How many holes does a female body have down there? By | Oct.28, 2019, 11:10 a.m. Category: help! i know alot about sex and everything but i dont know anything about what holes are for what! i dont even know how many are down there please help! There is a total of 3 holes in the genital area. There are two holes in the vulva : the opening to the vagina and the opening to the urethra,
- The third hole is the anus (AKA butthole).
- Check out the diagram below.
- The opening to the urethra (AKA urethral opening) is the tiny hole that you pee out of.
- It’s located just below your clitoris and above the opening to the vagina.
- The opening to the vagina (AKA vaginal opening) is right below your urethral opening.
The vagina is where (AKA your period) leaves your body, and where babies come out when you give birth. It’s also where some people put to collect blood during their periods. Some people put things inside their vagina for, like fingers, penises, and,
- The anus is under the vaginal opening.
- This is the hole you poop out of.
- Some people may also put fingers, penises, or sex toys in their anus for,
- Others don’t like the feeling of something in their anus.
- You need to use lube if you put anything in your anus — otherwise it could be painful or even unsafe.
And it’s very important that any that goes in your anus has a flared base (meaning it’s wider at the bottom) or some other way to stop the toy from accidentally slipping all the way in. If a sex toy goes all the way inside your butt, it could get stuck and you may have to go to the doctor to get it out.
- 1 How many holes does a woman have compared to a man?
- 2 What is the fourth hole on a woman?
- 3 What are 3 differences between males and females?
- 4 Why do singles have a big hole?
- 5 What percentage of people have a hole-in-one?
- 6 Is it common to get a hole-in-one?
- 7 Is too much discharge good?
- 8 Is it okay to discharge a lot?
What is the 10 hole in a woman’s body?
Vagina, urethra, butthole, 2 ears, 2 eye sockets, 2 nostrils, 1 mouth.
How many holes does a woman have compared to a man?
If you’re unsure (no judgement), the correct answer is three : the urethra, the vagina and the anus. According to Aussie lifestyle site Mamamia, Life Uncut co-host Laura Byrne put the question out on her Instagram Story, encouraging female followers to ask the men in their lives their thoughts.
What is the most hole in ones by a female?
The record for most holes in one on the PGA tour is 10, which is shared by Robert Allenby and Hal Sutton. Phil Mickelson has recorded five hole in ones. Kathy Whitworth holds the record for the most holes in one with 11 on the LPGA tour.
What is the fourth hole on a woman?
Urethra. The passage from the bladder through which urine is excreted; in the female it measures 1 to 1.5 inches; in the male 10 inches. —urethral, adjective.
What is a normal vaginal discharge?
When should I see my healthcare provider about vaginal discharge issues? – You should see your healthcare provider if:
Your vaginal discharge changes color, becomes heavier or smells different. You notice itching, burning, swelling or soreness around your vagina. You develop pelvic pain.
A note from Cleveland Clinic Having vaginal discharge is normal. It’s your vagina’s way of staying clean and healthy. Signs of irregular discharge include a change in the color, amount, consistency and smell of what you typically experience. Your normal discharge may change throughout your menstrual cycle.
How many holes did a man have?
There are 9 holes in the human body.1. A body orifice refers to an external opening in the mammalian body.2. Major orifices are as follows- · The nostrils – The openings in the nose which enable human beings to breathe. The nose is also the sensory organ for the smell.
- · The mouth – The opening of the mouth enables humans to consume food and speak.
- The mouth supports breathing as well.
- · The ear canals- It satisfies the purpose of the hearing.
- · The nasolacrimal ducts – It is a path of the tear from the lacrimal cavity to the nasal area.
- · The anus – This facilitates the process of excretion.
The other four orifices differ in male and female.
What are 3 differences between males and females?
People in relationships often have strong expectations that their partner will be just like they are: exhibit the same attitudes, values, perceptions and behaviors. However, we know that you will not change your partner’s attitudes and behaviors unless they themselves are motivated to do so.
- You are even less likely to change their basic gender characteristics.
- So it is very important to educate yourself as to the basic gender differences which exist between men and women, and accept the fact that the differences are there, they are real, and they are not going away.
- In this way you can learn to use the differences as a way to enrich your relationship rather than to damage it.
If you’d like help in applying the differences between men and women to YOUR relationships, we can help! Contact us today to get started: Email: [email protected] Text: 248 744 6050 Call: 248 546 0407 Are Men and Women really different? Let’s look at the evidence in a variety of areas of life.
