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Your Heart & Circulatory System

Reviewed by: Steven Dowshen, MD

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en españolTu corazón y el sistema circulatorio

We see and hear about hearts everywhere. A long time ago, people even thought that their emotions came from their hearts, maybe because the heart beats faster when a person is scared or excited. Now we know that emotions come from the brain, and in this case, the brain tells the heart to speed up. So what's the heart up to, then? How does it keep busy? What does it look like? Let's find out.

The Heart Is a Muscle

Your heart is really a muscle. It's located a little to the left of the middle of your chest, and it's about the size of your fist. There are lots of muscles all over your body — in your arms, in your legs, in your back, even in your behind.

But the heart muscle is special because of what it does. The heart sends blood around your body. The blood provides your body with the oxygen and nutrients it needs. It also carries away waste.

Your heart is sort of like a pump, or two pumps in one. The right side of your heart receives blood from the body and pumps it to the lungs. The left side of the heart does the exact opposite: It receives blood from the lungs and pumps it out to the body.

How the Heart Beats

How does the heart beat? Before each beat, your heart fills with blood. Then its muscle contracts to squirt the blood along. When the heart contracts, it squeezes — try squeezing your hand into a fist. That's sort of like what your heart does so it can squirt out the blood. Your heart does this all day and all night, all the time. The heart is one hard worker!

Parts of the Heart

The heart is made up of four different blood-filled areas, and each of these areas is called a chamber. There are two chambers on each side of the heart. One chamber is on the top and one chamber is on the bottom. The two chambers on top are called the atria (say: AY-tree-uh). If you're talking only about one, call it an atrium. The atria are the chambers that fill with the blood returning to the heart from the body and lungs. The heart has a left atrium and a right atrium.

The two chambers on the bottom are called the ventricles (say: VEN-trih-kulz). The heart has a left ventricle and a right ventricle. Their job is to squirt out the blood to the body and lungs. Running down the middle of the heart is a thick wall of muscle called the septum (say: SEP-tum). The septum's job is to separate the left side and the right side of the heart.

The atria and ventricles work as a team — the atria fill with blood, then dump it into the ventricles. The ventricles then squeeze, pumping blood out of the heart. While the ventricles are squeezing, the atria refill and get ready for the next contraction. So when the blood gets pumped, how does it know which way to go?

Well, your blood relies on four special valves inside the heart. A valve lets something in and keeps it there by closing — think of walking through a door. The door shuts behind you and keeps you from going backward.

Two of the heart valves are the mitral (say: MY-trul) valve and the tricuspid (say: try-KUS-pid) valve. They let blood flow from the atria to the ventricles. The other two are called the aortic (say: ay-OR-tik) valve and pulmonary (say: PUL-muh-ner-ee) valve, and they're in charge of controlling the flow as the blood leaves the heart. These valves all work to keep the blood flowing forward. They open up to let the blood move ahead, then they close quickly to keep the blood from flowing backward.

How Blood Circulates

You probably guessed that the blood just doesn't slosh around your body once it leaves the heart. It moves through many tubes called arteries and veins, which together are called blood vessels. These blood vessels are attached to the heart. The blood vessels that carry blood away from the heart are called arteries. The ones that carry blood back to the heart are called veins.

The movement of the blood through the heart and around the body is called circulation (say: sur-kyoo-LAY-shun), and your heart is really good at it — it takes less than 60 seconds to pump blood to every cell in your body.

Your body needs this steady supply of blood to keep it working right. Blood delivers oxygen to all the body's cells. To stay alive, a person needs healthy, living cells. Without oxygen, these cells would die. If that oxygen-rich blood doesn't circulate as it should, a person could die.

The left side of your heart sends that oxygen-rich blood out to the body. The body takes the oxygen out of the blood and uses it in your body's cells. When the cells use the oxygen, they make carbon dioxide and other stuff that gets carried away by the blood. It's like the blood delivers lunch to the cells and then has to pick up the trash!

The returning blood enters the right side of the heart. The right ventricle pumps the blood to the lungs for a little freshening up. In the lungs, carbon dioxide is removed from the blood and sent out of the body when we exhale. What's next? An inhale, of course, and a fresh breath of oxygen that can enter the blood to start the process again. And remember, it all happens in about a minute!

Listen to the Lub-Dub

When you go for a checkup, your doctor uses a stethoscope to listen carefully to your heart. A healthy heart makes a lub-dub sound with each beat. This sound comes from the valves shutting on the blood inside the heart.

The first sound (the lub) happens when the mitral and tricuspid valves close. The next sound (the dub) happens when the aortic and pulmonary valves close after the blood has been squeezed out of the heart. Next time you go to the doctor, ask if you can listen to the lub-dub, too.

Pretty Cool — It's My Pulse!

Even though your heart is inside you, there is a cool way to know it's working from the outside. It's your pulse. You can find your pulse by lightly pressing on the skin anywhere there's a large artery running just beneath your skin. Two good places to find it are on the side of your neck and the inside of your wrist, just below the thumb.

You'll know that you've found your pulse when you can feel a small beat under your skin. Each beat is caused by the contraction (squeezing) of your heart. If you want to find out what your heart rate is, use a watch with a second hand and count how many beats you feel in 1 minute. When you are resting, you will probably feel between 70 and 100 beats per minute.

When you run around a lot, your body needs a lot more oxygen-filled blood. Your heart pumps faster to supply the oxygen-filled blood that your body needs. You may even feel your heart pounding in your chest. Try running in place or jumping rope for a few minutes and taking your pulse again — now how many beats do you count in 1 minute?

