Nutrition, teeth and upper alimentary canal
Std 8–10 introduced the digestive system; here we study organs, tissues, glands, digestive juices and disorders in detail.
A vehicle needs fuel; the body needs food – but food must first be made usable.
Nutrition = taking in and using food: ingestion, digestion, absorption, assimilation, egestion. Digestion = converting complex, non-diffusible food into simple absorbable substances.
In the figure : Tooth anatomy, dental formula and the upper canal.
Rule 1 : Teeth and dental formula — Adults have 32 teeth. Thecodont (in sockets, gomphosis), diphyodont (milk + permanent), heterodont (incisors, canines, premolars, molars). Each half-jaw has 2 I, 1 C, 2 PM, 3 M → I 2/2, C 1/1, PM 2/2, M 3/3 = 16 × 2 = 32. A tooth has crown (enamel, hardest), neck, root (cementum); inside: dentin, pulp cavity (vessels, nerves), root canal.
- Easy : Enamel = hardest substance in the body.
- Medium : 2-1-2-3 = I-C-PM-M.
- Exam-type (CET) : Milk + permanent = diphyodont.
Rule 2 : Mouth, tongue, pharynx, oesophagus — Buccal cavity: lips, cheeks, palate, tongue; mucous lining; salivary glands open here. The tongue is muscular; papillae carry taste buds. The pharynx is a common path for food and air; the epiglottis closes the glottis during swallowing (deglutition). The oesophagus (~25 cm) has mucus lining; peristalsis (wave of contraction–relaxation) pushes food down.
- Easy : Epiglottis = windpipe lid.
- Medium : Peristalsis = wave-like movement.
- Exam-type (CET) : Taste buds sit on papillae.
Tooth order 2-1-2-3: I-C-PM-M.
‘Food passes through the glottis’ is wrong (air). Trap: ‘enamel is soft’ is wrong.
Memory clue : "2-1-2-3 doubled twice = 32".
Spot the difference
| Term | Meaning |
|---|---|
| Thecodont | Set in sockets |
| Diphyodont | Two sets |
| Heterodont | Four types |
Practice questions
- 1Human dental formula?
- 2What is thecodont?
- 3Enamel made of?
- 4What is in the pulp cavity?
- 5Role of epiglottis?
- 6What is peristalsis?
- 7Where are taste buds?
- 8Length of oesophagus?
Show answers (try them yourself first)
- 12123/2123 = 32.
- 2Teeth set in sockets.
- 3Calcium phosphate + carbonate.
- 4Blood vessels, nerves.
- 5Closes glottis during swallowing.
- 6Wave-like muscle movement.
- 7On tongue papillae.
- 8~25 cm.
Stomach and intestines
The stomach is a storage-and-churning bag; the intestines are a long processing tube.
Stomach: J-shaped, 25–30 cm. Small intestine ~6 m (duodenum, jejunum, ileum); large intestine 1.5 m (caecum, colon, rectum).
In the figure : Parts of the stomach and intestines.
Rule 1 : Stomach — Upper left of the abdomen. Parts: cardia (cardiac sphincter prevents backflow), fundus (dome), body (large, stores food), pylorus (pyloric sphincter releases food to the duodenum). Food stays 4–5 h; churning; feeling of satiety.
- Easy : Cardia: no return; pylorus: forward.
- Medium : Body = storage.
- Exam-type (CET) : Cardiac at top, pyloric at bottom.
Rule 2 : Small and large intestine — Duodenum 26 cm, ‘U’; jejunum 2.5 m; ileum 3.5 m (joins the caecum at the ileo-caecal junction). Mesenteries hold the coils. Caecum 6 cm; symbiotic microbes; appendix (vestigial in humans). Colon: ascending, transverse, descending. Rectum stores faeces; anus has a sphincter.
- Easy : Small intestine is long but narrow.
- Medium : Appendix = vestigial.
- Exam-type (CET) : Colon has three parts.
D-J-I: 26 cm, 2.5 m, 3.5 m.
‘Small intestine is shorter’ is wrong (it is longer). Trap: ‘appendix is vital in humans’ is wrong.
Memory clue : "Small = 6 m; large = 1.5 m".
Spot the difference
| Intestine | Length | Parts |
|---|---|---|
| Small | ~6 m | Duodenum, jejunum, ileum |
| Large | 1.5 m | Caecum, colon, rectum |
Practice questions
- 1Four parts of the stomach.
- 2Role of pyloric sphincter?
- 3Length of duodenum?
- 4Length of ileum?
- 5Role of caecum?
- 6What is mesentery?
- 7Function of rectum?
- 8Why cardiac sphincter?
Show answers (try them yourself first)
- 1Cardia, fundus, body, pylorus.
- 2Releases food into duodenum.