- Girls develop right side of brain faster than boys: leads to talking, vocabulary, pronunciation, reading earlier, better memory.
- Boys develop left side faster than girls: visual-spatial-logical skills, perceptual skills, better at math, problem solving, building and figuring out puzzles.
- Girls more interested in toys with faces than boys are; play with stuffed animals and dolls more; boys drawn to blocks or anything that can be manipulated.
- Women use both hemispheres of brain; corpus callosum thicker in women.
Studies of infants:
- Both men and women speak louder to boys than girl infants; they are softer and express more “cooing” with girls. Boys are rarely told they are sweet, pretty, little doll; boys are told they are a pumpkin head or “Hey big guy”.
- Boys handled more physically and robustly than girls, bounced around more,
- Girls are caressed and stroked more than boys.
- Up to age 2, mothers tend to talk to and look at their daughters significantly more than than they do with their sons, and make more eye contact with the daughters as well.
- Mothers show a wider range of emotional response to girls than boys. When girls showed anger, mothers faces showed greater facial disapproval than when boys showed anger. May influence why girls grow up smiling more, more social, and better able to interpret emotions than boys.
- Fathers use “Command terms” with boys more than girls; and more than mothers gave.
Developmental Differences Between Boys and Girls:
- Nursery rhymes, books and cartoons perpetuate stereotypes,which often promote damsel in distress, frumpy housewife, helpless senior citizen, sexy heroine and swooning cheerleader.
- Girls use more terms of endearment than boys.
- Boys get away with more aggressive antisocial behavior in school and home than girls.
- Girls who act as tomboys are accepted; boys who act like girls are severely reprimanded (“don’t cry” “Don’t be a sissy”).
- Girls tend to talk about other people; secrets in order to bond friendships; and school, wishes and needs.
- Boys talk about things and activities. What they are doing and who is best at the activity.
- Teenage girls talk about boys, clothes and weight.
- Teenage boys talk about sports, mechanics, and function of things.
- age 12-18: biggest event for girls: have a boyfriend
- are 12-18: boys are equally interested in the following: sex, cars and sports.
- This carries into adulthood when women talk about relationships, people, diet, clothing, physical appearance. Men talk about sports, work, money, cars, news, politics, and the mechanics of things.
VALUES AND SELF ESTEEM AS ADULTS
- A man’s sense of self is defined through his ability to achieve results, through success and accomplishment. Achieve goals and prove his competence and feel good about himself.
- To feel good about himself, men must achieve goals by themselves.
- For men, doing things by themselves is a symbol of efficiency, power and competence.
- In general, men are more interested in objects and things rather than people and feelings.
- Men rarely talk about their problems unless they are seeking “expert” advice; asking for help when you can do something yourself is a sign of weakness.
- Men are more aggressive than women; more combative and territorial.
- Men’s self esteem is more career-related.
- Men feel devastated by failure and financial setbacks; they tend to obsess about money much more than women
- Men hate to ask for information because it shows they are a failure.
- Women value love, communication, beauty and relationships.
- A woman’s sense of self is defined through their feelings and the quality of their relationships. They spend much time supporting, nurturing and helping each other. They experience fulfillment through sharing and relating.
- Personal expression, in clothes and feelings, is very important. Communication is important. Talking, sharing and relating is how a woman feels good about herself.
- For women, offering help is not a sign of weakness but a sign of strength; it is a sign of caring to give support.
- Women are very concerned about issues relating to physical attractiveness; changes in this area can be as difficult for women as changes in a man’s financial status.
- When men are preoccupied with work or money, women interpret it as rejection.
- Men are more logical, analytical, rational.
- Women are more intuitive, holistic, creative, integrative.
- Men have a much more difficult time relating to their own feelings, and may feel very threatened by the expression of feelings in their presence. This may cause them to react by withdrawing or attempting to control the situation through a display of control and/or power.
- Men are actually more vulnerable and dependent on relationships than women are and are more devastated by the ending, since they have fewer friends and sources of emotional support.
- Men are more at ease with their own angry feelings than women are.
- Women are in touch with a much wider range of feelings than men, and the intensity of those feelings is usually much greater for women than men. As a result of this, many man perceive that women’s feelings appear to change quickly; men may find this irrational and difficult to understand.
