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13 Fundamental Facts About the Anus

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The human body is an amazing thing. For each one of us, it's the most intimate object we know. And yet most of us don't know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

The anus might be the most underappreciated part of the body. Its very mention generally causes people to giggle or cringe. Yet without it, you'd be unable to eliminate waste and eventually die. In case your childhood wasn't enough to give you an accurate idea of its location, the anus is essentially the valve that stands between your poop and the toilet. It's considered the last piece of your digestive tract, essentially a two-inch long canal comprised of pelvic floor muscles and sphincters, easy to locate below either your vagina or your scrotum.

1. IT HAS TWO SPHINCTERS …

You may have heard talk of your "anal sphincter," which is not just one, but two valves. The internal sphincter is involuntary, meaning you can't squeeze it open—it's always closed up tight until it's time to poop. You can consciously hold closed the external, voluntary sphincter if you have to go to the bathroom but there's no toilet in sight, and consciously choose to open it when you're ready to poop. Thanks to your pelvic floor muscle, your poop normally doesn't come out when you don't want it to.

2. …AND ONE VERY IMPORTANT ROLE.

"The most important role is to eliminate waste," Rafael Lugo, a colorectal surgeon in Houston, tells Mental Floss. "We don't think much of it, but it's very important because if we don't eliminate waste, we have a [serious] problem." In rare cases, long-term constipation can cause illness and even death.

3. YOU REALLY SHOULD TAKE A LOOK AT IT … FOR YOUR HEALTH.

Since some of the health conditions of the anus don't cause any immediate symptoms you can feel, Lugo recommends you get comfortable looking at your anus from time to time. "We have these taboos in this society about looking at our bodies. Your body is your body. Touch it. The best place is in the shower. You have soap, feel the area. If anything is abnormal, take it to a mirror," he says. Once a year, have a professional look at it. He says he finds a lot of abnormalities that people live with and don't even know can be treated, such as fissures, hemorrhoids, and even cancer.

4. A SELF-CHECK CAN CATCH ANAL CANCER IN ITS EARLY STAGES.

"We can't control how [anal] melanoma happens, but it can be addressed early if you keep an eye on your butt. You can detect these changes early on and not die from it," Lugo advises. He recommends you "know your body head to toe. People tend to notice the dent in their car more often than they notice an issue in their body."

5. YOU DON'T HAVE TO SUNTAN TO GET ANAL CANCER.

Anal carcinoma, unfortunately, is not something you can usually feel with your hand. "It doesn't grow a tumor like a melanoma," Lugo says. "There's no bump." This kind of cancer can be genetic and is further reason to see a proctologist once a year, particularly if you have a family history of cancer.

6. ANAL SEX SLIGHTLY INCREASES YOUR RISK OF CANCER FROM THE HPV VIRUS.

Another form of anal carcinoma is caused by the human papilloma virus (HPV) that causes genital warts. While this virus can spread from a penis or vagina to an anus, chances of transmission are greater by anal sex. Unlike the convenient test for the HPV virus in the vagina, there's not a similar test for signs of HPV of the anus. This is another reason why having a professional look at your anus is a good idea. "There might be a little wart, something that looks abnormal. If you're sexually active, have multiple partners, or having high-risk sex, you should be more vigilant every few months," Lugo says.

7. THERE'S NOTHING DIRTY ABOUT THE ANUS.

So long as you handle your basic hygiene, your anus isn't dirty, Lugo insists. He says the anus doesn't require soap to stay clean, just water and wiping. In fact, soaps and shampoos can irritate and dry out the sensitive skin of the anus, so go easy on those. "It's a very complex organ that we basically disregard," says Lugo.

8. HUMANS HAVE WIPED THEIR BUTTS IN A LOT OF WAYS.

Over the centuries, before the advent of toilet paper, humans turned to a wide variety of objects with which to wipe their butts, including "leaves, grass, stones, corn cobs, animal furs, sticks, snow, seashells, and, lastly, hands," as Scientific American reported. Notice that most of these objects are hard, and you might really appreciate that squeezably soft Charmin.

