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JOAN CARTAN-HANSEN: HI, I'M JOAN 
CARTAN-HANSEN, AND WELCOME TO

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SCIENCE TREK: THE WEB SHOW.

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AND WELCOME TO THE OFFICES OF 
IDAHO GASTROENTEROLOGY IN

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MERIDIAN.

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JOINING ME NOW TO ANSWER YOUR 
QUESTIONS ABOUT THE DIGESTIVE

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SYSTEM ARE DR. MATTHEW SERICATI 
AND DR. BRIAN STORY.

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THANK YOU BOTH FOR JOINING US.

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DR. BRIAN STORY: THANKS FOR 
HAVING US.

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DR. MATTHEW SERICATI: WE'RE GLAD 
TO BE HERE.

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CARTAN-HANSEN: OKAY, LET'S GO TO 
YOUR QUESTIONS.

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(MUSIC)

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RONAN: HI, MY NAME IS RONAN.

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AND I AM FROM MRS. FREELAND'S 
SECOND-GRADE CLASS FROM MOSCOW,

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IDAHO.

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AND I WOULD LIKE TO KNOW HOW DO 
YOU DIGEST YOUR FOOD?

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DR. SERICATI: SO YOU DIGEST YOUR 
FOOD, REALLY, WITH SEVERAL

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DIFFERENT STEPS.

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THE FIRST STEP STARTS WHEN YOUR 
BRAIN TELLS YOU YOU'RE HUNGRY.

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IT'S GOING TO TURN ON WHAT ARE 
CALLED HORMONES.

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HORMONES ARE SIGNALS TO YOUR 
INTESTINAL TRACT TO START MOVING

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BECAUSE YOU'RE GOING TO START 
EATING.

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ONCE YOU DO THAT, YOU START 
DEVELOPING WHAT'S CALLED

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"SALIVA."

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SALIVA IS OTHERWISE KNOWN AS 
"SPIT."

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IT'S THE LUBRICATION THAT HELPS 
YOUR FOOD GO DOWN FROM YOUR

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MOUTH TO YOUR STOMACH.

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NOW, REMEMBER, IT'S ALSO REAY 
IMPORTANT TO CHEW YOUR FOOD.

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AND YOUR MOM AND DAD TELL YOU 
THAT ALL THE TIME, AND THEY'RE

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NOT KIDDING.

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THAT STARTS BREAKING FOOD DOWN.

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NOW, ONCE IT GETS INTO YOUR 
MOUTH, IT'S GOING TO GO DOWN

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INTO YOUR STOMACH, AND IT'S 
GOING TO USE COORDINATED MUSCLES

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ALL THE WAY DOWN THE ESOPHAGUS 
TO PUSH IT DOWN INTO THE

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STOMACH.

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THE OTHER THING THAT HELPS IT IS 
GRAVITY.

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WHEN YOU THROW A BALL UP IN THE 
AIR AND IT COMES DOWN AT YOU,

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SAME THING HAPPENS WHEN YOU'RE 
SITTING UPRIGHT AND YOU EAT

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FOOD, IT FALLS INTO YOUR STOMACH 
MORE EASILY.

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NOW, WHEN THE STOMACH SEES THE 
FOOD, IT'S TURNING ON ITS ACID

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PUMPS.

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ACID PUMPS ARE REALLY GOOD AT 
BREAKING FOOD DOWN BECAUSE THE

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FOOD ISN'T DESIGNED TO BE IN 
SUCH AN ACIDIC ENVIRONMENT.

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AS THE FOOD STARTS TO BREAK 
DOWN, THE STOMACH STARTS TO

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RUMBLE AND GRUMBLE AND STARTS 
PUSHING IT OUT OF THERE AFTER

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IT'S MUSHED IT UP SOME.

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SO IT MAKES THE FOOD LOOK MORE 
LIKE MUSH.

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AS IT PUSHES IT OUT OF THE 
STOMACH, IT GOES INTO THE SMALL

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INTESTINE.

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NOW, THE SMALL INTESTINE LOOKS 
LIKE A BUNCH OF LITTLE FINGERS,

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ALSO KNOWN AS "VILLI."