- Men tend to be more functional in approaching problem-solving; women are aesthetically-oriented in addition to being functional.
- Women tend to be much more sensitive to sounds and smells than men are; and women as such tend to place a greater emphasis on “atmosphere”.
CONFLICTS WHICH ARISE DUE TO BASIC DIFFERENCES BETWEEN MEN AND WOMEN
- The most frequent complain men have about women: Women are always trying to change them.
- The most frequent complaint women have about men: Men don’t listen.
- Women want empathy, yet men usually offer solutions.
- When a woman tries to change or improve or correct or give advice to a man, men hear that they are being told that they aren’t competent or don’t know how to do something or that they can’t do something on their own.
- Men often feel responsible or to blame for women’s problems.
- Men always assume women want advice and solutions to problems, that that is the best way to be helpful and to show love; women often just want someone to sincerely listen to them.
- Housework: men avoid it, try to get others to do it at all costs, feel demeaned by doing it. For women, cleanliness of house is a manifestation of warm, homey nest. Men and women have different thresholds for cleanliness and dirt.
- Men often try to change a woman’s mood when she is upset by offering solutions to her problems, which she interprets as discounting and invalidating her feelings.
- Women try to change men’s behavior by offering unsolicited advice and criticism and becoming a home-improvement committee.
HOW TO WORK WITH THESE DIFFERENCES
- When women are upset, it is not the time to offer solutions, though that may be appropriate at a future time when she is calmed down.
- A man appreciates advice and criticism when it is requested. Men want to make improvements when they feel they are being approached as a solution to a problem rather than as the problem itself.
- Men have great needs for status and independence (emphasis on separate and different); women have needs for intimacy and connection (emphasis on close and same).
- Women need to receive caring, understanding, respect, devotion, validation, and reassurance.
- Women are motivated when they feel special or cherished.
- Men need to receive trust, acceptance, appreciation, admiration, approval, encouragement.
- Men are motivated when they feel needed. A man’s deepest fear is that he is not good enough or not competent enough, though he may never express this.
- There are major, significant differences between men and women.
- The differences are different, NOT better or worse. Do not judge the differences. Do not try to change the differences. Do not try to make them go away.
- These are generalizations! Individual differences exist; we all have some of these qualities.
- To get along, you MUST accept, expect and respect these differences.
- Be sure to remember these differences when communicating about anything important, when expressing care and concern, and when solving conflicts.
If you’d like help in applying the differences between men and women to YOUR relationships, we can help! Contact us today to get started: Email: [email protected] Text: 248 744 6050 Call: 248 546 0407
Are women’s elbows different from men’s?
Why can women perform the arm movement but men can’t? – Men and women have differences in biological anatomy. Women’s elbows and shoulders differ slightly compared to men, and so the arms can usually bend a little further with ease. The joints of a woman’s elbow may seem to poke out a little extra when the arms are extended.
It’s believed this is why most men struggle performing the arm movement. Women have smaller shoulders and wider hips therefore the ‘carrying angle’ of the elbow and forearm is smaller to allow for effortless ‘hip clearing’ while walking. Source: Institute of Human Anatomy The clip has since been watched more than 2.1million times and caused a debate among others, as some men said they can in fact perform the arm movement.
‘I can’t do this I’m a girl,’ one woman wrote, and a man added: ‘I guess I’m a girl then, I’m a boy and l can do it.’ Another man added: ‘I can do that, but I am really skinny which is probably why.’ While some men said they can do the movement, others deemed it to be ‘impossible’ and ‘too difficult’.
Earlier this year a competitive couple were left in hysterics after trying a ‘simple’ TikTok challenge women find easy but men can’t complete. Earlier this year star personal trainer Josef Rakich, 31, and his wife Maryam Matti, 33, both attempted to step over a broom handle while holding it close to the floor – with hilarious results Star personal trainer Josef Rakich, 31, and his wife Maryam Matti, 33, both attempted to step over a broom handle while holding it close to the floor – with hilarious results.
While Maryam gracefully stepped over the pole Josef’s feet appeared to be glued to the ground. When he finally lifted his left foot he lost balance before giggling and failing the challenge and sharing the video with his 775,000 followers. ‘At least I can p*ss standing up,’ the famous New Zealand born personal trainer captioned the video.
Why do singles have a big hole?
