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Nutrition Basics

Peristalsis

Muscle contractions that move food through the intestine.

Definition

Peristalsis is the involuntary wavelike movement of the smooth muscles in the digestive system that propels food from the esophagus to the rectum.

How it works

These contractions are coordinated by the enteric nervous system (the 'second brain'). The speed varies: 2-4 cm/s in the small intestine, much slower in the colon. Stress, certain medications, and functional intestinal disorders disrupt peristalsis.

Role

To propel digestive content along the digestive tract and mix nutrients with enzymes.

Examples

  • Gastroesophageal reflux = failed peristalsis
  • Irritable bowel syndrome = irregular peristalsis

Recommendations

Magnesium, fiber, and physical activity promote effective peristalsis.

Key takeaway

Peristalsis is controlled by the enteric nervous system, which has as many neurons as the spinal cord.

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