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THOSE VILLI ARE VERY IMPORTANT 
FOR ABSORBING THE NUTRIENTS OUT

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OF THE FOOD INTO YOUR SYSTEM.

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AND YOU HAVE ABOUT 25 OR 30 FEET 
OF THAT SMALL INTESTINE TO GET

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AS MANY NUTRIENTS AS YOU CAN GET 
OUT.

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AS SOON AS IT HITS YOUR LARGE 
INTESTINE, OTHERWISE KNOWN AS

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THE "COLON," THERE'S A LOT OF 
EXTRA FLUIDS IN THERE THAT THE

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BODY WANTS TO TAKE BACK, SO THE 
COLON'S JOB IS TO SUCK THOSE

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FLUIDS BACK OUT INTO YOUR SYSTEM 
SO YOU DON'T GET DEHYDRATED.

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AND THEN, FINALLY, YOU'LL END UP 
GOING POOP WITH THE WASTE THAT

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THE BODY DIDN'T NEED WHEN YOU 
ATE THE FOOD.

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LIAM: MY NAME IS LIAM.

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AND MY QUESTION IS WHY DOESN'T 
THE ACID HURT YOUR STOMACH?

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DR. STORY: ACID DOESN'T HURT OUR 
STOMACH BECAUSE OUR STOMACH DO

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A VERY NICE JOB OF PROTECTING 
ITSELF FROM THE ACID THAT'S

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WITHIN THE STOMACH AND 
PREVENTING IT FROM CAUSING

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INJURY.

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SO WE HAVE A NUMBER OF BARRIERS, 
LIKE A THICK WALL, WE HAVE A LOT

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OF MUCUS.

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AND THIS MUCUS LAYER CAN SPREAD 
OUT AND ACTUALLY LOOK LIKE A BIG

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BOOGER.

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IT JUST HELPS TO PROTECT THAT 
FOOD -- OR THAT ACID FROM

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ATTACKING THE LINING AND CAUSING 
INJURY.

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OTHER THINGS THAT CAN HELP ARE 
SOME OF THE ADDITIONAL FOOD WE

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EAT CAN ACTUALLY PREVENT THE 
ACID FROM CAUSING THAT INJURY,

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AS WELL.

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BRITAIN: HI, MY NAME IS BRITAIN.

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AND MY QUESTION IS WHAT CAUSES 
YOU TO FEEL QUEASY?

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DR. STORY: FEELING QUEASY 
USUALLY WILL START WHEN YOUR

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STOMACH DOESN'T LIKE SOMETHING 
THAT YOU ATE.

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AND SOMETIMES THE STOMACH 
REACTION IS TO SEND SIGNALS FROM

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YOUR STOMACH TO YOUR BRAIN 
SAYING, I DON'T THINK I LIKE HOW

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THAT MADE ME FEEL.

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THE OTHER THING THAT CAN HAPPEN 
IN THE STOMACH IS RATHER THAN

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SQUEEZING THINGS THROUGH INTO 
THE SMALL INTESTINE, IT CAN STOP

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SQUEEZING FOR A PERIOD OF TIME, 
AND THEN FLUIDS AND FOOD BUILD

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UP AND STAY IN THE LINING OF THE 
STOMACH.

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THE LINING OF THE STOMACH 
DOESN'T LIKE THAT AT ALL, SO IT

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STARTS SENDING SIGNALS FEELING 
KIND OF CRUMMY.

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RYDER: HI, MY NAME IS RYDER, AND 
MY QUESTION IS WHERE DOES FOOD

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GET STUCK IN YOUR THROAT WHEN 
YOU CHOKE?

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DR. SERICATI: SO WHEN YOU CHOKE, 
THE FOOD USUALLY GETS STUCK IN

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THE BACK OF YOUR MOUTH AND THE 
BEGINNING PART OF YOUR ESOPHAGUS

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OR SWALLOW TUBE.

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AND IN THAT AREA YOU HAVE A 
FANCY FLAP CALLED THE

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"EPIGLOTTIS" THAT BLOCKS THE 
AIRWAY FROM LETTING FOOD GO DOWN

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INTO THE LUNGS.

