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Rasheem J Northington*
 
Department of Medicine, Professor at Five Towns College, Dix Hills, New York, USA, Email: rasheemj@yahoo.co.in
 
*Correspondence: Rasheem J Northington, Department of Medicine, Professor at Five Towns College, Dix Hills, New York, USA, Email: rasheemj@yahoo.co.in

Received: 20-Jul-2021 Accepted Date: Aug 10, 2021 ; Published: 30-Jul-2021

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Abstract

The function of the thoracic diaphragm has the potential and capability of increasing the efficiency of the kidneys by way of increasing their efficiency of filtration. The kidneys are the organs in the human that are responsible for removing wastes that are created from natural metabolic reactions in the body, as well as toxins, excess fluid, excess ions including acids and other substances that serve no useful purpose in the body. The excess accumulation of wastes in any system decreases the efficiency of the system, and when it comes to living systems such as the humanbody, the accumulation of wastes in the body can also negatively impact health. It is important to have healthy working kidneys in order to promote good health in the body. The kidneys promote good health by way of keeping the level of wastes in the human body’s blood stream low enough so that they do no appreciable harm to health. Basically, the kidneys act as a filter for the blood. Simply put, in the kidneys there are filtration membranes. Each of these filtration membranes in the kidneys is called a glomerulus (plural-glomeruli), and there may be a million of them in each kidney.

Introduction

The function of the thoracic diaphragm has the potential and capability of increasing the efficiency of the kidneys by way of increasing their efficiency of filtration.

The kidneys are the organs in the human that are responsible for removing wastes that are created from natural metabolic reactions in the body, as well as toxins, excess fluid, excess ions including acids and other substances that serve no useful purpose in the body.

The excess accumulation of wastes in any system decreases the efficiency of the system, and when it comes to living systems such as the humanbody, the accumulation of wastes in the body can also negatively impact health. It is important to have healthy working kidneys in order to promote good health in the body.

The kidneys promote good health by way of keeping the level of wastes in the human body’s blood stream low enough so that they do no appreciable harm to health. Basically, the kidneys act as a filter for the blood.

Simply put, in the kidneys there are filtration membranes. Each of these filtration membranes in the kidneys is called a glomerulus (plural-glomeruli), and there may be a million of them in each kidney.

This glomerulus is a ball of capillaries. Capillaries are the blood vessels that are permeable to blood plasma, which is the water portion of the blood containing dissolved solutes. Capillaries are however impermeable to plasma proteins. Theseglomerular capillaries inand of the kidneys are responsible for the filtration of the blood.These “special” capillaries are also positively influenced by a hormone called Atrial Natriuretic Peptide or (ANP).

Atrial Natriuretic Peptide

Breaking the words down, “atrial” is referring to the right atrium of the heart. The right atrium of the heart is one of the four chambers of the heart. The right atrium is also the chamber of the heart that receives the venous blood return from the vena cava.

The word “natriuretic” broken down; the “natri”part of the word means salt and “uretic” relates to excretion and “peptide” is a small protein. So, the atrial natriuretic peptide is a small protein released from the heart cells of the right atrium that produces a positive effect on the kidneys that relates to salt excretion.

The Positive Effect that Atrial Natriuretic Peptide has on the Kidneys

Atrial natriuretic peptide produces a positive effect on the kidneys. This positive effect that this peptide has on the kidneys’ function is that it stimulates the kidneys to increase their filtration efficiency. This peptide stimulates the kidneys to increase their efficiency by the effect that it has on the glomeruli, the capillaries in the kidneys that are responsible for filtration. More specifically, atrial natriuretic peptide or ANP increases the efficiency of the kidneys by maximizing the surface area of their glomerular capillaries that are available for filtration. This allows for the maximization of filtration and maximization of the cleansing of the blood by these “glomerular” capillaries, contributing to an increase of the filtration rate.

Understand that the filtration process by the kidneys cannot be any more efficient than the availability of its filtration membrane, meaning, its glomerulus or filtration capillary availability. In consequence of this increase in the surface area of the glomeruli more water is filtered along with greater amounts of solutes that would have a greater chance being released or excreted rather than remaining in the blood stream.

The Absence of Atrial Natriuretic Peptide and the Kidneys

When this peptide (ANP) is not present, the surface area of the glomerular capillaries is then restricted (by mesangial cells) which then reduces the surface area of the kidneys’ filtration capillaries, which then reduces their rate of filtration. This prevents the kidneys from being able to filter or remove necessary substances (ions,acids,wastes,toxins) from the blood at its most optimal rate or capability.

The Stimulus for the Release of Atrial Natriuretic Peptide

This peptide (ANP) is released by the heart muscle cells of the right atrium. The stimulus that influences the heart cells of the right atrium to release this Atrial Natriuretic Peptide (ANP) comes from an increase in the stretching of the heart cells of the right atrium. This would be caused by an increase of the volume of blood returning to the heart contributing to an increase in something called “stroke volume”. Keep in mind, blood only returns to the heart by way of entry through the right atrium from the veins or vena cava and this increase in the stretching of the heart muscle cells of the right atrium is then accomplished by an increase in the volume of blood that is returned to the heart by the veins. This increase in blood volume received by the heart triggers the release of atrial natriuretic peptide from the heart cells of the right atrium which then travel to the kidneys.

The Diaphragm’s Influence on the Release of Atrial Natriuretic Peptide

Now, in my published book titled the diaphragm-the muscle source of life. I discuss how a full or maximum voluntary contraction of the diaphragm increases the amount of blood returned to the heart via the right atrium as opposed to the normal involuntary contraction of the diaphragm. This greater contraction of the diaphragm compresses abdominal veins (vena cava), pushing the blood that is in them into the decompressed thoracic veins, which are veins in the chest, and then into the heart, all while the heart is beating at a relatively slower rate. This slower heart rate allows more time for blood to fill the right atrium.

This increased volume of blood returned to the heart will cause the heart cells of the right atrium to stretch more, therefore stimulating the release of the Atrial Natriuretic Peptide (ANP) from the heart cells of the right atrium which will then influence the kidneys to maximize the surface area of their filtration capillaries, which in turn will increase their filtration rate and filtration efficiency. Therefore, full or maximum contraction of the diaphragm can influence the kidneys to increase their efficiency so you can now also understand that diaphragmatic deep breathing can also trigger the same response from the kidneys.

The Relation between the Diaphragm, the Heart and the Kidneys

Upon recap it appears that the heart communicates with the kidneys and they work as a team in the moving and filtering of blood. When we voluntarily contract our diaphragm beyond its involuntary contraction, we then increase the volume of blood that returns to the heart. This increased volume of blood that is returned to the heart will be the volume of blood that will be ejected from the heart. Once the heart receives this increased volume of blood it will cause a stretching of the heart muscle cells, the heart will then alert the kidneys that there is an increase in the volume of blood to be received so then the kidneys prepare themselves to increase their capacity of filtering this increased volume of blood efficiently.

In Closing

Please keep in mind that when you maximize the function of the diaphragm then you increase the efficiency of the heart, the increase in the efficiency of the heart then leads to the increase in the efficiency of the kidneys. Stated another way, if you maximize the function of the diaphragm, then you maximize the efficiency of the heart which then in term maximizes the efficiency of the kidneys.

Also keep in mind that the diaphragm is situated to compress the inferior vena cava which is the largest vein in the human body in which most of the blood in the body returns to before entering the heart.

The thoracic diaphragm also seems to be a muscle that can be used to act as the body’s own natural diuretic aided by increased water intake as well. A muscle that is always available and readily doing its job. That I will explain how in my next program or article.

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