9. BUTT HAIR IS NORMAL.

In your infrequent inspection of your anus, you may discover that hair grows down there. Scientists aren't entirely sure why. That hasn't stopped us laypeople from asking, though. In fact, so many SciShow viewers asked host Hank Green to tackle the subject that he dedicated an episode to it. The prevailing theories can be summed up as: 1. we simply haven't evolved away from hair there, because it doesn't get in the way of elimination or procreation; 2. it helps conduct scents that our ancient selves relied upon for reproductive purposes; or 3. it helps prevent irritation or chafing in that sensitive tissue.

10. HEMORRHOIDS ARE VARICOSE VEINS OF THE ANUS.

The veins in your anus "help the anus seal," like a closing door, says Lugo. But when you get a hemorrhoid, essentially just a swollen, dilated vein, "it's like having a shoe in the door, because there's something uneven there." Not only can hemorrhoids bleed, throb and itch, they can lead to a condition called anal seepage. "There are many modalities to take care of them, but they're not very comfortable, and you may need a surgery to take care of it," Lugo says.

11. IT IS POSSIBLE TO PREVENT HEMORRHOIDS.

The key to preventing hemorrhoids is avoiding constipation and straining on the toilet. "Prevention is important: Keep your stool soft, [take] plenty of fiber, and drink plenty of water," Lugo advises.

12. TRY NOT TO SIT ON THE TOILET FOR MORE THAN FIVE MINUTES.

Don't spend more than five minutes on the toilet, Lugo advises. "You shouldn't be sitting there having a social event." When you sit on the toilet seat, gravity exerts its pull on tissues, including hemorrhoids. "When your butt is hanging there, all the blood [flows] into there. Hemorrhoids are like balloons, they stretch and contract."

13. BURNING SENSATION? IT MAY NOT BE WHAT YOU THINK.

A burning or hot sensation of the anus is not always a hemorrhoid. It could be an anal fissure, or a tiny tear in the lining of the anus. "This can happen after a large bowel movement, especially if you already suffer constipation, which can stretch the anus," Lugo says. These can be treated by sitting in a hot bath for 20 minutes a day until the tissue heals. In cases where the fissure recurs and won't go away, surgery may be necessary.

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The Body
11 Amazing Facts About Veins
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The human body is an amazing thing. For each one of us, it's the most intimate object we know. And yet most of us don't know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

Beneath your skin, and deeper within your body, run networks of veins. These thin, tube-like structures are an essential part of the circulatory system, which distributes blood and nutrients throughout the body. What Thomas E. Eidson, a phlebologist (vein disease specialist) at Atlas Vein Care in Arlington, Texas, finds most compelling about veins is "how absolutely intricate and fragile the circulatory system can seem and yet at the same time be so resilient and adaptive."

1. VEINS ARE ONE OF THREE KINDS OF BLOOD VESSELS.

Three types of blood vessels make up the human circulatory system: arteries, veins, and capillaries. All three of these vessels transport blood, oxygen, nutrients, and hormones to organs and cells. While arteries carry oxygenated blood away from the heart to the tissues of the body, veins carry oxygen-depleted blood from the tissues back to the heart, and in fact have special valves that help them to achieve this directional flow. Capillaries are tiny blood vessels that connect arteries to veins and allow nutrients in the blood to diffuse to the body's tissues.

2. A SINGLE VEIN IS COMPRISED OF THREE LAYERS.

Veins, small as they are, consist of three layers. According to Eidson, these layers are known as the tunica adventitia, tunica media, and tunica intima. The tunica adventitia is the tough outer layer of arteries and veins and is made mainly of connective tissues. The middle layer, tunica media, is all smooth muscle and elastic fibers. This layer is thinner in veins than in arteries. The innermost layer, tunica intima, comes in direct contact with blood as it flows through the vein. This structure is made up of smooth cells and has a hollow center known as the lumen.

3. OUR BODIES CONTAIN UP TO 100,000 MILES OF BLOOD VESSELS.

All the arteries, veins, and capillaries of a human child, stretched end to end, are estimated to wrap around the Earth about 2.5 times (the equivalent of about 60,000 miles). The amount of blood vessels in a human adult would circle our planet four times, equaling 100,000 miles, according to Eidson.

4. CAPILLARIES ARE SMALLER THAN THE WIDTH OF A HUMAN HAIR.

Capillaries are tiny—at their smallest, they're less than a third of the thickness of a human hair. But to really put it into perspective, consider that when red blood cells flow through capillaries, "[they] must travel through them one cell at a time in a single-file line," Eidson says.