Keep Your Heart Happy

Most kids are born with a healthy heart and it's important to keep yours in good shape. Here are some things that you can do to help keep your heart happy:

  • Remember that your heart is a muscle. If you want it to be strong, you need to exercise it. How do you do it? By being active in a way that gets you huffing and puffing, like jumping rope, dancing, or playing basketball. Try to be active every day for at least 30 minutes! An hour would be even better for your heart!

  • Eat a variety of healthy foods and avoid foods high in unhealthy fats, such as saturated fats and trans fats (reading food labels can help you figure out if your favorite snacks contain these unhealthy ingredients).

  • Try to eat at least five servings of fruits and vegetables each day.

  • Avoid sugary soft drinks and fruit drinks.

  • Don't smoke. It can damage the heart and blood vessels.

Your heart deserves to be loved for all the work it does. It started pumping blood before you were born and will continue pumping throughout your whole life.

Reviewed by: Circulatory System article - kids health https://kidshealth.org/en/kids/heart.htmlDate reviewed: May 2018

KidsHealth / For Kids / Your Lungs & Respiratory System

Your Lungs & Respiratory System

Reviewed by: Steven Dowshen, MD

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en españolTus pulmones y tu sistema respiratorio

What's something that you do all day, every day, no matter where you are or who you're with?

(a) think about what's for lunch tomorrow

(b) put your finger in your nose

(c) hum your favorite song

(d) breathe

It's possible that some kids could say (a) or (c) or that others might even say — yikes! — (b). But every single person in the world has to say (d). Breathing air is necessary for keeping humans (and many animals) alive. And the two parts that are large and in charge when it comes to breathing? If you guessed your lungs, you're right!

Your lungs make up one of the largest organs in your body, and they work with your respiratory system to allow you to take in fresh air, get rid of stale air, and even talk. Let's take a tour of the lungs!

Locate Those Lungs

Your lungs are in your chest, and they are so large that they take up most of the space in there. You have two lungs, but they aren't the same size the way your eyes or nostrils are. Instead, the lung on the left side of your body is a bit smaller than the lung on the right. This extra space on the left leaves room for your heart.

Your lungs are protected by your rib cage, which is made up of 12 sets of ribs. These ribs are connected to your spine in your back and go around your lungs to keep them safe. Beneath the lungs is the diaphragm (say: DY-uh-fram), a dome-shaped muscle that works with your lungs to allow you to inhale (breathe in) and exhale (breathe out) air.

You can't see your lungs, but it's easy to feel them in action: Put your hands on your chest and breathe in very deeply. You will feel your chest getting slightly bigger. Now breathe out the air, and feel your chest return to its regular size. You've just felt the power of your lungs!

A Look Inside the Lungs

From the outside, lungs are pink and a bit squishy, like a sponge. But the inside contains the real lowdown on the lungs! At the bottom of the trachea (say: TRAY-kee-uh), or windpipe, there are two large tubes. These tubes are called the main stem bronchi (say: BRONG-kye), and one heads left into the left lung, while the other heads right into the right lung.

Each main stem bronchus (say: BRONG-kuss) — the name for just one of the bronchi — then branches off into tubes, or bronchi, that get smaller and even smaller still, like branches on a big tree. The tiniest tubes are called bronchioles (say: BRONG-kee-oles), and there are about 30,000 of them in each lung. Each bronchiole is about the same thickness as a hair.

At the end of each bronchiole is a special area that leads into clumps of teeny tiny air sacs called alveoli (say: al-VEE-oh-lie). There are about 600 million alveoli in your lungs and if you stretched them out, they would cover an entire tennis court. Now that's a load of alveoli! Each alveolus (say: al-VEE-oh-luss) — what we call just one of the alveoli — has a mesh-like covering of very small blood vessels called capillaries (say: CAP-ill-er-ees). These capillaries are so tiny that the cells in your blood need to line up single file just to march through them.

All About Inhaling

When you're walking your dog, cleaning your room, or spiking a volleyball, you probably don't think about inhaling (breathing in) — you've got other things on your mind! But every time you inhale air, dozens of body parts work together to help get that air in there without you ever thinking about it.

As you breathe in, your diaphragm contracts and flattens out. This allows it to move down, so your lungs have more room to grow larger as they fill up with air. "Move over, diaphragm, I'm filling up!" is what your lungs would say. And the diaphragm isn't the only part that gives your lungs the room they need. Your rib muscles also lift the ribs up and outward to give the lungs more space.

At the same time, you inhale air through your mouth and nose, and the air heads down your trachea, or windpipe. On the way down the windpipe, tiny hairs called cilia (say: SILL-ee-uh) move gently to keep mucus and dirt out of the lungs. The air then goes through the series of branches in your lungs, through the bronchi and the bronchioles.

Thank You, Alveoli!

The air finally ends up in the 600 million alveoli. As these millions of alveoli fill up with air, the lungs get bigger. Remember that experiment where you felt your lungs get larger? Well, you were really feeling the power of those awesome alveoli!

It's the alveoli that allow oxygen from the air to pass into your blood. All the cells in the body need oxygen every minute of the day. Oxygen passes through the walls of each alveolus into the tiny capillaries that surround it. The oxygen enters the blood in the tiny capillaries, hitching a ride on red blood cells and traveling through layers of blood vessels to the heart. The heart then sends the oxygenated (filled with oxygen) blood out to all the cells in the body.

Waiting to Exhale

When it's time to exhale (breathe out), everything happens in reverse: Now it's the diaphragm's turn to say, "Move it!" Your diaphragm relaxes and moves up, pushing air out of the lungs. Your rib muscles become relaxed, and your ribs move in again, creating a smaller space in your chest.

