Day 9 | 12 Body Parts of Christmas
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Welcome, ladies and gentlemen, boys and girls, people of the world. We are doing the 12 Days of Christmas special episode.

edition of Dr. Matt and Dr. Mike's medical podcast. Every single day of the 12 days leading up to Christmas, we're taking different body parts, structure, function, and we're talking about how it's relevant to Christmas. We are on day nine. It's been a wonderful journey. We're getting there. Oh boy, what a wonderful time of the year. On the ninth day of Christmas, my true love gave to me nine abdominal regions, eight B vitamins, seven cervical vertebra, six extra ocular muscles, five

Layers of the skin. Four heart chambers. Three. Middle bones. Two carotid arteries. And a spleen with a healthy body. Matt's already... But, mate... I'm done. All right, let's talk about nine abdominal regions. Matt. We've got nine regions in our abdomen. Yeah, well...

I guess you'd use this as a clinical... Nine compartments. Nine neatly separated compartments. No, unfortunately not. Oh, okay. So we have body compartments, body cavities. Yes. So when we look at the anterior body cavity, is that correct? Yeah. Yeah. Ventral, ventral body cavity. Whatever. There's two main chunks of it. There's a thoracic cavity and the abdominal pelvic cavity. Would you call that correct? Correct.

I call that correct, yeah. Now these two are separated from each other. So the thorax is separated from the abdominal pelvic by the breathing muscle, also known as the diaphragm. So what we're left with is this big hollow space. Yeah, where your heart used to be. In the abdominal cavity. Right.

Shouldn't there be organs in there? Which we then fill with organs. Do we? At what point? Before birth. Oh, okay. Okay. So when you're born, you should have these organs arranged here. Okay? Jeez, you are done. Now, the way that clinically we can kind of figure out when certain organs are going wrong and they might have pain or might have discomfort, we can separate them.

through a vertical and horizontal lines that we kind of imaginatively draw there to kind of

figure out where we might have structural problems. So you turn the abdominal pelvic region into non-arbitrary sections. Sections, yeah, that's right. And each section may have one or more organ structures associated with it. Some structures might sort of bleed into mine. Yeah, that's right. Unless it's a hemorrhage, yeah. Yeah, stretch into other organs.

That's right. So... Usually I would say clinically speaking. So if you were to look into the clinical notes of people in hospitals or other areas... Not allowed to, illegal, but go on. Yeah, that's probably right. It's the abdominal pelvic cavity is broken into quadrants. Yes. The upper...

Upper right, upper left, lower left. If there's four when you've done upper left, upper right, I'm going to assume there's a lower left and lower right. There we go. Okay. But what's this got to do with Christmas? But today...

We are breaking it into nine. Why? Do you want me to do the nine or? I just want to know why we're talking about nine abdominal regions for Christmas. Okay. So earlier on in the week, you spoke about in the fourth day. Yes. That was in reference to the four chambers. But we really, you focused more on the...

What was the... Valsalvina. Yeah, I think I was half asleep in that one. Oh, great. The Valsalvina. That's right. And this is... You preface this with a meal getting processed, a big meal. Yeah, having to do a big poo after a big meal. And then a big poo. Yeah. So the same kind of idea... Which is normal. When you have a massive meal, there's going to be probably a degree of discomfort as the food is moving through the eight metres of digestive tract. Yeah. Okay. Now, as it's moving through this eight metres...

is going to be moving through these nine regions differently. Yeah. And so as a result, you may encounter certain abdominal discomfort. Right. And it's important as a clinician or health professional to know if a person's got pain or discomfort or some kind of, you know... Issue. Issue in the abdominal region, what...

Where is the turkey lodged? Yeah. What structure, what visceral structure is located in that particular region? Okay. So first what I'll do is I'll break the nine regions up from top to bottom. Yeah. You want to do it that way? Yeah. Okay. So let's say your sternum, the breastbone, you go right to the bottom part. What's the bottom pointy part of your sternum? The xiphoid. The xiphoid. Yeah. So right at that point.

Section just below that, we have the first of the nine called the epigastric. The epigastric, epi means upon gastric stomach. So that's the first little box. That you've imaginarily drawn, yes. So if you go on either side of that, that would be called the hypochondriac region, hypo, low chondriac ribs. Can I say why? Yeah.

Sure, go. Because you've probably heard the term, oh, he's been a hypochondriac, when they think that they are sick all the time, they've got a disease. They used to think back many thousands of years ago that illness, such as melancholy, that they would call melancholy sadness, right? From spleen? Was sitting underneath the rib cage. Okay. That's where it was sitting. That's where the disease sat. And so they called that the hypochondriac region, which means below ribs. Okay.

Hence why it's named that for the abdominal pelvic because it's below the ribs, hypochondriac, but also the term hypochondriac came from that because that's where melancholy and illness sat. Okay. Thank you. The end. So that's the top three. Now we move down to the next middle three. Rated by your favourite. That's right. So what do you call, what's the technical term for the belly button?

