food through the mouth. 2. Propulsion: • Swallowing. • Peristalsis (waves of muscle contractions moving food through the tract). 3. Mechanical Digestion: • Chewing (mouth). • Churning (stomach). • Segmentation (small intestine). 4. Chemical Digestion: • Breakdown of food molecules by enzymes. 5. Absorption: • Movement of nutrients into blood or lymph via small intestine. 6. Defecation: • Elimination of indigestible substances and waste products as feces.

Digestive System Diseases

1. Peptic Ulcers

What it is:

• A defect in the lining of the stomach (gastric ulcer) or the first part of the small intestine (duodenal ulcer).

• Caused when the lining of the stomach or small intestine breaks down.

Causes:

Helicobacter pylori (H. pylori) bacteria.

• Overuse of NSAIDs (e.g., Advil, aspirin).

• Smoking cigarettes, alcohol use.

Symptoms:

• Pain, bloating, and loss of appetite.

Treatment:

• Antibiotics to target H. pylori.

Risk Factors:

• Stress (not clearly proven), alcohol, smoking, overusing NSAIDs.

2. Gastroesophageal Reflux Disease (GERD)

What it is:

• A condition where the band of muscle (cardiac sphincter) connecting the esophagus to the stomach does not close tightly, allowing stomach contents and acid to flow back into the esophagus.

Symptoms:

• Burning sensation in the chest (heartburn).

• Bad taste or burning sensation in the back of the mouth.

• Pain in the chest, trouble swallowing, hoarseness.

Treatment:

• Small meals.

• Avoid lying down for 3+ hours after eating.

• Medications (antacids, H₂ blockers, proton pump inhibitors).

• Surgery to tighten the muscle.

Risk Factors:

• Alcohol, smoking, being overweight, pregnancy.

3. Hepatitis

What it is:

• A viral disease that affects liver function, causing inflammation and potential liver damage.

Types:

Hepatitis A:

• Contracted from contaminated food or water.

• Symptoms: Pale/clay-colored stool.

• Severity: Liver usually heals itself within 2 months; rarely fatal.

• Treatment: Monitor liver function; vaccine available.

Hepatitis B:

• Contracted from body fluid exchange or mother-to-fetus transmission.

• Symptoms: Stomach pain, aching joints.

• Severity: Most recover within 6 months but can cause lifelong damage in severe cases.

• Treatment: Interferon and long-term symptom management; vaccine available after birth.

Hepatitis C:

• Contracted from blood contact (e.g., transfusions).

• Symptoms: Pale/clay-colored stool, swelling in legs, feet, and ankles.

• Severity: Causes severe liver damage, leading to liver transplants.

• Treatment: Interferon, Ribavirin, and long-term symptom management (with severe side effects).

4. Ulcerative Colitis

What it is:

• A chronic inflammatory bowel disease causing inflammation in the digestive tract.

Symptoms:

• Diarrhea (often with blood or pus).

• Abdominal pain, cramping, rectal pain, rectal bleeding.

• Urgency to defecate but inability to do so.

• Weight loss, fatigue, fever.

Treatment:

• Diet changes.

• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), steroids, antibiotics, IV fluids, immunosuppressive drugs (e.g., Stelara, Humira, Remicade).

• Surgical options: Colostomy, ileostomy, colectomy, or proctocolectomy.

5. Cancer (Stomach and Colon Cancer)

What it is:

• Stomach and colon cancers are serious conditions with late-onset symptoms.

Colon cancer is the 2nd leading cause of cancer death in males (lung cancer is 1st).

Symptoms:

• Rarely show early signs.

• Can metastasize and cause secondary liver cancer.

Prevention:

• Regular exams (dental exams for mouth cancer, colonoscopy for colon cancer).

• Benign mucosal tumors (polyps) increase with age but should be tested for cancer.

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