Module 4 Objectives

Question 0

Explain at least 3 things that can go wrong in the digestive system

Answer 0

Brain - People are not eating in a parasympathetic state and it doesn’t allow adequate introduction of salivary amylase and it doesn’t allow activation of gastric juices from signals from the brain.
Mouth - People don’t chew food properly leading to poorly digested carbohydrates that ferment in the stomach.
Stomach - Lack of stomach acid leading to an overgrowth of parasites that continue south also leading to poorly digested proteins that can lead to a leaky gut situation.
Small Intestine - the gall bladder is impaired by it’s viscous bile not being secreted into the small intestine and not contributing to the breakdown of fats leaving undigested fats to clog the micro villi of the small intestine. Also have pancreatic insufficiency, pancreas is worn out from sugar handling burden or from over eating which may have caused frequent release of the pancreatic enzymes. Wear out the capacity of the pancreas to release the enzymes.
Lack of nutrient absorption
Become Mal Nourished
Large Intestine -
Lose defense against pathogenic organisms
GERD
Pyloric sphincter does not want to release chyme into the duodenum
Pancreas - pancreatic juice is not triggered including sodium bicarbonate to raise pH - duodenal ulcers - intestinal issues
Gallbladder - problems related to poor quality fats or too little fat
Fats in Chyme stimulates release of CCK which stimulates the gallbladder to release bile.
No bile leads to no absorption of fats.
Large Intestine - what is being eliminated is inappropriate.Undigested proteins - leaky gut syndrome, IBS, Crohns, colitis, celiac disease. Then allow other undigested foods to pass villa. Mal-digested foods contain parasites, protozoa, antigens - attack body. illesecal valve stays open allowing parasites into the stomach. Disrupts balance of healthy versus non healthy flora - dysbiosis. Can’t create the byutecic acid - impacts waste production

Question 1

Describe the way digestion is supposed to work

Answer 1

North to South
Brain - Sight and smell and anticipation triggers saliva production
Mouth - Mechanical and Chemical breakdown –> Salivary Amylase –>Bolus –> cardiac sphincter
Stomach - Burn & Churn - More Mechanical breakdown and chemical activity. Mucous, Pepsinogen/pepsin and HCL and gastrin –> chyme should be very acidic as it passes south.
Small Intestine - 90% of nutrients are absorbed here. Duodenum via the pyloric sphinctor (bring in liver, gallbladder (bile) and pancreas (sodium bicarbonate & enzymes). break down small and medium chain fats. Then on to the jejunum and ileum.
Large Intestine - “leftovers” with some valuable nutrients, recycles vitamins, minerals and water. produces K, burtiac acid, fermenting fibers to feed beneficial bacteria, expels feces.

Question 2

Locate and describe the test points for the Digestion Functional Evaluation

Answer 2

complete…

Question 3

Perform the Functional Evaluation for Digestion

Answer 3

complete…

Question 4

Describe how to prioritize test points used in the LNT process

Answer 4

Should be based on the North to South process…always work your way back north and start there.

Question 5

Define the three possible reactions a client can have a nutritional protocol.

Answer 5

Digestive Reaction
Looks like a digestive problem
Examples: diarrhea, cramping, heartburn, constipation
Sensitivity and/or Allergic Reaction
Look like sensitivity or allergy symptoms
Examples: rashes; congestion; etc.
Healing Reaction
Looks like the symptoms you are trying to fix
Examples: flu-like symptoms if you’re working on immune function
or nausea if working on the gallbladder.

Question 6

Review diagram for digestion

Answer 6

Draw

Question 7

STudy Group

Answer 7

Salivary amylase (carb) and lipase (fat) are in the mouth.  HCL physically breaks down the carbohydrates.  Pepsin in the stomach physically breaks down the proteins.  Once acidity is reached, the pyloric sphincter opens and releases the chyme to the duodenum.  
Once correct PH chyme reaches the duodenum, CCK is released to stimulate the GB to release bile for further emulsification of fats. CCK also tells us we are satisfied.  PH of chyme also triggers secretin telling the pancreas to release sodium bicarbonate to neutralize the chyme.  Secretin also triggers digestive enzymes from the pancreas to help with the chemically break down the food.
Now...nutrients are being extracted and absorbed through the villa...
Illeo Secal Valve - small intestine empties into large intestine..close to appendix...which makes our flora.  Extract water and vitamins...throughout large intestine.