By now your cells have used the oxygen they need, and your blood is carrying carbon dioxide and other wastes that must leave your body. The blood comes back through the capillaries and the wastes enter the alveoli. Then you breathe them out in the reverse order of how they came in — the air goes through the bronchioles, out the bronchi, out the trachea, and finally out through your mouth and nose.

The air that you breathe out not only contains wastes and carbon dioxide, but it's warm, too! As air travels through your body, it picks up heat along the way. You can feel this heat by putting your hand in front of your mouth or nose as you breathe out. What is the temperature of the air that comes out of your mouth or nose?

With all this movement, you might be wondering why things don't get stuck as the lungs fill and empty! Luckily, your lungs are covered by two really slick special layers called pleural (say: PLOO-ral) membranes. These membranes are separated by a fluid that allows them to slide around easily while you inhale and exhale.

Time for Talk

Your lungs are important for breathing . . . and also for talking! Above the trachea (windpipe) is the larynx (say: LAIR-inks), which is sometimes called the voice box. Across the voice box are two tiny ridges called vocal cords, which open and close to make sounds. When you exhale air from the lungs, it comes through the trachea and larynx and reaches the vocal cords. If the vocal cords are closed and the air flows between them, the vocal cords vibrate and a sound is made.

The amount of air you blow out from your lungs determines how loud a sound will be and how long you can make the sound. Try inhaling very deeply and saying the names of all the kids in your class — how far can you get without taking the next breath? The next time you're outside, try shouting and see what happens — shouting requires lots of air, so you'll need to breathe in more frequently than you would if you were only saying the words.

Experiment with different sounds and the air it takes to make them — when you giggle, you let out your breath in short bits, but when you burp, you let swallowed air in your stomach out in one long one! When you hiccup, it's because the diaphragm moves in a funny way that causes you to breathe in air suddenly, and that air hits your vocal cords when you're not ready.

Love Your Lungs

Your lungs are amazing. They allow you to breathe, talk to your friend, shout at a game, sing, laugh, cry, and more! And speaking of a game, your lungs even work with your brain to help you inhale and exhale a larger amount of air at a more rapid rate when you're running a mile — all without you even thinking about it once.

Keeping your lungs looking and feeling healthy is a smart idea, and the best way to keep your lungs pink and healthy is not to smoke. Smoking isn't good for any part of your body, and your lungs especially hate it. Cigarette smoke damages the cilia in the trachea so they can no longer move to keep dirt and other substances out of the lungs. Your alveoli get hurt too, because the chemicals in cigarette smoke can cause the walls of the delicate alveoli to break down, making it much harder to breathe.

Finally, cigarette smoke can damage the cells of the lungs so much that the healthy cells go away, only to be replaced by cancer cells. Lungs are normally tough and strong, but when it comes to cigarettes, they can be hurt easily — and it's often very difficult or impossible to make them better. If you need to work with chemicals in an art or shop class, be sure to wear a protective mask to keep chemical fumes from entering your lungs.

You can also show your love for your lungs by exercising! Exercise is good for every part of your body, and especially for your lungs and heart. When you take part in vigorous exercise (like biking, running, or swimming, for example), your lungs require more air to give your cells the extra oxygen they need. As you breathe more deeply and take in more air, your lungs become stronger and better at supplying your body with the air it needs to succeed. Keep your lungs healthy and they will thank you for life!

Reviewed by: Steven Dowshen, MD

Date reviewed: June 2018Respiratory System article - kids health

KidsHealth / For Kids / Your Bones

Your Bones

Reviewed by: Steven Dowshen, MD

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en españolTus huesos

Think back to last Halloween for a minute. Wherever you looked, there were vampires, ghosts, or bony skeletons grinning back at you. Vampires and ghosts don't really exist, but skeletons sure do!

Every single person has a skeleton made up of many bones. These bones give your body structure, let you move in many ways, protect your internal organs, and more.

It's time to look at all your bones — the adult human body has 206 of them!

1/5

Bones

Our bones give our bodies shape, and support and protect our organs and systems.


Click through this slideshow to learn more about bones.

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© 2018 The Nemours Foundation/KidsHealth. All rights reserved.

What Are Bones Made Of?

If you've ever seen a real skeleton or fossil in a museum, you might think that all bones are dead. Although bones in museums are dry, hard, or crumbly, the bones in your body are different. The bones that make up your skeleton are all very much alive, growing and changing all the time like other parts of your body.

Almost every bone in your body is made of the same materials:

  • The outer surface of bone is called the periosteum (say: pare-ee-OSS-tee-um). It's a thin, dense membrane that contains nerves and blood vessels that nourish the bone.

  • The next layer is made up of compact bone. This part is smooth and very hard. It's the part you see when you look at a skeleton.

  • Within the compact bone are many layers of cancellous (say: KAN-sell-us) bone, which looks a bit like a sponge. Cancellous bone is not quite as hard as compact bone, but it is still very strong.

  • In many bones, the cancellous bone protects the innermost part of the bone, the bone marrow (say: MAIR-oh). Bone marrow is sort of like a thick jelly, and its job is to make blood cells.

How Bones Grow

When you were a baby, you had tiny hands, tiny feet, and tiny everything! Slowly, as you grew older, everything became a bit bigger, including your bones.

A baby's body has about 300 bones at birth. These eventually fuse (grow together) to form the 206 bones that adults have. Some of a baby's bones are made entirely of a special material called cartilage(say: KAR-tel-ij). Other bones in a baby are partly made of cartilage. This cartilage is soft and flexible. During childhood, as you are growing, the cartilage grows and is slowly replaced by bone, with help from calcium.

By the time you are about 25, this process will be complete. After this happens, there can be no more growth — the bones are as big as they will ever be. All of these bones make up a skeleton that is both very strong and very light.