Why is the hole on a 7-inch single so big? – The standard size for the hole on an LP is 9/32 of an inch. RCA decided to make the hole on its new 45 1.5 inches wide for a couple of reasons. Story continues below advertisement READ MORE: New report alleges James Brown was murdered in 2006 First, RCA wanted its new format to crush the LPs being issued by Columbia and its licensed partners.
- Someone in the company came up with the idea of making and selling turntables designed exclusively for 45s.
- The thinking was that once people bought one of RCA’s turntables with the special six-inch-tall fat spindle, they were theoretically locked into buying music in the 45 format from then on.
- Sound familiar? RCA wanted people to stack records on this spindle so they wouldn’t have to get up and change the record every couple of minutes.
Instead, once a record was finished, the tonearm would swing back, the next record would fall onto the platter, and the tonearm would resume playing. It was possible to stack up to about 60 minutes worth of records this way. Take that, Columbia. But there was a more scientific reason for the larger hole.
When a new 45 dropped from the spindle onto the platter, it was required to spin up from a dead stop to 45 RPM almost instantly. The torque applied to the edges of the hole was quite severe and caused standard one-half-inch holes to quickly go out of round, resulting in a wobbly record. Tonearms hate wobbly records.
A larger hole allowed the sudden rotational forces to be distributed over a greater distance (π x 1.5; about 4.712 inches), reducing wear and allowing the hole to stay rounder longer. Story continues below advertisement This was especially important for the jukebox industry.
- In the 1930s, ’40s, and ’50s, jukeboxes were big, big business.
- Operators couldn’t have popular recordings rendered unplayable by a warped centre hole.
- RCA’s plans didn’t work out as it envisioned.
- Other turntable manufacturers started making machines that spun at 78, 33 1/3 and 45.
- The Big Hole Problem for regular turntables was solved with a plastic insert that fit within the big hole, making it fit on a standard one-half-inch spindle.
We ended up with an uneasy detente. LPs were designated for “good music,” which was defined as classical, Broadway cast recordings, and jazz. Meanwhile, 45s became the format for popular music. They were cheap to manufacture, cheap to buy, and proved to be the perfect way to send out songs to radio stations.
What percentage of people have a hole-in-one?
Conclusion – Hole-in-ones are a rare and exciting occurrence in the game of golf. The odds of an amateur golfer making one are 12,500 to 1 while for professional golfers it is 2,500 to 1. Golfers who have played for over 25 years have a 60% chance of getting a hole-in-one.
The most common club used to achieve this feat is the 9 iron and 73% of holes-in-one are made by men aged 50 or older. Over 90% of all golfers will never make one in their lifetime but there has been at least one recorded instance where someone achieved 63 throughout their life. On average, 150,000 holes in ones occur every year with 17% being made by female players and 45.3 being the average age when they first happen.
Holes in ones usually take place on par 3s during August with an average distance from tee box to cup being 140 yards – although some can be as long as 510 yards. Finally, 70+ percent come from those over 50 years old and 10 percent go on to make another after achieving their first ever hole in one – though that may not always end well due to injury caused by celebrating too hard.
Is it common to get a hole-in-one?
Rarity – Holes-in-one are rare and, although skill increases the probability, there is a great element of luck involved. It is traditional for a player who has scored a hole-in-one to buy a round of drinks for everyone at the clubhouse bar. Time magazine reported 1,200 holes in one were made by American golfers in 1922. An amateur golfer celebrates a hole in one. A memorable hole-in-one was made in the 1973 Open Championship by Gene Sarazen at age 71. Earl Dietering of Memphis, Tennessee, 78 years old at the time, is believed to hold the record for the oldest person to make a hole-in-one twice during one round.
During the second round of the 1971 Martini International tournament, held at the Royal Norwich Golf Club in England, John Hudson had two consecutive holes-in-one. Teeing off, using a 4-iron, at the par-three, 195-yard 11th hole, Hudson holed his tee shot for a hole-in-one. At the next hole, the downhill 311-yard, par-four 12th, and this time using a driver, he once again holed his tee shot, for another ace.