- 326 cm.
- 43.5 m.
- 5Hosts symbiotic microbes.
- 6Membrane holding the coils.
- 7Stores faeces.
- 8Prevents regurgitation.
Histology of alimentary canal and digestive glands
The canal wall is like a layered pipe – each layer has its own job.
Four layers (inside to outside): mucosa, submucosa, muscularis, serosa. Digestive glands: salivary glands, liver, pancreas.
In the figure : Four layers and three digestive glands.
Histology of alimentary canal and digestive glands
In the app you can move this figure with your finger.
Open in the appRule 1 : Four layers — Serosa: outer; mesothelium (squamous) + connective tissue. Muscularis: smooth muscle; outer longitudinal, middle circular, inner oblique (only in stomach). Submucosa: loose connective tissue; vessels, nerves; Brunner's glands in duodenum. Mucosa: goblet cells (mucus); rugae and gastric glands in stomach; villi (microvilli, lacteal, capillaries) and crypts of Lieberkuhn in small intestine.
- Easy : Inside → out: M-S-M-S.
- Medium : Oblique muscle only in stomach.
- Exam-type (CET) : Villi increase absorption area.
Rule 2 : Salivary glands, liver, pancreas — Salivary glands: 3 pairs: parotid (in front of ear), submandibular, sublingual; serous cells secrete amylase, mucous cells mucus. Liver: largest gland (1.2–1.5 kg); hepatic lobules, Kupffer cells; bile, glycogen store, urea, vitamins A D K B12, prothrombin, fibrinogen. Pancreas: heterocrine; acinar cells (alkaline juice) + islets of Langerhans (α glucagon, β insulin, δ somatostatin). Bile and pancreatic ducts → hepato-pancreatic duct (sphincter of Oddi).
- Easy : Heterocrine = exocrine + endocrine.
- Medium : Bile has no enzyme.
- Exam-type (CET) : Kupffer cells = liver's cleaners.
Mucosa inside, serosa outside: M-S-M-S.
‘Bile has enzymes’ is wrong. Trap: ‘oblique muscle in intestine’ is wrong.
Memory clue : "Liver = largest; islets = insulin".
Spot the difference
| Gland | Feature |
|---|---|
| Salivary | 3 pairs; amylase |
| Liver | Largest; bile |
| Pancreas | Heterocrine; islets |
Practice questions
- 1Layers of the canal.
- 2Role of villi?
- 3Where are rugae?
- 4Brunner's glands?
- 5Role of Kupffer cells?
- 6Why heterocrine?
- 7What do β cells secrete?
- 8Where is sphincter of Oddi?
Show answers (try them yourself first)
- 1Mucosa, submucosa, muscularis, serosa.
- 2Increase absorption area.
- 3In stomach mucosa.
- 4In duodenal submucosa.
- 5Destroy toxins and old RBCs.
- 6Has exocrine and endocrine parts.
- 7Insulin.
- 8At the opening of the hepato-pancreatic duct.
Digestion in the mouth and stomach
Chew bread long enough and it tastes sweet – salivary amylase is making maltose.
Mouth: salivary amylase: starch → maltose. Stomach: pepsin: protein → peptones + proteoses; HCl gives acidity. The mass is then chyme.
In the figure : Digestion in mouth and stomach.
Rule 1 : Digestion in the mouth — Mechanical: teeth chew, tongue mixes, mucus forms the bolus; swallowed by deglutition. Chemical: salivary amylase (pH 6.8) in saliva (98% water) turns starch → maltose; only ~30% in the mouth, continuing 15–30 min until HCl mixes in the stomach. Lysozyme is antibacterial.
- Easy : Only starch is digested chemically.
- Medium : HCl stops amylase.
- Exam-type (CET) : Bolus = ball of food.
Rule 2 : Digestion in the stomach — Gastric glands: mucus cells (mucus), peptic/chief cells (pepsinogen), parietal/oxyntic cells (HCl + intrinsic factor). HCl acidifies food, kills germs, converts pepsinogen → pepsin (pH 1.8). Pepsin: protein → peptones + proteoses. Rennin in infants curdles milk casein. Result: chyme, passed through the pyloric sphincter. Mucus protects the lining from HCl.
- Easy : Pepsinogen = inactive; pepsin = active.
- Medium : Intrinsic factor → B12 absorption.
- Exam-type (CET) : Rennin is absent in adults.
Chief = pepsinogen; parietal = HCl.
‘Pepsin in the mouth’ is wrong. Trap: ‘rennin in adults’ is wrong.
Memory clue : "Chief cells make pepsinogen; parietal cells make HCl".