Your Spine

Your spine is one part of the skeleton that's easy to check out: Reach around to the center of your back and you'll feel its bumps under your fingers.

The spine lets you twist and bend, and it holds your body upright. It also protects the spinal cord, a large bundle of nerves that sends information from your brain to the rest of your body. The spine is special because it isn't made of one or even two bones: It's made of 33 bones in all! These bones are called vertebrae (say: VER-tuh-bray) and each one is shaped like a ring.

There are different types of vertebrae in the spine and each does a different kind of job:

  • The first seven vertebrae at the top are called the cervical(say: SIR-vih-kul) vertebrae. These bones are in the back of your neck, just below your brain, and they support your head and neck. Your head is pretty heavy, so it's lucky to have help from the cervical vertebrae!

  • Below the cervical vertebrae are the thoracic (say: thuh-RAS-ik) vertebrae, and there are 12 in all. These guys anchor your ribs in place. Below the thoracic vertebrae are five lumbar(say: LUM-bar) vertebrae. Beneath the lumbar vertebrae is the sacrum (say: SAY-krum), which is made up of five vertebrae that are fused together to form one single bone.

  • Finally, all the way at the bottom of the spine is the coccyx(say: COK-siks), which is one bone made of four fused vertebrae. The bottom sections of the spine are important when it comes to bearing weight and giving you a good center of gravity. So when you pick up a heavy backpack, the lumbar vertebrae, sacrum, and coccyx give you the power. When you dance, skip, and even walk, these parts help keep you balanced.

In between each vertebra (the name for just one of the vertebrae) are small disks made of cartilage. These disks keep the vertebrae from rubbing against one another, and they also act as your spine's natural shock absorbers. When you jump in the air, or twist while slamming a dunk, the disks give your vertebrae the cushioning they need.

Your Ribs

Your heart, lungs, and liver are all very important, and luckily you've got ribs to keep them safe. Ribs act like a cage of bones around your chest. It's easy to feel the bottom of this cage by running your fingers along the sides and front of your body, a few inches below your heart. If you breathe in deeply, you can easily feel your ribs right in the front of your body, too. Some thin kids can even see a few of their ribs right through their skin.

Your ribs come in pairs, and the left and right sides of each pair are exactly the same. Most people have 12 pairs of ribs, but some people are born with one or more extra ribs, and some people might have one pair less.

All 12 pairs of ribs attach in the back to the spine, where they are held in place by the thoracic vertebrae. The first seven pairs of ribs attach in the front to the sternum (say: STUR-num), a strong bone in the center of your chest that holds those ribs in place. The remaining sets of ribs don't attach to the sternum directly. The next three pairs are held on with cartilage to the ribs above them.

The very last two sets of ribs are called floating ribs because they aren't connected to the sternum or the ribs above them. But don't worry, these ribs can't ever float away. Like the rest of the ribs, they are securely attached to the spine in the back.

Your Skull

Your skull protects the most important part of all, the brain. You can feel your skull by pushing on your head, especially in the back a few inches above your neck. The skull is actually made up of different bones. Some of these bones protect your brain, whereas others make up the structure of your face. If you touch beneath your eyes, you can feel the ridge of the bone that forms the hole where your eye sits.

And although you can't see it, the smallest bone in your whole body is in your head, too. The stirrup bone behind your eardrum is only .1 to .13 inches (2.5 to 3.3 millimeters) long! Want to know something else? Your lower jawbone is the only bone in your head you can move. It opens and closes to let you talk and chew food.

Your skull is pretty cool, but it's changed since you were a baby. All babies are born with spaces between the bones in their skulls. This allows the bones to move, close up, and even overlap as the baby goes through the birth canal. As the baby grows, the space between the bones slowly closes up and disappears, and special joints called sutures (say: SOO-churs) connect the bones.

Your Hands

As you sit and type at the keyboard, while you swing on a swing, even when you pick up your lunch, you're using the bones in your fingers, hand, wrist, and arm.

Each arm is attached to a shoulder blade or scapula (say: SKA-pyuh-luh), a large triangular bone on the upper back corner of each side of the ribcage. The arm is made up of three bones: the humerus (say: HYOO-muh-rus), which is above your elbow, and the radius (say: RAY-dee-us) and ulna (say: UL-nuh), which are below the elbow.

Each of these bones is wider at the ends and skinnier in the middle, to help give it strength where it meets another bone. At the end of the radius and ulna are eight smaller bones that make up your wrist. Although these bones are small, they can really move! Twist your wrist around or wave and you'll see how the wrist can move.

The center part of your hand is made up of five separate bones. Each finger on your hand has three bones, except for your thumb, which has two. So between your wrists, hands, and all your fingers, you've got a grand total of 54 bones — all ready to help you grasp things, write your name, pick up the phone, or throw a softball!

Your Legs

Sure, your arm, wrist, hand, and finger bones are great for picking up the phone, but how are you supposed to run to answer it? Well, with the bones of the legs and feet!

Your legs are attached to a circular group of bones called your pelvis. The pelvis is a bowl-shaped structure that supports the spine. It is made up of the two large hip bones in front, and behind are the sacrum and the coccyx. The pelvis acts as a tough ring of protection around parts of the digestive system, parts of the urinary system, and parts of the reproductive system.

Your leg bones are very large and strong to help support the weight of your body. The bone that goes from your pelvis to your knee is called the femur (say: FEE-mur), and it's the longest bone in your body. At the knee, there's a triangular-shaped bone called the patella (say: puh-TEL-luh), or kneecap, that protects the knee joint. Below the knee are two other leg bones: the tibia (say: TIH-bee-uh) and the fibula (say: FIH-byuh-luh). Just like the three bones in the arm, the three bones in the leg are wider at the ends than in the middle to give them strength.