This is believed to be the only time a player has scored holes-in-one at consecutive holes in a major professional tournament. Despite the relative rarity of holes-in-one, there have been a total of six in Ryder Cup matches. Peter Butler scored the first in 1973 at Muirfield followed by a 20-year gap before Nick Faldo scored a hole-in-one in 1993,
Two years later, Costantino Rocca and Howard Clark both scored holes-in-one before an 11-year gap to 2006 saw Paul Casey and Scott Verplank both hole out in one on the 14th hole. On August 11, 2016, Justin Rose shot a hole-in-one during the first round of the golf tournament of the 2016 Summer Olympics in Rio de Janeiro, which is considered to be the first in Olympic history.
For the 189 yards par-3 hole, he used a 7-iron.
How do you know where her hole is?
Outside of your body – Your vagina ends at a hole called your vaginal opening, which is part of your vulva. Your vulva includes folds of skin on both sides of your vaginal opening. The outer folds are called your labia majora. The inner folds are called your labia minora (inner lips).
Your clitoris (clit) is located where your inner lips meet toward the top of your vulva. Your vaginal opening is located where your inner lips meet toward the bottom of your vulva. Sometimes, your inner lips wholly or partially cover your vaginal opening. You may have to part your inner lips with your fingers to feel your vaginal opening.
Your vaginal opening is one of three essential holes in your vulva area that link your body’s internal and external functions. Your urethral opening is at the top. Your vaginal opening is in the middle. And your anus is at the bottom.
Urethral opening: A tiny hole located beneath your clitoris that allows you to pee. The tube that carries urine from your bladder (urethra) empties outside of your body at this opening. Vaginal opening: This is where your baby exits your body during childbirth and where period blood flows during menstruation. It’s also the hole where a penis, finger, sex toy, tampon or menstrual cup can be inserted. A thin membrane called a hymen usually surrounds or partially covers your vaginal opening. This membrane may be stretched during sex, exercise or even when you’re inserting a tampon. This stretching may or may not be painful. Anus: The organ that carries poop from your colon (rectum) empties outside of your body at this opening.
What does it mean when ladies have two holes at the lower back?
– Back dimples — indentations on your lower back — are a fairly common cosmetic feature. They’re caused by short ligaments connecting your pelvis to your skin, but they have no medical implications. Not only are they harmless, but they can even be considered a sign of beauty, especially in women!
What does 4 in the hole mean?
On a par 4, an expert golfer is expected to take 4 strokes to get his ball in the hole.
What does it mean when a woman creams?
White Discharge During Sex: How Is Your Vaginal Discharge Linked To Your Menstrual Cycle? – Your period, the discharge you experience throughout the month, and the white discharge you produce during sex might feel like separate occurrences, but they’re actually inherently linked.
- Puberty causes hormonal changes to happen in your body, including the production of discharge in the run-up to your first period.
- During your period, your body sheds the lining of your uterus, which comes out as blood, but there’s also a little bit of discharge mixed in there.
- About a week after your period, a few days before ovulation, discharge is stretchy, clear, and similar in consistency to egg whites.
High levels of estrogen are at play here, as your ovaries prepare to release an egg. In the middle of your cycle, during ovulation, your discharge may feel slippery or thinner. Then during the second part of the menstrual cycle, after ovulation, you may notice creamy, white discharge.
Is too much discharge good?
Vaginal discharge serves an important housekeeping function in the female reproductive system, Fluid made by glands inside the vagina and cervix carries away dead cells and bacteria. This keeps the vagina clean and helps prevent infection. Most of the time, vaginal discharge is perfectly normal.
- The amount can vary, as can odor and color (which can range from clear to a milky white-ish), depending on the time in your menstrual cycle,
- For example, there will be more discharge when you’re ovulating, breastfeeding, or sexually aroused.
- It may smell different when you’re pregnant or you’ve been letting your personal hygiene slide.
None of those changes is cause for alarm. However, if the color, smell, or consistency seems quite different than usual, especially if you also have vaginal itching or burning, you could be dealing with an infection or other condition. Any change in the vagina’s balance of normal bacteria can affect the smell, color, or discharge texture.
