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Автор Джулия Эндерс

(

GIULIA ENDERS

)

ILLUSTRATIONS BY JILL ENDERS

Translation by

DAVID SHAW

GUT

The Inside Story of Our Body’s

Most Underrated Organ

VANCOUVER/BERKELEY

For all single parents who put as much energy and love into bringing up their children as our mother did for my sister and me.

And for Hedi.

Copyright © 2015 by Giulia Enders

Illustrations copyright © 2015 by Jill Enders

Translation copyright © 2015 by David Shaw

Originally published in Germany as Darm mit Charme by Ullstein in 2014

First published in English by Scribe in 2015

Cataloguing data available from Library and Archives Canada

ISBN 978-1-77164-149-4 (pbk. )

ISBN 978-1-77164-150-0 (epub)

Editing by Jane Billinghurst

Cover and interior illustrations by Jill Enders

Cover design by Peter Cocking

Distributed in the U. S. by Publishers Group West

We gratefully acknowledge the financial support of the Canada Council for the Arts, the British Columbia Arts Council, the Province of British Columbia through the Book Publishing Tax Credit, and the Government of Canada through the Canada Book Fund for our publishing activities.

The advice provided in this book has been carefully considered and checked by the author and the publisher. It should not, however, be regarded as a substitute for competent medical advice. Therefore, all information in this book is provided without any warranty or guarantee on the part of the publisher or the author. Neither the author nor the publisher or their representatives shall bear any liability whatsoever for personal injury, property damage, and financial losses.

Contents

Preface

1 GUT FEELING

How Does Pooping Work? And Why That’s an Important Question

The Gateway to the Gut

The Structure of the Gut

What We Really Eat

Allergies and Intolerances

A FEW FACTS ABOUT FECES

2 THE NERVOUS SYSTEM OF THE GUT

How Our Organs Transport Food

Reflux

Vomiting

Constipation

The Brain and the Gut

3 THE WORLD OF MICROBES

I Am an Ecosystem

The Immune System and Our Bacteria

The Development of the Gut Flora

The Adult Gut Population

The Role of the Gut Flora

The Bad Guys—Harmful Bacteria and Parasites

Of Cleanliness and Good Bacteria

Acknowledgments

References

Preface

I WAS BORN BY cesarean section and could not be breast-fed. That makes me a perfect poster child for the intractability of the gastrointestinal tract in the twenty-first century. If I had known more about the gut back then, I could have placed bets on what illnesses I would contract later in life. At first I was lactose intolerant. I never thought about why I was suddenly able to drink milk again at the age of five. At some point I got fat, then thin again. Then, for a long time, I was fine—until I got “the sore. ”