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WHEN IT GOES BACK INTO THAT 
AREA, USUALLY EITHER SOME FOOD

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MADE IT AROUND THAT FANCY FLAP, 
AND IT GOT INTO THE LUNGS, OR

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SOMETHING GOT STUCK IN THERE, 
AND YOU'RE GOING TO COUGH OR

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CHOKE UNTIL YOU SPIT IT OUT.

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JACK: HI, MY NAME IS JACK.

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AND MY QUESTION IS HOW BIG IS 
THE AVERAGE STOMACH?

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DR. STORY: THE AVERAGE STOMACH 
IS USUALLY ABOUT THE SIZE OF A

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FIST.

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WHEN WE LOOK AT THE AMOUNT THAT 
IT CAN HOLD, IT CAN USUALLY HOLD

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ABOUT ONE LITER OR ONE QUART, 
AND THAT'S USUALLY ABOUT FOUR

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CUPS OF WATER, FOUR CUPS OF 
MILK.

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THAT IS ROUGHLY ABOUT ONE QUART.

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AND WHEN FULLY DISTENDED, THE 
STOMACH CAN ACTUALLY HOLD ABOUT

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ONE GALLON OF FLUID.

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JONNY: MY NAME IS JONNY.

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AND MY QUESTION IS WHAT DOES 
FOOD LOOK LIKE WHEN IT GOES DOWN

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YOUR THROAT?

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DR. STORY: SO FOOD GOING DOWN 
THE THROAT LOOKS PRETTY MUCH

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EXACTLY LIKE THE FOOD THAT WE 
CHEW.

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SO IF YOU'VE EVER TRIED TO SHOW 
A FRIEND WHAT YOUR FOOD LOOKS

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LIKE AFTER YOU'VE BEEN CHEWING 
IT FOR A WHILE, THAT'S BASICALLY

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EXACTLY WHAT IT LOOKS LIKE AS 
IT'S GOING DOWN INTO YOUR

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ESOPHAGUS.

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AND, EVENTUALLY, WHEN IT GETS 
INTO YOUR STOMACH, WE HAVE SOME

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VERY LOOSE, CHEWED-UP FOOD THAT 
IS IN LOTS OF DIFFERENT COLORS,

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AND REALLY DOESN'T LOOK LIKE THE 
FOOD THAT WE STARTED WITH AT

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ALL.

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ADDY: HI, MY NAME IS ADDY.

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AND MY QUESTION IS WHAT WOULD 
HAPPEN IF SOMETHING BAD HAPPENED

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TO THE DIGESTIVE TRACT?

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DR. SERICATI: SO IF SOMETHING 
BAD HAPPENED TO YOUR DIGESTIVE

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SYSTEM, IT WOULD PROBABLY LET 
YOU KNOW THERE'S SOMETHING

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WRONG.

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AND SINCE THERE'S A LOT OF 
DIFFERENT KINDS OF BAD THINGS

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THAT CAN HAPPEN TO YOUR 
DIGESTIVE SYSTEM, THERE'S A LOT

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OF DIFFERENT THINGS IT WILL TELL 
YOU.

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SOMETIMES IT WOULD TELL YOU THAT 
I'M NOT FEELING WELL, AND YOU

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WOULD THROW UP.

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SOMETIMES IT WOULD SAY I'M NOT 
FEELING WELL AT ALL, AND YOU

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WOULD THROW UP BLOOD.

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SOMETIMES YOU GET LOOSE STOOLS, 
OTHERWISE KNOWN AS DIARRHEA.

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SOMETIMES YOU CAN'T HAVE A POOP.

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OTHER TIMES IT'S JUST THAT YOUR 
BELLY HURTS.

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AND THERE'S A LOT OF DIFFERENT 
SIGNALS THAT YOUR DIGESTIVE

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TRACT CAN TELL YOU WHEN IT IS 
NOT HAPPY, AND YOU JUST HAVE TO

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LISTEN TO IT.

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HENRY: HI, MY NAME IS HENRY.

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AND I WANT TO KNOW HOW YOU 
HICCUP.