Antibiotic or steroid use Bacterial vaginosis, a bacterial infection more common in pregnant women or women who have multiple sexual partners Birth control pills Cervical cancer Chlamydia or gonorrhea (STDs), sexually transmitted infections Diabetes Douches, scented soaps or lotions, bubble bathPelvic infection after surgery Pelvic inflammatory disease (PID) Trichomoniasis, a parasitic infection typically contracted and caused by having unprotected sexVaginal atrophy, the thinning and drying out of the vaginal walls during menopauseVaginitis, irritation in or around the vagina Yeast infections
See the chart below to learn more about what a particular type of discharge might mean. Types of Abnormal Discharge and Their Possible Causes
|Type of Discharge||What It Might Mean||Other Symptoms|
|Bloody or brown||Irregular menstrual cycles, or less often, cervical or endometrial cancer||Abnormal vaginal bleeding, pelvic pain|
|Cloudy or yellow||Gonorrhea||Bleeding between periods, urinary incontinence, pelvic pain|
|Frothy, yellow or greenish with a bad smell||Trichomoniasis||Pain and itching while urinating|
|Pink||Shedding of the uterine lining after childbirth (lochia)|
|Thick, white, cheesy||Yeast infection||Swelling and pain around the vulva, itching, painful sexual intercourse|
|White, gray, or yellow with fishy odor||Bacterial vaginosis||Itching or burning, redness and swelling of the vagina or vulva|
The doctor will start by taking a health history and asking about your symptoms. Questions may include:
When did the abnormal discharge begin?What color is the discharge?Is there any smell?Do you have any itching, pain, or burning in or around the vagina?Do you have more than one sexual partner?Do you douche?
The doctor may take a sample of the discharge or do a Pap test to collect cells from your cervix for further examination. How you are treated will depend on what’s causing the problem. For example, yeast infections are usually treated with antifungal medications inserted into the vagina in cream or gel form.
Keep the vagina clean by washing with a gentle, mild soap and warm water on the outside. There is no need to put soap directly in the vagina.Never use scented soaps and feminine products or douche. Also avoid feminine sprays and bubble baths.After going to the bathroom, always wipe from front to back to prevent bacteria from getting into the vagina and causing an infection.Wear 100% cotton underpants, and avoid overly tight clothing.
Is it okay to discharge a lot?
Frequently Asked Questions – Is it normal to have a lot of discharge everyday? Normal vaginal discharge amounts vary throughout the menstrual cycle and also vary from person to person. An average daily amount of discharge is less than a teaspoon. If you have more than this amount on a daily basis, it may be your normal but it is still a good idea to discuss it with your healthcare provider.
- Having a large amount of discharge everyday that is yellow, green, or gray or has additional symptoms such as odor or discomfort is not normal.t Check with a healthcare provider for guidance.
- What causes too much discharge? Increases in discharge happen in response to pregnancy, infection, and hormone changes throughout a normal menstrual cycle.
You may also notice a temporary increase in vaginal fluid during sexual arousal. Discharge that is clear or white with no odor or other symptoms is usually normal. If discharge appears to be like cottage cheese, or is yellow, gray, or green and is accompanied by itching, burning, or pain, it could be a sign of an infection and you should see your healthcare provider for further evaluation How can I stop so much discharge? The best way to address discharge depends on what is causing it.
- If it is caused by ovulation, it will typically resolve a couple of days after ovulation.
- If discharge is caused by pregnancy, you will likely notice increased amounts of discharge throughout the pregnancy but be sure to discuss it with your pregnancy provider.
- If you are not ovulating or pregnant and you notice a lot of discharge, this may be a sign that something else is going on.
Addressing the cause of the discharge with your healthcare provider is usually the treatment. How much discharge is too much discharge? This depends on your normal discharge pattern. If you notice more than your usual discharge amount and you are not ovulating, you may be producing excess discharge.
- If at any time your normal vaginal discharge changes color or odor, or you suddenly notice a lot more, check with your healthcare provider.
- Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only.
- This information does not constitute and should not be relied on for professional medical advice.
Always talk to your doctor about the risks and benefits of any treatment.
How many total holes are there in a body?
It is obvious that we are facing a dramatic increase in health care needs due to an exploding population that is rapidly aging, served by inadequate numbers of physicians, mid-level providers and nurses, and burdened with spiraling healthcare costs. So who do you think might be tagged to help take up some of the slack? EMS represents a huge healthcare resource and it cannot remain just for emergencies anymore.
Although many countries have expanded roles for EMS, we are beginning to explore our capacity to provide a greater scope of care. With that, let me introduce you to the world of temporary and not so temporary manmade body cavity access devices and procedures that may require your current or future patient care expertise.