Spot the difference
| Cell | Secretion |
|---|---|
| Mucus | Mucus |
| Chief / Peptic | Pepsinogen |
| Parietal / Oxyntic | HCl + intrinsic factor |
Practice questions
- 1Enzyme of the mouth?
- 2How much starch in the mouth?
- 3Water in saliva?
- 4Role of lysozyme?
- 5How is pepsinogen activated?
- 6Intrinsic factor?
- 7Who has rennin?
- 8What is chyme?
Show answers (try them yourself first)
- 1Salivary amylase.
- 2~30%.
- 398%.
- 4Kills bacteria.
- 5By HCl → pepsin.
- 6For B12 absorption.
- 7Infants; curdles milk.
- 8Semi-fluid acidic food.
Digestion in the small intestine
The final kitchen: bile, pancreatic and intestinal juices complete the breakdown.
Bile (no enzymes) emulsifies fat; pancreatic juice: amylase, lipase, trypsin, nucleases; succus entericus: disaccharidases, dipeptidases. Final food = chyle.
In the figure : The three juices and their action.
Rule 1 : Bile and pancreatic juice — Bile (dark green): pigments (bilirubin, biliverdin), bile salts, cholesterol, phospholipid. Salts neutralise acid, emulsify fat, activate lipase; pigments colour faeces. Pancreatic juice (alkaline): amylase (starch → disaccharides), lipases (fat → fatty acids + monoglycerides), trypsinogen (→ trypsin by enterokinase), chymotrypsinogen, nucleases.
- Easy : Trypsin: proteins → polypeptides.
- Medium : Chymotrypsin: polypeptides → dipeptides.
- Exam-type (CET) : Bile = emulsifier, not an enzyme.
Rule 2 : Succus entericus and end products — Intestinal juice = mucus + enzymes: maltase (maltose → glucose), sucrase (→ glucose + fructose), lactase (→ glucose + galactose), dipeptidase (→ amino acids), lipase. Nucleases → nucleotidases → nucleosidases → sugar + base. At the end the food is chyle. Large gut: no enzymes; bacteria make B vitamins and K; indole, skatole, H₂S cause faecal odour. Control: secretin, CCK, GIP.
- Easy : Chyle = alkaline, ready to absorb.
- Medium : No lactase → lactose intolerance.
- Exam-type (CET) : CCK gives the feeling of fullness.
Bile = emulsifier; pancreas = enzyme-rich.
‘Bile has lipase’ is wrong. Trap: ‘chyme = chyle’ is wrong (chyme in stomach, chyle in intestine).
Memory clue : "Chyme in stomach; chyle in small intestine".
Spot the difference
| Juice | Main action |
|---|---|
| Bile | Emulsify; neutralise acid |
| Pancreatic | Amylase, lipase, trypsin |
| Succus entericus | Disaccharidases, dipeptidase |
Practice questions
- 1Role of enterokinase?
- 2What do bile salts do?
- 3Bile pigments?
- 4Lipase products?
- 5Role of maltase?
- 6What is chyle?
- 7What is succus entericus?
- 8What does secretin do?
Show answers (try them yourself first)
- 1Trypsinogen → trypsin.
- 2Emulsify; neutralise acid.
- 3Bilirubin, biliverdin.
- 4Fatty acids + monoglycerides.
- 5Maltose → glucose.
- 6Alkaline mixture after digestion.
- 7Intestinal juice.
- 8Inhibits gastric; stimulates bile/pancreatic juice.
Absorption, assimilation and egestion
Finished goods travel to warehouses; digested nutrients travel to blood and lymph.
Absorption = digested products passing through the lining into blood/lymph (~90% in small intestine). Assimilation = becoming part of cells. Egestion = expelling undigested waste.
In the figure : Absorption through villi and the sites.
Rule 1 : Modes and sites of absorption — Modes: simple diffusion (some glucose, amino acids, Cl⁻), osmosis (water), facilitated transport (fructose, some amino acids), active transport (Na⁺; energy, against gradient). Sites: mouth (some drugs), stomach (alcohol, aspirin), small intestine (most), large intestine (water, Na⁺, Cl⁻, some vitamins).
- Easy : Active = energy, uphill.
- Medium : Small intestine = ~90%.
- Exam-type (CET) : Water follows concentration.
Rule 2 : Fat absorption, assimilation, egestion — Glucose, fructose, galactose, amino acids, water-soluble vitamins → villus capillaries. Fatty acids + monoglycerides cannot enter blood directly → bile-salt micelles → in villi they become chylomicrons (protein-coated fat globules) → lacteals (lymph) → blood. Fat-soluble vitamins A D E K go via lacteals. Egestion: faeces form in the colon (water, salts, dead cells, bacteria, undigested food); rectal stretch starts a reflex; expulsion is voluntary (sphincter).
- Easy : Chylomicron = fat vehicle.