5. PHYSICIANS HAD THE CIRCULATORY SYSTEM ALL WRONG UNTIL THE 17TH CENTURY.

"Physicians followed an incorrect model of the circulatory system proposed by Greek physician and philosopher Galen of Pergamon from about the 2nd century CE until the 1600s," Eidson says. According to a paper in the Journal of Thrombosis and Haemostasis, Galen thought there were two systems: one in which the liver, not the heart, produced blood that was distributed in the body centrifugally, and another where arteries carried air from the lungs and more blood to tissues. "Blood was not seen to circulate but rather to slowly ebb and flow," author W.C. Aird wrote. This attitude prevailed until 1628, when English physician William Harvey first correctly described the circulatory system and the function of the heart.

6. THE BODY CAN FORM NEW VESSELS WHEN ONE IS BLOCKED.

Eidson says the body can form new blood vessels if a pathway gets blocked, a process called angiogenesis or neovascularization. On the positive side, this is the process by which flesh wounds heal, drawing nutrients and oxygen from the nearest healthy capillaries to the site of those that are damaged; this isn't too hard given how numerous capillaries are in the body. On the negative side, this same process can lead to corneal neovascularization, in which new blood vessels invade the cornea from the limbus, a part of the eye where the cornea meets the sclera—the white part of the eye. The extra blood vessels can cause inflammation and scarring of the cornea, and even result in blindness.

7. ONE PHYSICIAN PERFORMED A PIONEERING EXPERIMENT ON VEINS IN THE ARM—HIS OWN.

German physician Werner Forssmann performed a cardiac catheterization on himself in 1929. In this procedure, a thin tube called a catheter is inserted into one of the large blood vessels in the arm that leads to the heart. The medical community at the time believed studying the heart was highly unorthodox, but Forssmann was determined to prove them wrong. If the procedure succeeded, Forssmann would be able to show that a catheter could assess the pressure in the organ and how well the heart is working.

He made an incision on the inside of his left elbow and threaded the thin tube into his heart—and had a technician take an X-ray to prove the penetration was a success. Then he calmly removed the catheter from his arm with no side effects. Now, "it's a procedure performed in the U.S. approximately 1 million times per year," Eidson says. Forssmann also went on to win the Nobel Prize for Medicine in 1956, shutting up his detractors.

8. STRONG VEINS ARE ESSENTIAL TO A STRONG BODY.

Veins return oxygen-depleted blood back to the heart against the force of gravity. "If veins are too weak—a condition called venous insufficiency—blood can pool in the legs and skin causing swelling, pain, discoloration, and wounds," says Albert Malvehy, a venous and lymphatic specialist and phlebology sonographer in Delray Beach, Florida. Chronic venous insufficiency is more common in people who are obese, pregnant, or who have a family history of the problem. It can also be caused by high blood pressure in the leg veins, as a result of sitting or standing for long stints; not enough exercise, smoking, or deep vein thrombosis (blood clots). Depending on the severity, treatments may range from medication to surgery.

9. VARICOSE VEINS ARE CAUSED BY DAMAGED VALVES.

When venous valves are damaged, blood can flow in the wrong direction and lead to stretched-out, bulging veins, Gregory P. Kezele, the medical director of Vein Clinics of Cleveland, tells Mental Floss. Varicose veins, which can range in color from purplish to neutral, appear twisted and gnarled, and may be raised on the skin's surface. (Don't confuse them with spider veins, which are clusters of bluish or reddish veins near the surface of the skin that resemble webs, hence the name.) Conditions like pregnancy, obesity, and genetic predisposition can cause them. Once varicose veins appear—usually on the legs—they require a medical procedure to get rid of them.

Veins are a critical part of normal circulation in the body, so varicose veins can be more than just a cosmetic issue. "They can be a sign of a deeper circulation problem," Malvehy says. "People with varicose veins, leg pain, restless legs syndrome, leg wounds, and leg swelling should be checked by a vein specialist."

One in five people have vein disease. As recently as 10 years ago, there were few treatments to offer varicose vein sufferers except for vein stripping surgery, in which problematic veins are removed. Malvehy says that over the past decade, "there has been a revolution in treatment, such that almost all vein issues can be treated in the office with no downtime."