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And then if you go on either side of that, we have the right and left lumbar region, lumbar, lower back. Is that the level of the lumbar spine? Yeah, that's right. Then you go down. Now, this is more in the pelvic. We're going kind of more into the pelvic region now. So we could probably do the one in the middle where you would imagine your bladder to sit. This would be the hypogastric. So this is actually a lot hypominium below gastric, long way down. It should be called hypo, hypo, hypo gastric. That's right.

which is kind of down where you would imagine where your pubis would be. On either side of those, you'd then have your left and right iliac region. Sometimes it's called something else, isn't it? Ingunal. No, I don't think so. I think it's iliac.

Sometimes it's called in the textbooks left and right inguinal. Is it? Yeah. Okay. Yes. So that is then the nine portions of your abdominal. Very good. And so when you... Christmas? Yeah. So when you present to your doctor or health professionals with certain abdominal discomfort or pain, they would try to figure out where the pain is and the characteristics of the pain to see, well, what structure that's below it may be...

He's encountering problems or disorders. Okay, I'm at the dinner table. So you just... Wait, wait. I'm at the dinner table. I'm eating a meal. I eat a whole bunch of food. I then feel my abdomen distend and I feel like I need to undo my pants. At the dinner table? Oh, yeah. No one sees. I'm not pulling my pants off. I just need to loosen the belt and maybe unbutton the top. This is normal. I'll tell you what this is. This is normal. At the Todorovic family. Todorovic household. All you hear is a bunch of...

Bing. Bing. Bing. Bing. Bing. Bing. Bing. Bing. Bing. Bing.

Why do we have to unbutton our pants? Is it because the food... Because I feel like the stomach is higher, you just said. The epigastric region is just underneath the diaphragm, but that's not where our belt is. Our belt is lower. Yeah, lower. Probably more hypogastric. So why do we feel like we need to unbutton the...

under the belt. That's a good question. I would imagine it's just taking space up in the cavity and this is the lower region which is trying to expand and your belt is restricting that expansion. Yeah, because the stomach can expand four times its emptied size. Okay. And so it will push down and it will push down on the intestines and everything else which then pushes it out and you've got to undo the belt.

So in your case, you're probably, when you're overfilling your stomach, you're probably going to start to experience pain or discomfort in the left hypogastric region or the epigastric region. Probably for some individuals, they start to get epigastric pain an hour or two after the meal because they could encounter something called reflux, which is usually the area where the kind of gastric...

juices are going back up the esophagus a little bit, causing a feeling of burning. So epigastric. Not a great feeling. Now, with a big meal like you've spoken of, I'd imagine you've got a lot of fat in there as well. Okay. Is that the case for your Christmas meal? No. No, no, no. You don't have tallow and lard? No. Is that something that people eat, tallow and lard sandwiches? I thought you were heavy into your tallow these days. Let me just...

No, no, no, no, no. Let me just tell you what I eat, what I will be eating. I'll be eating ham and turkey, chicken and beef and pork. No, no, no, that's not true at all. I'll probably be eating ham and seafood will be my meal. All deep fried. As one. And vegetables. Okay. That's it. All right. That's it, man. Now let's just assume that you had a little bit of fat in there.

Okay. What is the... That would be the ice cream. That's the dessert. Okay. What structure needs to kind of play a part to digest your fat? Well, fat's not digested until it hits the duodenum, the first part of the small intestines. And so it needs to trigger both the liver and the gallbladder to squirt in some detergent to help emulsify, break down that fat. And so for some individuals, if they've got, you know,

Maybe not necessarily stones in the gallbladder or the biliary tract, but they could have maybe a bit of sludge. So for them, they could get a little bit of discomfort and pain when they're processing fats in the meal. That would be probably more right hypochondriac or epigastric because that's where the gallbladder and the liver is located so they can get pain.

Probably not immediately like you'd experience with the stomach, possibly an hour later as fat's starting to get pushed out of your liver into your duodenum and it's needing that squeezing of the gallbladder. Yeah.

As that moves along, we kind of probably get more discomfort in the umbilical region because that's really about the small intestine. So that will probably start to become a little bit discomfort and painful. So it's kind of mid-abdominal regions. And as it moves then out of the small intestine into your last part of your digestive tract, which is the large colon, you may start to get some discomfort in the iliac regions and then

Definitely in the left as it's evacuating, which is probably the next day. Left iliac. And that goes back. As it moves into the sigmoid and rectum. That's right. And that goes to your, the fourth day where you are trying to get it out. Right. Day four. Going back a bit. I was thinking hour four. Hour four.

I'm in with the day four of Christmas when you spoke about the balsam. Okay. All right. So that's the nine regions. So now when you are processing your Christmas meal, you can appreciate where that discomfort lies, what structures are below. Taking a negative view, aren't you? What structures lie in that region. And the take-home message here is look after your bowels this Christmas. Deck the bowels. Deck the bowels. Deck the bowels.

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