The ankle is a bit different from the wrist; it is where the lower leg bones connect to a large bone in the foot called the talus (say: TAL-iss). Next to the talus are six other bones. But the main part of the foot is similar to the hand, with five bones. Each toe has three tiny bones, except for your big toe, which has just two. This brings the bone total in both feet and ankles to 52!

Most people don't use their toes and feet for grabbing stuff or writing, but they do use them for two very important things: standing and walking. Without all the bones of the foot working together, it would be impossible to balance properly. The bones in the feet are arranged so the foot is almost flat and a bit wide, to help you stay upright. So the next time you're walking, be sure to look down and thank those toes!

Your Joints

The place where two bones meet is called a joint. Some joints move and others don't.

Fixed joints are fixed in place and don't move at all. Your skull has some of these joints (called sutures, remember?), which close up the bones of the skull in a young person's head. One of these joints is called the parieto-temporal (say: par-EYE-ih-toh TEM-puh-rul) suture — it's the one that runs along the side of the skull.

Moving joints are the ones that let you ride your bike, eat cereal, and play a video game — the ones that allow you to twist, bend, and move different parts of your body. Some moving joints, like the ones in your spine, move only a little. Other joints move a lot. One of the main types of moving joints is called a hinge joint. Your elbows and knees each have hinge joints, which let you bend and then straighten your arms and legs. These joints are like the hinges on a door. Just as most doors can only open one way, you can only bend your arms and legs in one direction. You also have many smaller hinge joints in your fingers and toes.

Another important type of moving joint is the ball and socket joint. You can find these joints at your shoulders and hips. They are made up of the round end of one bone fitting into a small cup-like area of another bone. Ball and socket joints allow for lots of movement in every direction. Make sure you've got lots of room, and try swinging your arms all over the place.

Have you ever seen someone put oil on a hinge to make it work easier or stop squeaking? Well, your joints come with their own special fluid called synovial fluid (say: SIH-no-vee-ul) that helps them move freely. Bones are held together at the joints by ligaments (say: LIH-guh-mints), which are like very strong rubber bands.

Taking Care of Bones

Your bones help you out every day so make sure you take care of them. Here are some tips:

Protect those skull bones (and your brain inside!) by wearing a helmet for bike riding and other sports. When you use a skateboard, in-line skates, or a scooter, be sure to add wrist supports and elbow and knee pads. Your bones in these places will thank you if you have a fall!

If you play sports like football, soccer, lacrosse, or ice hockey, always wear all the right equipment. And never play on a trampoline. Many kids end up with broken bones from jumping on them. Broken bones can eventually heal, but it takes a long time and isn't much fun while you wait.

Strengthen your skeleton by drinking milk and eating other dairy products (like low-fat cheese or frozen yogurt). They all contain calcium, which helps bones harden and become strong.

Be active! Another way to strengthen your bones is through exercise like running, jumping, dancing, and playing sports.

Take these steps to be good to your bones, and they will treat you right!

Reviewed by: Steven Dowshen, MD

Date reviewed: August 2015Bones article - kids health

KidsHealth / For Kids / Your Digestive System

Your Digestive System

Reviewed by: Steven Dowshen, MD

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en españolTu sistema digestivo

So there you are, sitting at lunch, enjoying some grilled-chicken pizza and a few orange wedges. When you're finished, you take a last drink of milk, wipe your mouth, and head to your next class. In a few minutes you're thinking about the capital of Oregon or your science fair project. You've completely forgotten about that pizza lunch you just ate. But it's still in your stomach — sort of like a science experiment that happens all the time!

The Mouth Starts Everything Moving

Your digestive (say: dye-JES-tiv) system started working even before you took the first bite of your pizza. And the digestive system will be busy at work on your chewed-up lunch for the next few hours — or sometimes days, depending upon what you've eaten. This process, called digestion, allows your body to get the nutrients and energy it needs from the food you eat. So let's find out what's happening to that pizza, orange, and milk.

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The Digestive System

The digestive system consists of the parts of the body that work together to turn food and liquids into the building blocks and fuel that the body needs.


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© 2018 The Nemours Foundation/KidsHealth. All rights reserved.

Even before you eat, when you smell a tasty food, see it, or think about it, digestion begins. Saliva (say: suh-LYE-vuh), or spit, begins to form in your mouth.

When you do eat, the saliva breaks down the chemicals in the food a bit, which helps make the food mushy and easy to swallow. Your tongue helps out, pushing the food around while you chew with your teeth. When you're ready to swallow, the tongue pushes a tiny bit of mushed-up food called a bolus (say: BO-luss) toward the back of your throat and into the opening of your esophagus, the second part of the digestive tract.

On the Way Down

The esophagus (say: ih-SOF-eh-guss) is like a stretchy pipe that's about 10 inches (25 centimeters) long. It moves food from the back of your throat to your stomach. But also at the back of your throat is your windpipe, which allows air to come in and out of your body. When you swallow a small ball of mushed-up food or liquids, a special flap called the epiglottis (say: ep-ih-GLOT-iss) flops down over the opening of your windpipe to make sure the food enters the esophagus and not the windpipe.

If you've ever drunk something too fast, started to cough, and heard someone say that your drink "went down the wrong way," the person meant that it went down your windpipe by mistake. This happens when the epiglottis doesn't have enough time to flop down, and you cough involuntarily (without thinking about it) to clear your windpipe.

Once food has entered the esophagus, it doesn't just drop right into your stomach. Instead, muscles in the walls of the esophagus move in a wavy way to slowly squeeze the food through the esophagus. This takes about 2 or 3 seconds.