Openings There are seven natural body openings or orifices providing access to an internal cavity through a natural passage called a canal, duct or meatus. So, from the top of the body down:
External auditory canal or meatus directs air waves from the outside to the tympanic membrane converting mechanical energy to electrical energy in the internal auditory canal or meatus that is sent to your brain. Nares are the entrance to the nose and the slimy surface inside that collects dust, pollen, etc. to keep it out of your airways and helps warm the outside air before it hits your lungs. Nasal meati are openings inside the nose leading to the four paired sinus cavities that also collect inhaled particles, warms the air and also lightens the weight of your skull, which gives some truth to the term “air head.” Mouth provides access to the gastrointestinal tract and the respiratory system Urethral meatus transports urine from your bladder to the outside Anus for solid waste output Vagina, the conduit to the uterus from whence we all came to being
Traffic control The sphincter is a circular muscle surrounding a natural body opening or conduit. They range from very small as the thousands of capillary sphincters that open and close the smallest blood vessels, to large sphincters that manage higher flow volumes such as through the esophagus or out the anus.
The importance and intelligence of the sphincter is not to be taken for granted. This can be demonstrated by a thought experiment. Imagine your hands are cupped together and filled with water, sand and air; could you open your hands and allow only the air to escape? The anal sphincter does that routinely.
Temporary interventions following normal anatomic pathways Nasogastric and orogastric tubes provide temporary access to the stomach for suction of contents or irrigation (lavage) or to administer medication or nutrition (gavage). These tubes are uncomfortable and careful manipulation will minimize discomfort.
The opening to the esophagus is close to the opening to the lungs (larynx), thus a displaced gastric tube is an aspiration risk. Tube placement is confirmed by X-ray and the distance of insertion is noted or marked to monitor any tube drift. Intubation of the trachea can be accomplished via the nose or the mouth and is a familiar out-of-hospital intervention with potential problems of misplacement and displacement.
Urinary catheters are flexible, smooth tubes that can be inserted for a quick in and out procedure to obtain urine for testing. They can also be left in place for continuous drainage as an indwelling (residing inside the body) catheter. Years ago Dr. Frederic Eugene Basil Foley developed the first flexible indwelling catheter with an inflatable balloon on one end to keep part of the tube inside the bladder.
- The Foley catheter is both friend and foe as it provides a portal for bacteria to enter the bladder and blood stream thus increasing the incidence of urinary tract infections, sepsis and patient deaths.
- We worsen the chances of such infections by inserting them too often and waiting too long to remove them, simply for our convenience as caretakers.
Rectal tubes are obviously inserted into the rectum and can be used to introduce a variety of liquids to relieve constipation or to deliver medication such as lactulose that absorbs excess ammonia produced by the liver failure patient or kayexalate to help decrease high serum potassium levels though binding with potassium which is then excreted in the stool.
- Some rectal tubes look like large Foley catheters as they have a balloon on one end to anchor the tube in the rectum.
- This may be useful when a patient has temporarily lost voluntary control of the anal sphincter.
- Continuous stooling can cause skin breakdown and prevent local wound healing.
- Non-anatomical pathways These interventions break through the skin to insert a tube or create a surgical opening to access an internal cavity.
This exposes the incision and the organ cavity to potential infection, therefore requiring constant vigilance in maintaining aseptic technique. Where a tube is involved, security is the key to decreasing the movement that may result in discomfort or dislodgement.
- An ostomy is a surgical opening to allow waste removal though the abdominal wall instead of the normal anatomic pathway.
- The stoma is the part of the bowel or ureter that you see on the skin surface and where the catch bag is located.
- Proper placement of the bag over the stoma is essential to keep the flow contained and prevent skin damage from bowel content or urine.
Tubes A tracheostomy is a surgical opening in the trachea providing access to the lungs when the larynx is removed or becomes dysfunctional due to illness, injury or surgery. A tracheostomy tube is inserted into the opening to maintain patent access. It is essential to keep the skin clean and dry around the opening, and the tracheostomy tube clean and patent.
The other surgical airway is the cricothyroidotomy, a temporary, last ditch emergency airway to insert a tube though an incision in the cricothyroid membrane in order create a patent airway and ventilate the lungs. The most common long term feeding tube is a Percutaneous Endoscopic Gastrostomy or PEG tube.
The tube is inserted through the skin and into the stomach while visualizing the stomach through the gastroscope. There is a bumper or inflatable balloon on the stomach side of the tube to keep it in place. Gastrostomy tubes are used when a patient is unable to take oral nutrition long term or permanently as in patients with neurologic disorders that prevent them from swallowing.