One common treatment is sclerotherapy, in which a liquid solution is forced into the bulging vein to stop the flow of blood. The vein will eventually turn into scar tissue and fade away, though follow-up treatments might be needed.

Another treatment is thermal ablation, performed using ultrasound guidance. Kezele explains that a physician will insert a small catheter into the diseased veins, which then delivers heat; the heat will close off blood flow to the problem veins and improve circulation as blood diverts to healthy veins.

10. AN EARLY DEPICTION OF VEIN DISEASE APPEARS IN A SCULPTURE FROM 340 BCE.

According to Kezele, the first depiction of vein disease appears on a Greek tablet dating to the 4th century BCE. The carving, from the sanctuary of Amynos, shows a man clutching a giant, disembodied leg with a bulging vein. Kezele suggests on his website that "it shows the Greek official Lysimachides dedicating a fake leg suffering from a varicose vein to Amynos," an Athenian hero revered as a healer.

11. VEINS MIGHT "POP OUT" WHEN YOU EXERCISE.

There are lots of theories on why athletes often have big, bodaciously bulging veins visible on their arms or legs after they work out. The ropy look is completely normal and temporary. Writing in Scientific American, physiology professor Mark A. W. Andrews said that a likely cause of protruding veins is arterial blood pressure during exercise. Blood that would otherwise be resting in capillaries is forced out by the pressure into the surrounding muscle. That process—called filtration—makes the muscles swell, which pushes nearby veins closer to the skin's surface so they take on a bulging appearance. The process is more noticeable in athletes and body builders with very little subcutaneous fat.

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11 Amazing Facts About the Nipple

The human body is an amazing thing. For each one of us, it's the most intimate object we know. And yet most of us don't know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

Despite its relatively small size on the human body, the nipple gets a lot of attention. Biologically, the nipple serves two key functions: In women, nipples deliver milk out of the ducts within the breast to babies, and for women and men, they serve as erogenous zones. Check out our list of fascinating facts about this often-misunderstood body part.

1. THE NIPPLE HAS ITS OWN SWEAT GLANDS.

The nipple is the raised bump or protrusion on top of the breast that sits on the circular area known as the areola. The areola is often much larger in circumference than the actual nipple, as it holds small sweat glands called Montgomery glands (named for William Fetherstone Montgomery, an Irish obstetrician who first described them). The sole function of these glands is to secrete fluids during breastfeeding to lubricate the nipple and to produce a scent that attracts the baby to its mother's breast.

2. NIPPLES CAN POKE IN OR OUT.

Not all nipples point jauntily outward. Men's and women's nipples can be inverted, essentially pointing inward. In the worst-case scenario, "the skin adheres to itself and has to peel open to [turn outward] initially, and [that] can be painful," Constance Chen, a board-certified plastic surgeon and clinical assistant professor of plastic surgery at Weill Cornell Medical College in New York, tells Mental Floss. For most women, however, an inverted nipple causes neither pain nor prevents breastfeeding with proper technique or nipple shields.

3. SOME PEOPLE HAVE EXTRA NIPPLES.

While most people have two nipples, one atop each breast (yes, both women and men have breasts), some people have extra or "supernumerary" nipples outside of the typical location. One Indian man was even found to have seven.

Leigh Anne O'Connor, a certified lactation consultant in New York, says these extra nipples can appear on or below an area named the Tail of Spence (after Scottish surgeon James Spence), which extends from the breast up into the armpit.

"Some people have nipples in their armpits, or even tiny breasts, and these nipples may leak," O'Connor tells Mental Floss. But an extra nipple is just an extra nipple—no cause for alarm or shame.

4. HERE'S WHY MEN HAVE NIPPLES.

Since the main purpose of nipples is breastfeeding babies, and male breasts do not lactate, it begs the question: Why do men have nipples? Scientists Stephen Jay Gould and Richard C. Lewontin tried to get to the bottom of this conundrum in a seminal paper in 1993.

All human embryos start out essentially the same. If the embryo has XY chromosomes, a gene on the Y chromosome called SRY will activate within a couple weeks of conception and begin to differentiate the embryo into one with male genitals.