See You in the Stomach

Your stomach, which is attached to the end of the esophagus, is a stretchy sack shaped like the letter J. It has three important jobs:

  1. to store the food you've eaten

  2. to break down the food into a liquidy mixture

  3. to slowly empty that liquidy mixture into the small intestine

The stomach is like a mixer, churning and mashing together all the small balls of food that came down the esophagus into smaller and smaller pieces. It does this with help from the strong muscles in the walls of the stomach and gastric (say: GAS-trik) juices that also come from the stomach's walls. In addition to breaking down food, gastric juices also help kill bacteria that might be in the eaten food.

Onward to the small intestine!

22 Feet Isn't Small at All

The small intestine (say: in-TESS-tin) is a long tube that's about 1½ inches to 2 inches (about 3.5 to 5 centimeters) around, and it's packed inside you beneath your stomach. If you stretched out an adult's small intestine, it would be about 22 feet long (6.7 meters) — that's like 22 notebooks lined up end to end, all in a row!

The small intestine breaks down the food mixture even more so your body can absorb all the vitamins, minerals, proteins, carbohydrates, and fats. The grilled chicken on your pizza is full of proteins — and a little fat — and the small intestine can help extract them with a little help from three friends: the pancreas (say: PAN-kree-uss), liver, and gallbladder.

Those organs send different juices to the first part of the small intestine. These juices help to digest food and allow the body to absorb nutrients. The pancreas makes juices that help the body digest fats and protein. A juice from the liver called bile helps to absorb fats into the bloodstream. And the gallbladder serves as a warehouse for bile, storing it until the body needs it.

Your food may spend as long as 4 hours in the small intestine and will become a very thin, watery mixture. It's time well spent because, at the end of the journey, the nutrients from your pizza, orange, and milk can pass from the intestine into the blood. Once in the blood, your body is closer to benefiting from the complex carbohydrates in the pizza crust, the vitamin C in your orange, the protein in the chicken, and the calcium in your milk.

Next stop for these nutrients: the liver! And the leftover waste — parts of the food that your body can't use — goes on to the large intestine.

Love Your Liver

The nutrient-rich blood comes directly to the liver for processing. The liver filters out harmful substances or wastes, turning some of the waste into more bile. The liver even helps figure out how many nutrients will go to the rest of the body, and how many will stay behind in storage. For example, the liver stores certain vitamins and a type of sugar your body uses for energy.

That's One Large Intestine

At 3 or 4 inches around (about 7 to 10 centimeters), the large intestine is fatter than the small intestine and it's almost the last stop on the digestive tract. Like the small intestine, it is packed into the body, and would measure 5 feet (about 1.5 meters) long if you spread it out.

The large intestine has a tiny tube with a closed end coming off it called the appendix (say: uh-PEN-dix). It's part of the digestive tract, but it doesn't seem to do anything, though it can cause big problems because it sometimes gets infected and needs to be removed.

Like we mentioned, after most of the nutrients are removed from the food mixture there is waste left over — stuff your body can't use. This stuff needs to be passed out of the body. Can you guess where it ends up? Well, here's a hint: It goes out with a flush.

Before it goes, it passes through the part of the large intestine called the colon (say: CO-lun), which is where the body gets its last chance to absorb the water and some minerals into the blood. As the water leaves the waste product, what's left gets harder and harder as it keeps moving along, until it becomes a solid. Yep, it's poop(also called stool or a bowel movement).

The large intestine pushes the poop into the rectum (say: REK-tum), the very last stop on the digestive tract. The solid waste stays here until you are ready to go to the bathroom. When you go to the bathroom, you are getting rid of this solid waste by pushing it through the anus (say: AY-nus). There's the flush we were talking about!

Dig That Digestive System

You can help your digestive system by drinking water and eating a healthy diet that includes foods rich in fiber. High-fiber foods, like fruits, vegetables, and whole grains, make it easier for poop to pass through your system.

The digestive system is a pretty important part of your body. Without it, you couldn't get the nutrients you need to grow properly and stay healthy. And next time you sit down to lunch, you'll know where your food goes — from start to finish!

Reviewed by: Steven Dowshen, MD

Date reviewed: August 2015Digestive system article - kids health

KidsHealth / For Kids / Your Brain & Nervous System

Your Brain & Nervous System

Reviewed by: Steven Dowshen, MD

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en españolTu cerebro y sistema nervioso

How do you remember the way to your friend's house? Why do your eyes blink without you ever thinking about it? Where do dreams come from? Your brain is in charge of these things and a lot more.

In fact, your brain is the boss of your body. It runs the show and controls just about everything you do, even when you're asleep. Not bad for something that looks like a big, wrinkly, gray sponge.

Your brain has many different parts that work together. We're going to talk about these five parts, which are key players on the brain team:

  1. cerebrum (say: suh-REE-brum)

  2. cerebellum (say: sair-uh-BELL-um)

  3. brain stem

  4. pituitary (say: puh-TOO-uh-ter-ee) gland

  5. hypothalamus (say: hy-po-THAL-uh-mus)

The Biggest Part: the Cerebrum

The biggest part of the brain is the cerebrum. The cerebrum makes up 85% of the brain's weight, and it's easy to see why. The cerebrum is the thinking part of the brain and it controls your voluntary muscles — the ones that move when you want them to. So you can't dance — or kick a soccer ball — without your cerebrum.

When you're thinking hard, you're using your cerebrum. You need it to solve math problems, figure out a video game, and draw a picture. Your memory lives in the cerebrum — both short-term memory (what you ate for dinner last night) and long-term memory (the name of that roller-coaster you rode on two summers ago). The cerebrum also helps you reason, like when you figure out that you'd better do your homework now because your mom is taking you to a movie later.

