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Ask Dr. Universe medicine

What happens to the pill capsules after you swallow the pill? – Avery, 11, Illinois

Dear Avery,

I think it’s really cool when a clear pill has teeny tiny balls of medication inside it. My paws itch to bat it around—but I know medicine isn’t a toy, so I sharpen my claws on my desk and then get back to answering your questions.

I asked my friend Damianne Brand-Eubanks what happens after you swallow one of those capsules. She teaches in the College of Pharmacy and Pharmaceutical Sciences at Washington State University. She’s an expert on medication.

She told me that the outside of a pill capsule is usually made of gelatin. That’s the same stuff that’s in jello or gummy candy.

“Just like with food, you swallow the pill, and it goes down the esophagus into the stomach, where there's a whole bunch of acid,” Brand-Eubanks said. “That acid breaks down the gelatin capsule.”

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How do people get ear infections? – Lydia, 9, Illinois

Dear Lydia,

Ear infections aren’t fun. They can make your ears hot, itchy or painful. They can cause lots of pressure or make it harder to hear. Sometimes fluid leaks out of your ear.

I asked my friend Bevan Briggs why that happens. He’s a nurse practitioner and professor at Washington State University.

He told me people usually get outer ear or middle ear infections.

Your outer ear includes the flappy part attached to your head—called the auricle or pinna. It also includes the ear canal. That’s the tunnel that goes into your head. At the end of the ear canal, there’s a thin, flexible barrier of tissue called the eardrum. That’s the boundary between your outer ear and your middle ear.

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