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DR. STORY: HICCUPPING USUALLY 
INVOLVES SPASMING OF THE

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DIAPHRAGM.

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AND THE DIAPHRAGM IS A LARGE 
MUSCLE RIGHT BELOW OUR LUNGS

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THAT HELPS TO US BREATHE.

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SO WHEN WE TAKE A BIG, DEEP 
BREATH IN, THE DIAPHRAGM

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FLATTENS AND ALLOWS US TO 
BREATHE.

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BUT AT THE SAME TIME, THAT 
DIAPHRAGM LIES RIGHT OVER THE

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TOP OF THE STOMACH.

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AND AT SOME TIMES WHEN THAT 
DIAPHRAGM STARTS TO SPASM OR

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CONTRACT, IT CAN ACTUALLY CAUSE 
THE STOMACH TO PULL IN AIR, AND

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THEN WE GET THIS HICCUP.

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AND EVENTUALLY WE MAY NEED TO 
BURP SOME OF THAT AIR BACK OUT.

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MAX: MY NAME IS MAX.

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AND MY QUESTION IS WHAT CAUSES 
HEARTBURN?

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DR. SERICATI: SO HEARTBURN 
OCCURS WHEN THE STOMACACIDS

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COME UP INTO THE SWALLOW TUBE, 
CALLED THE ESOPHAGUS.

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IT'S A VERY COMMON CONDITION 
THAT WE SEE WITH BOTH YOUNG AND

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OLDER PEOPLE.

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AND THERE'S A LITTLE MUSCLE THAT 
SITS AT THE BOTTOM OF YOUR

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SWALLOW TUBE, OR THE ESOPHAGUS, 
AND IT'S CALLED A SPHINCTER

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MUSCLE.

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A SPHINCTER MUSCLE IS DESIGNED 
TO OPEN AND CLOSE WHEN YOU NEED

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TO.

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WHEN PEOPLE EAT, THAT SPHINCTER 
MUSCLE OPENS AND LETS THE FOOD

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DOWN, AND THEN IT'S SUPPOSED TO 
STAY CLOSED.

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AND WHEN YOUR STOMACH TURNS ON 
ALL THE ACID PUMPS, IT'S

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SUPPOSED TO KEEP THE ACID IN 
YOUR STOMACH.

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BUT SOMETIMES WHAT HAPPENS IS 
THAT MUSCLE RELAXES TOO MUCH AND

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ALLOWS ALL THOSE ACIDS IN YOUR 
STOMACH THAT ARE HELPING DIGEST

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YOUR FOOD FLY UP INTO YOUR 
ESOPHAGUS, AND THAT CAUSES A

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BURNING SENSATION THAT PEOPLE 
CALL "HEARTBURN."

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CARTAN-HANSEN: I'M SORRY, WE'VE 
RUN OUT OF TIME.

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MY THANKS TO DRS.

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SERICATI AND STORY FOR ANSWERING 
STUDENTS' QUESTIONS.

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DR. SERICATI: THANKS AGAIN, WE 
HAD A BLAST.

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DR. STORY: WE HAD A GREAT TIME, 
THANK YOU.

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CARTAN-HANSEN: AND MY THANKS, 
ALSO, TO THE FOLKS HERE AT IDAHO

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GASTROENTEROLOGY FOR HOSTING US.

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IF YOU WANT TO LEARN MORE, CHECK 
OUT THE "DIGESTIVE SYSTEM" AREA

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00:08:37,066 --> 00:08:38,600
ON THE SCIENCE TREK WEBSITE.

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YOU'LL FIND FACTS, LINKS, GAMES, 
OUR DIGESTIVE SYSTEM BROADCAST

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00:08:41,400 --> 00:08:42,934
SHOW, AND LOTS MORE.

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00:08:42,934 --> 00:08:45,500
AND EVERY WEEK CHECK OUT MY BLOG 
FOR THE LATEST SCIENCE NEWS FOR

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KIDS.

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ALL AT IDAHOPTV.ORG.

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00:08:48,800 --> 00:08:52,767
THANKS FOR JOINING US FOR 
SCIENCE TREK: THE WEB SHOW.

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(MUSIC)