- Like all other tubes, careful skin care and close monitoring tube placement are essential.
- Sometimes the need for a urinary catheter becomes a long term proposition as in patient with bladder damage from injury or disease.
- A suprapubic catheter is inserted through the skin above the pubic symphysis into the bladder, thus bypassing the urethra and decreasing the incidence of infection.
The Ostomy Take the functional part of the colon, separate it from the diseased part, stick the good end through an incision in the abdominal wall to create a stoma by suturing the edge of the colon to the skin, and you have created a colostomy. Some are temporary allowing the lower part of the diseased or injured colon to heal before reconnecting the two ends.
Some are permanent because the distal part of the colon is removed or permanently damaged. If the entire colon is out of action, an ileostomy can be created. Recall that the ileum is the distal part of the small intestine that connects to the cecum or first part of the colon. The ileostomy then diverts the waste before it hits the colon while allowing the absorption of nutrients by the rest of the small bowel.
Bladder problems from cancer or spinal cord injuries or spinal birth defects like spina bifida can result in a severely dysfunctional or absent bladder that requires external surgical drainage. There are a couple of options here. The ureters connecting the kidneys to the bladder can be detached and bought out through the abdominal wall directly.
The other option is the Ileal or colon conduit where a short segment of the ileum or colon is detached creating a pouch where the ureters are connected to one end while the other end of the colon or ileum is brought out through the abdominal wall as with the colostomy or ileostomy. Summary Now you have the basic body ins and outs.
It is my prediction you will become more involved with these comings and goings the longer you stay in EMS. At least now you have a small opening to expand your knowledge. Reference Reading Urinary Catheter Care PEG Tube Care Tracheotomy Care Living with Ostomies Ileostomy Fact Sheet Stoma Care United Ostomy Associations of America
What are the ten holes in a man’s body?
Two eyes, two ears, your mouth, your nostrils, your anus and genitals. There are nine natural openings in the human body: two eyes, two ears, two nostrils, the mouth, the urethra, and the anus. There are many openings or ‘holes’ in the human body, including the mouth, nose, ears, eyes, anus, and urethra.
What is the hole on the stomach called?
From Wikipedia, the free encyclopedia
|The navel is a protruding, flat or hollowed scar left after the umbilical cord detaches.|
|Precursor||Umbilical cord Ductus venosus|
The navel (clinically known as the umbilicus, commonly known as the belly button or tummy button ) is a protruding, flat, or hollowed area on the abdomen at the attachment site of the umbilical cord, All placental mammals have a navel, although it is generally more conspicuous in humans.
How many holes does a straw have?
It’s the debate dividing the internet – how many holes does a straw have? Virgin Radio 15 Aug 2022, 07:17 People have been disagreeing on the internet recently. Very surprising, right? However, for once, the arguments aren’t about politics or sport, but rather because of – quite literally – a straw poll. Specifically, people are debating how many holes a straw has,
- Is it one or two? Or, actually, is it none? Yes, a new YouGov poll has been dealing with the big issue of our times, and it’s causing quite the discussion.
- Some people say that the answer is one, while other people reckon that a straw has two holes – as in, one at each end.
- Other people, however, say that, actually, a straw doesn’t have any holes.
It’s simply a sheet of material shaped into a cylinder. The poll, via YouGov America, asked simply “How many holes are there in a straw?” on August 12th, and attracted close to 6000 votes. And the results were very close indeed. In total, 46 percent of people said there is one hole, 47 percent said there are two, and seven percent said that they simply didn’t know! Commenters keenly put their points across.
- One person wrote: “It’s one you monsters.” One Twitter user agreed, saying: “If straw has 2 holes then so does a donut.” Another person added: “A hole has three dimensions, not two.
- Since depth is required, but a bottom isn’t, a straw has (or more accurately is) one hole with two openings.” Whilst there wasn’t an option for zero holes, several people gave their thoughts on this possibility in the comments section.
Someone said: “Look, if you tell the waiter there’s a hole in your straw, they’re gonna get you a new one. So, clearly, unless it’s defective, a straw has no holes.” Meanwhile, someone else joked: “I’d need to see the straw.” So, what do you reckon? It is one, two, or none? : It’s the debate dividing the internet – how many holes does a straw have?