- Medium : Lacteal = fat route.
- Exam-type (CET) : Assimilation = food becomes cell material.
Sugar, protein → capillary; fat → lacteal.
‘Fat enters blood directly’ is wrong (micelle → lacteal). Trap: ‘most absorption in large intestine’ is wrong.
Memory clue : "Fat takes the lacteal route; sugar goes straight to blood".
Spot the difference
| Substance | Route |
|---|---|
| Glucose, amino acids | Capillary |
| Fatty acids, A D E K | Lacteal |
| Water, Na⁺ | Large intestine |
Practice questions
- 1What is absorption?
- 2% absorbed in small intestine?
- 3Example of active transport?
- 4What is a micelle?
- 5What is a chylomicron?
- 6What is a lacteal?
- 7What is assimilation?
- 8How is egestion controlled?
Show answers (try them yourself first)
- 1Products pass into blood/lymph.
- 2~90%.
- 3Na⁺ absorption.
- 4Bile-salt sphere carrying fat.
- 5Protein-coated fat globule.
- 6Lymph vessel in a villus.
- 7Food becomes part of cells.
- 8Reflex + voluntary sphincter.
Nutritional and digestive disorders
A little too much or too little food causes trouble; diet is the medicine.
PEM (Protein Energy Malnutrition): Kwashiorkor and Marasmus. Digestive disorders: indigestion, constipation, diarrhoea, jaundice, vomiting.
In the figure : PEM and digestive disorders.
Rule 1 : Kwashiorkor and Marasmus — Kwashiorkor: children 1–3 yr; protein deficiency; underweight, stunted growth, poor appetite, protruding belly, thin legs, oedema of face/legs, skin-hair colour change. Marasmus: under 1 yr; protein + total calories low; no subcutaneous fat, ribs visible, wrinkled skin; no oedema. Causes: poverty, large family, early stopping of breast-feeding, diluted milk. Improves with proper diet. Physiological energy: fat 9.0, protein 4.0, carbohydrate 4.0 kcal/g.
- Easy : Kwashiorkor = oedema; marasmus = no oedema.
- Medium : Both are PEM.
- Exam-type (CET) : Fat = highest calories.
Rule 2 : Digestive disorders — Indigestion: overeating, spices, anxiety; acid reflux, heartburn, dyspepsia; avoid large meals and lying down. Constipation: stool less than once a week; fibre, fluids, exercise. Diarrhoea: more than 3 loose stools a day; dehydration; infection. Jaundice: excess bilirubin or bile-flow obstruction; yellow eyes/skin, pale stool. Vomiting: reverse peristalsis; medulla centre. Alcohol causes fatty liver, hepatitis, cirrhosis.
- Easy : Jaundice = bilirubin trouble.
- Medium : Diarrhoea risks dehydration.
- Exam-type (CET) : Fibre helps constipation.
Kwashiorkor = swollen; marasmus = meagre.
‘Marasmus has oedema’ is wrong. Trap: ‘jaundice is only infection’ is wrong (bilirubin).
Memory clue : "Kwashiorkor swollen; marasmus matchstick-thin".
Spot the difference
| Point | Kwashiorkor | Marasmus |
|---|---|---|
| Age | 1–3 yr | <1 yr |
| Deficiency | Protein | Protein + calories |
| Oedema | Yes | No |
Practice questions
- 1What is PEM?
- 2Age in kwashiorkor?
- 3Oedema in marasmus?
- 4Define constipation.
- 5Risk in diarrhoea?
- 6Why does jaundice occur?
- 7Vomiting centre?
- 8Highest energy food?
Show answers (try them yourself first)
- 1Protein Energy Malnutrition.
- 21–3 years.
- 3No.
- 4<1 stool per week.
- 5Dehydration.
- 6Excess bilirubin / bile obstruction.
- 7Medulla.
- 8Fat (9.0 kcal/g).
Quick revision of the whole lesson
| Concept | Key fact |
|---|---|
| Teeth | 2123/2123 = 32; thecodont |
| Intestine | Small 6 m; large 1.5 m |
| Glands | Salivary 3; liver; pancreas |
| Mouth/stomach | Amylase; pepsin + HCl |
| Small intestine | Bile, pancreatic, succus; chyle |
| Absorption | Capillary vs lacteal; 90% |
| Disorders | PEM; jaundice; diarrhoea |
🎯 Most important points for the exam
- Tooth structure and dental formula.
- Parts of stomach and intestines.
- Four layers; glands.
- Amylase, pepsin, HCl.
- Bile, pancreatic juice, succus entericus.
- Micelle, chylomicron, lacteal.
- Kwashiorkor vs marasmus.
Understand the concept → draw the figure → memorise the key points → solve questions yourself.