However, it turns out that breast tissue begins to develop before SRY kicks in, and since nipples in men essentially do no harm, Gould and Lewontin argue, there has simply never been a good enough reason—evolutionarily speaking—to do away with them. They linger because they're benign. Or as Andrew M. Simons, a professor of biology at Carleton University in Ottawa, Ontario wrote in Scientific American, "The presence of nipples in male mammals is a genetic architectural by-product of nipples in females. So, why do men have nipples? Because females do."

5. THE WORLD'S STRONGEST NIPPLES BELONG TO THE GREAT NIPPULINI.

Who needs pecs when you have nipples like those of The Great Nippulini, a.k.a. Sage Werbock, a performer who makes a living demonstrating the mighty power of his nipples? Each nipple can lift 70 pounds, and he holds a Guinness record for the heaviest vehicle pulled by nipples for 20 meters (66 feet)—988.5 kilograms (2179.27 pounds). He has also lifted a variety of dumbbells, anvils, and bowling balls.

6. THEY'RE VERY SENSITIVE TO STIMULATION.

It's no secret that many people take sexual pleasure from nipple stimulation. However, Michael Reitano, an expert in sexual health and wellness at Roman Health in New York, brings up a study published in 2011 in which researchers set out to map the neurology of sexual stimulation in women. Through MRI imaging, they determined that "when [the nipple is] stimulated, the sensations travel to the same part of the brain that is stimulated when the clitoris, vagina, or cervix is stimulated," Reitano says. The study, published in the Journal of Sexual Medicine, also confirmed that it was possible for some women to have an orgasm by nipple stimulation alone.

While the same brain mapping has not yet been done on men, "there is every reason to believe that it has some capacity to function as a source of sexual pleasure for men as well," Reitano tells Mental Floss.

7. NIPPLES ARE AS UNIQUE AS FINGERPRINTS.

Nipples come in many colors, including pale pink, reddish-beige, brown, and black. Your own two nipples can even vary from each other, as can the areolae. "They also come in many different shapes," O'Connor says. "Some are more flat, while others can be quite bulbous. A person can have two nipples that look very different from each other. Asymmetry is normal."

8. A SPECIFIC KIND OF BREAST CANCER TARGETS THE NIPPLE.

While most forms of breast cancer affect the whole breast, Paget disease of the breast is a rare cancer that targets the skin and ducts of the nipple. "Most patients get a rash on the nipples that looks like a severe case of eczema. It is a cancer of breast epithelial (skin) cells," Chen says. Paget disease of the breast represents between 0.5 and 5 percent of all breast cancers.

9. AFTER MASTECTOMY, NIPPLE SENSATION CAN OCCASIONALLY BE RESTORED.

In breast cancer cases where mastectomy—removal of the breast—is necessary, it is sometimes possible to spare the nipple, allowing for a more realistic post-treatment reconstruction, though sensation is often lost. However, Chen says that in certain cases, "it is possible to restore sensation to the nipples with nerve repairs and nerve grafts when a woman undergoes natural tissue breast reconstruction. Sensory restoration to the nipple after mastectomy is very cutting edge, but if you find the right surgeon, it is possible."

10. NIPPLE STIMULATION CAN HELP INDUCE LABOR IN PREGNANT WOMEN.

When a woman is ready to give birth but the baby isn't, one piece of often-shared advice is to stimulate the mother's nipples to induce labor. A 2005 analysis of six trial studies found a significant decrease in the number of women who hadn't gone into labor after 72 hours. Just under 63 percent of the women who received stimulation were not in labor versus 94 percent who hadn't received it.

The mechanism isn't entirely clear, but breast stimulation causes the uterus to contract. It may also help release the hormone oxytocin, which can start contractions. Once the baby's born, the baby's suckling also has benefits for the mother. "When a newborn suckles, the increased oxytocin causes the uterus to contract [and shrink to its original size over the subsequent weeks] following birth," Reitano explains.

11. BREAST MILK HAS MULTIPLE WAYS TO EXIT THE NIPPLE.

If you've ever pumped your own breast milk or seen it done, you may have noticed that the milk doesn't just come out in a single stream. In a typical nipple, "There are between four and 20 outlets for the milk to come out—it can look like one stream or [coming from] various holes," O'Connor says.

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