The cerebrum has two halves, with one on either side of the head. Scientists think that the right half helps you think about abstract things like music, colors, and shapes. The left half is said to be more analytical, helping you with math, logic, and speech. Scientists do know for sure that the right half of the cerebrum controls the left side of your body, and the left half controls the right side.

The Cerebellum's Balancing Act

Next up is the cerebellum. The cerebellum is at the back of the brain, below the cerebrum. It's a lot smaller than the cerebrum at only 1/8 of its size. But it's a very important part of the brain. It controls balance, movement, and coordination (how your muscles work together).

Because of your cerebellum, you can stand upright, keep your balance, and move around. Think about a surfer riding the waves on his board. What does he need most to stay balanced? The best surfboard? The coolest wetsuit? Nope — he needs his cerebellum!

Brain Stem Keeps You Breathing — and More

Another brain part that's small but mighty is the brain stem. The brain stem sits beneath the cerebrum and in front of the cerebellum. It connects the rest of the brain to the spinal cord, which runs down your neck and back. The brain stem is in charge of all the functions your body needs to stay alive, like breathing air, digesting food, and circulating blood.

Part of the brain stem's job is to control your involuntary muscles — the ones that work automatically, without you even thinking about it. There are involuntary muscles in the heart and stomach, and it's the brain stem that tells your heart to pump more blood when you're biking or your stomach to start digesting your lunch. The brain stem also sorts through the millions of messages that the brain and the rest of the body send back and forth. Whew! It's a big job being the brain's secretary!

Pituitary Gland Controls Growth

The pituitary gland is very small — only about the size of a pea! Its job is to produce and release hormones into your body. If your clothes from last year are too small, it's because your pituitary gland released special hormones that made you grow. This gland is a big player in pubertytoo. This is the time when boys' and girls' bodies go through major changes as they slowly become men and women, all thanks to hormones released by the pituitary gland.

This little gland also plays a role with lots of other hormones, like ones that control the amount of sugars and water in your body. And it helps keep your metabolism (say: muh-TA-buh-lih-zum) going. Your metabolism is everything that goes on in your body to keep it alive and growing and supplied with energy, like breathing, digesting food, and moving your blood around.

Hypothalamus Controls Temperature

The hypothalamus is like your brain's inner thermostat (that little box on the wall that controls the heat in your house). The hypothalamus knows what temperature your body should be (about 98.6°F or 37°C). If your body is too hot, the hypothalamus tells it to sweat. If you're too cold, the hypothalamus gets you shivering. Both shivering and sweating are attempts to get your body's temperature back where it needs to be.

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The Brain and Nervous System

The brain is like a computer that controls the body's functions, and the nervous system is like a network that relays messages to parts of the body.


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© 2018 The Nemours Foundation/KidsHealth. All rights reserved.

You Have Some Nerve!

So the brain is boss, but it can't do it alone. It needs some nerves — actually a lot of them. And it needs the spinal cord, which is a long bundle of nerves inside your spinal column, the vertebrae that protect it. It's the spinal cord and nerves — known as the nervous system — that let messages flow back and forth between the brain and body.

If a spiky cactus falls off a shelf headed right for your best friend, your nerves and brain communicate so that you jump up and yell for your friend to get out of the way. If you're really good, maybe you're able to catch the plant before it hits your friend!

But you might wonder about these nerves, which you can't see without a microscope. What are they anyway? The nervous system is made up of millions and millions of neurons (say: NUR-onz), which are microscopic cells. Each neuron has tiny branches coming off it that let it connect to many other neurons.

When you were born, your brain came with all the neurons it will ever have, but many of them were not connected to each other. When you learn things, the messages travel from one neuron to another, over and over. Eventually, the brain starts to create connections (or pathways) between the neurons, so things become easier and you can do them better and better.

Think back to the first time you rode a bike. Your brain had to think about pedaling, staying balanced, steering with the handlebars, watching the road, and maybe even hitting the brakes — all at once. Hard work, right? But eventually, as you got more practice, the neurons sent messages back and forth until a pathway was created in your brain. Now you can ride your bike without thinking about it because the neurons have successfully created a "bike riding" pathway.

Emotion Location

With all the other things it does, is it any surprise that the brain runs your emotions? Maybe you got the exact toy you wanted for your birthday and you were really happy. Or your friend is sick and you feel sad. Or your little brother messed up your room, so you're really angry! Where do those feelings come from? Your brain, of course.

Your brain has a little bunch of cells on each side called the amygdala (say: uh-MIG-duh-luh). The word amygdala is Latin for almond, and that's what this area looks like. Scientists believe that the amygdala is responsible for emotion. It's normal to feel all different kinds of emotions, good and bad. Sometimes you might feel a little sad, and other times you might feel scared, or silly, or glad.

Be Good to Your Brain

So what can you do for your brain? Plenty.

  • Eat healthy foods. They contain potassium and calcium, two minerals that are important for the nervous system.

  • Get a lot of playtime (exercise).

  • Wear a helmet when you ride your bike or play other sports that require head protection.

  • Don't drink alcohol, take drugs, or use tobacco.

  • Use your brain by doing challenging activities, such as puzzles, reading, playing music, making art, or anything else that gives your brain a workout!

Reviewed by: Steven Dowshen, MD

Date reviewed: July 2015

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Brain and nervous system article - kids health

KidsHealth / For Kids / Your Muscles

Your Muscles

Reviewed by: Steven Dowshen, MD

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en españolTus músculos

Did you know you have more than 600 muscles in your body? They do everything from pumping blood throughout your body to helping you lift your heavy backpack. You control some of your muscles, while others — like your heart — do their jobs without you thinking about them at all.

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Muscles and Joints

The human body has more than 600 muscles. They do everything from pumping blood throughout the body to helping us lift something heavy.


Click through this slideshow to learn more about the muscles and joints.

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© 2018 The Nemours Foundation/KidsHealth. All rights reserved.

Muscles are all made of the same material, a type of elastic tissue (sort of like the material in a rubber band). Thousands, or even tens of thousands, of small fibers make up each muscle.

You have three different types of muscles in your body: smoothmuscle, cardiac (say: KAR-dee-ak) muscle, and skeletal (say: SKEL-uh-tul) muscle.

Smooth Muscles

Smooth muscles — sometimes also called involuntary muscles — are usually in sheets, or layers, with one layer of muscle behind the other. You can't control this type of muscle. Your brain and body tell these muscles what to do without you even thinking about it. You can't use your smooth muscles to make a muscle in your arm or jump into the air.

But smooth muscles are at work all over your body. In your stomach and digestive system, they contract (tighten up) and relax to allow food to make its journey through the body. Your smooth muscles come in handy if you're sick and you need to throw up. The muscles push the food back out of the stomach so it comes up through the esophagus (say: ih-SAH-fuh-gus) and out of the mouth.

Smooth muscles are also found in your bladder. When they're relaxed, they allow you to hold in urine (pee) until you can get to the bathroom. Then they contract so that you can push the urine out. These muscles are also in a woman's uterus, which is where a baby develops. There they help to push the baby out of the mother's body when it's time to be born.

You'll find smooth muscles at work behind the scenes in your eyes, too. These muscles keep the eyes focused.

A Hearty Muscle

The muscle that makes up the heart is called cardiac muscle. It is also known as the myocardium (say: my-uh-KAR-dee-um). The thick muscles of the heart contract to pump blood out and then relax to let blood back in after it has circulated through the body.

Just like smooth muscle, cardiac muscle works all by itself with no help from you. A special group of cells within the heart are known as the pacemaker of the heart because it controls the heartbeat.

Skeletal Muscle

Now, let's talk about the kind of muscle you think of when we say "muscle" — the ones that show how strong you are and let you boot a soccer ball into the goal. These are your skeletal muscles — sometimes called striated (say: STRY-ay-tud) musclebecause the light and dark parts of the muscle fibers make them look striped (striated is a fancy word meaning striped).

Skeletal muscles are voluntary muscles, which means you can control what they do. Your leg won't bend to kick the soccer ball unless you want it to. These muscles help to make up the musculoskeletal (say: mus-kyuh-low-SKEL-uh-tul) system — the combination of your muscles and your skeleton, or bones.

Together, the skeletal muscles work with your bones to give your body power and strength. In most cases, a skeletal muscle is attached to one end of a bone. It stretches all the way across a joint (the place where two bones meet) and then attaches again to another bone.

Skeletal muscles are held to the bones with the help of tendons(say: TEN-dunz). Tendons are cords made of tough tissue, and they work as special connector pieces between bone and muscle. The tendons are attached so well that when you contract one of your muscles, the tendon and bone move along with it.

Skeletal muscles come in many different sizes and shapes to allow them to do many types of jobs. Some of your biggest and most powerful muscles are in your back, near your spine. These muscles help keep you upright and standing tall.

They also give your body the power it needs to lift and push things. Muscles in your neck and the top part of your back aren't as large, but they are capable of some pretty amazing things: Try rotating your head around, back and forth, and up and down to feel the power of the muscles in your neck. These muscles also hold your head high.

Face Muscles

You may not think of it as a muscular body part, but your face has plenty of muscles. You can check them out next time you look in the mirror. Facial muscles don't all attach directly to bone like they do in the rest of the body. Instead, many of them attach under the skin. This allows you to contract your facial muscles just a tiny bit and make dozens of different kinds of faces. Even the smallest movement can turn a smile into a frown. You can raise your eyebrow to look surprised or wiggle your nose.

And while you're looking at your face, don't pass over your tongue — a muscle that's attached only at one end! Your tongue is actually made of a group of muscles that work together to allow you to talk and help you chew food. Stick out your tongue and wiggle it around to see those muscles at work.

Major Muscles

Because there are so many skeletal muscles in your body, we can't list them all here. But here are a few of the major ones:

  • In each of your shoulders is a deltoid (say: DEL-toyd) muscle. Your deltoid muscles help you move your shoulders every which way — from swinging a softball bat to shrugging your shoulders when you're not sure of an answer.

  • The pectoralis (say: pek-tuh-RAH-lus) muscles are found on each side of your upper chest. These are usually called pectorals (say: PEK-tuh-rulz), or pecs, for short. When many boys hit puberty, their pectoral muscles become larger. Many athletes and bodybuilders have large pecs, too.

  • Below these pectorals, down under your ribcage, are your rectus abdominus (say: REK-tus ab-DAHM-uh-nus) muscles, or abdominals (say: ab-DAHM-uh-nulz). They're often called abs for short.

  • When you make a muscle in your arm, you tense your biceps(say: BYE-seps) muscle. When you contract your biceps muscle, you can actually see it push up under your skin.

  • Your quadriceps (say: KWAD-ruh-seps), or quads, are the muscles on the front of your thighs. Many people who run, bike, or play sports develop large, strong quads.

  • And when it's time for you to take a seat? You'll be sitting on your gluteus maximus (say: GLOOT-ee-us MAK-suh-mus), the muscle that's under the skin and fat in your behind!

Reviewed by: Steven Dowshen, MD

Date reviewed: August 2015

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  • Getting Muscles

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  • Carpal Tunnel Syndrome

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Muscle system article - kids health

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